This document outlines best practices for tele-sitting and virtual patient observation as part of hybrid care models addressing staffing shortages, pandemic pressures, and financial constraints in U.S. healthcare facilities. Tele-sitting combines remote monitoring with in-person care to improve patient safety, reduce observation gaps, and enable faster clinical intervention. The guide emphasizes that successful programs rely on thoughtful planning, including choosing appropriate devices, defining scalable service models, and supporting enterprise-wide hub-and-spoke operations. It also highlights the importance of effective implementation strategies and staff engagement to ensure adoption, sustainability, and improved outcomes for both patients and care teams.

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