Background: Emerging models of care leveraging technology in the home setting introduce a new complexity of support needed to ensure patient satisfaction. This session will review barriers patients face using technology in the home and explore mitigation strategies to ensure success with technology enabled care models. Purpose: Vanderbilt University Medical Center implemented a Hospital at Home (HAH) program using technology for virtual video interaction, physiologic monitoring, and patient/clinician communication. Patient satisfaction feedback identified use of equipment/technology as the lowest scoring variable. This performance improvement initiative was to identify equipment/technology barriers experienced by HAH patients and apply appropriate interventions. Design/Methods: Leadership rounding was conducted with 135 HAH participants over a one-year period. An electronic rounding guide also served as the data collection tool, containing both discrete and free-text data fields to record feedback. Interventions were applied immediately where able, while cumulative findings were analyzed to prioritize program modifications. Results: Equipment/technology issues were the most frequent reported challenge by HAH participants (n=44). The type of issues reported included connectivity (n=18), equipment (n=15), usability/user interface (n=10), alerts/alarms (n=9), knowledge deficit (n=5), and restricted movement (n=2). Qualitative findings highlighted general troubleshooting issues including biometric data transfer, interruptions of sleep because of the technology, general burden/stress with required use of technology, and reported variation on how issues were escalated/resolved. These findings highlight those participants faced a broad range of technology barriers including technical issues, lack of comfort/proficiency, and inconsistent issue escalation processes. Implications for Practice: These findings suggest the need for a home-based technology support plan that includes a patient technology assessment tool, individualized education that incorporates issue troubleshooting, procedures for alarm management, as well as an issue monitoring and a vendor engagement plan. Lessons learned from this initiative can be used to proactively manage barriers and define best practices to improve the patient’s experience with technology in the home setting. Additional efforts are warranted to study and improve equipment/technology readiness assessment tools, effective patient education methods, and identify effective support models for the home setting