scholarly journals Development and implementation of a remote patient monitoring program for heart failure: a single‐centre experience

2021 ◽  
Author(s):  
Bryana N. Baginski ◽  
Kaileigh A. Byrne ◽  
Dev G. Vaz ◽  
Regina Barber ◽  
Dawn Blackhurst ◽  
...  
Keyword(s):  
Heart Failure ◽  
Patient Monitoring ◽  
Monitoring Program ◽  
Remote Patient Monitoring ◽  
Single Centre ◽  
Single Centre Experience ◽  
Remote Patient

Understanding the Effects of Participation in a Large-scale Remote Diabetes Monitoring Program: A Qualitative Survey and Retrospective Analysis Study (Preprint)

2021 ◽  
Author(s):  
Yee Chieh Chew ◽  
Michael Swiernik ◽  
Thomas McCormick ◽  
Angie Stevens
Keyword(s):  
Health Outcomes ◽  
Care Management ◽  
Patient Monitoring ◽  
Monitoring Program ◽  
Care Providers ◽  
Remote Patient Monitoring ◽  
Kaiser Permanente ◽  
Program Adherence ◽  
Remote Patient ◽  
Diabetic Care

BACKGROUND Remote patient monitoring has shown promise in helping management of population health by facilitating care management between providers and patients by providing real-time accurate data of relevant readings for chronic conditions from outside a medical facility. Kaiser Permanente offers remote patient monitoring as part of a holistic care management program for its members. OBJECTIVE The purpose of this study was to examine qualitative and quantitative measures of patient and provider feedback of Kaiser Permanente’s remote patient monitoring program for diabetes, patient perspectives on ability to manage diabetic care, patient health outcomes and program adherence, and utilization of Kaiser Permanente services under the program. METHODS In this study, patients who were enrolled in the RPM program in Southern California from 2017 onwards as well as care providers who had enrolled at least one patient in the program were studied. For qualitative data, online surveys were deployed. For quantitative analysis, clinical and demographic data drawn from existing data systems, which included Kaiser Permanente membership records, encounter records, electronic medical records, and administrative data repositories were used. RESULTS Providers (N=160) and patients (N=1,106) responded to the survey and reported many qualitative benefits from participating in the study, including improved coordination of clinical care and increased accountability. Patients who were enrolled in the program experienced a mean decrease of 1.25 in HbA1c results and an increase in encounters over 90 days which gradually come back to pre-enrollment encounter levels around 6 months. Those who actively upload glucose readings met the program upload goals within the first month a majority (92%) of the time. CONCLUSIONS There are many qualitative benefits for patients and providers incorporating Kaiser Permanente’s remote patient monitoring program as part of diabetic care. The quantitative descriptions of health outcomes, service utilization, and program adherence speak to the feasibility and value of deploying remote monitoring tools at scale within healthcare organizations.

Novel Data Collection and Analytics Tools for Remote Patient Monitoring in Heart Failure (Nov-RPM-HF) Trial: Rationale of Trial Design (Preprint)

2021 ◽  
Author(s):  
Ankit Bhatia ◽  
Gregory Ewald ◽  
Thomas Maddox
Keyword(s):  
Heart Failure ◽  
Data Collection ◽  
Patient Monitoring ◽  
Patient Adherence ◽  
Performance Status ◽  
Prospective Trial ◽  
Emergency Department Visits ◽  
Remote Patient Monitoring ◽  
Home Based ◽  
Remote Patient

UNSTRUCTURED Heart Failure (HF) remains a leading cause of mortality, and a major driver of healthcare utilization. Effective outpatient management requires the ability to identify and manage impending HF decompensation. Remote patient monitoring (RPM) aims to further address this current need in HF care. To date, RPM approaches employing noninvasive, home-based patient sensors have failed to demonstrate clinical efficacy. The Novel Data Collection and Analytics Tools for Remote Patient Monitoring in Heart Failure Trial (Nov-RPM-HF) aims to address current noninvasive RPM limitations. Nov-RPM-HF will evaluate a clinician-codesigned RPM platform employing emerging data collection and presentation tools. These tools include: (1) a ballistocardiograph to monitor nocturnal patient biometrics, such as heart and respiratory rate, (2) clinical alerts for abnormal biometrics, and (3) longitudinal data presentation for clinician review. Nov-RPM-HF is a 100-patient single-center prospective trial, evaluating patients over 6 months. Outcomes will include: (1) patient adherence to data collection, (2) patient/clinician-perceived utility of the RPM platform, (3) medication changes- including the titration of guideline-directed medical therapy to target doses, (4) HF symptoms/performance status, and (5) unplanned HF hospitalizations or emergency department visits. The results will help to inform the role of noninvasive RPM as a viable clinical management strategy in HF care.

Remote Patient Monitoring in Chronic Heart Failure

2013 ◽  
Vol 21 (3) ◽  
pp. 141-150 ◽  
Author(s):  
Chandrasekar Palaniswamy ◽  
Aaron Mishkin ◽  
Wilbert S. Aronow ◽  
Ankur Kalra ◽  
William H. Frishman
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Patient Monitoring ◽  
Remote Patient Monitoring ◽  
Remote Patient

scholarly journals Rapid implementation of a COVID-19 remote patient monitoring program

2020 ◽  
Vol 27 (8) ◽  
pp. 1326-1330 ◽  
Author(s):  
Tucker Annis ◽  
Susan Pleasants ◽  
Gretchen Hultman ◽  
Elizabeth Lindemann ◽  
Joshua A Thompson ◽  
...  
Keyword(s):  
Patient Monitoring ◽  
Hospital Admissions ◽  
Education Technology ◽  
Monitoring Program ◽  
Remote Patient Monitoring ◽  
Emergency Room Visits ◽  
Educational Materials ◽  
Virtual Care ◽  
Remote Patient ◽  
Technology Solution

Abstract Objective The study sought to evaluate early lessons from a remote patient monitoring engagement and education technology solution for patients with coronavirus disease 2019 (COVID-19) symptoms. Materials and Methods A COVID-19–specific remote patient monitoring solution (GetWell Loop) was offered to patients with COVID-19 symptoms. The program engaged patients and provided educational materials and the opportunity to share concerns. Alerts were resolved through a virtual care workforce of providers and medical students. Results Between March 18 and April 20, 2020, 2255 of 3701 (60.93%) patients with COVID-19 symptoms enrolled, resulting in over 2303 alerts, 4613 messages, 13 hospital admissions, and 91 emergency room visits. A satisfaction survey was given to 300 patient respondents, 74% of whom would be extremely likely to recommend their doctor. Discussion This program provided a safe and satisfying experience for patients while minimizing COVID-19 exposure and in-person healthcare utilization. Conclusions Remote patient monitoring appears to be an effective approach for managing COVID-19 symptoms at home.

Association Between Weight Loss and Glycemic Outcomes: A Post Hoc Analysis of a Remote Patient Monitoring Program for Diabetes Management

2020 ◽  
Vol 26 (5) ◽  
pp. 621-628 ◽  
Author(s):  
Tzeyu L. Michaud ◽  
Mohammad Siahpush ◽  
Paul Estabrooks ◽  
Robert J. Schwab ◽  
Tricia D. LeVan ◽  
...  
Keyword(s):  
Weight Loss ◽  
Patient Monitoring ◽  
Diabetes Management ◽  
Monitoring Program ◽  
Remote Patient Monitoring ◽  
Post Hoc Analysis ◽  
Remote Patient ◽  
Glycemic Outcomes ◽  
Post Hoc

Remote Patient Monitoring Program in Automated Peritoneal Dialysis: Impact on Hospitalizations

2019 ◽  
Vol 39 (5) ◽  
pp. 472-478 ◽  
Author(s):  
Mauricio Sanabria ◽  
Giancarlo Buitrago ◽  
Bengt Lindholm ◽  
Jasmin Vesga ◽  
Lars-Göran Nilsson ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Patient Monitoring ◽  
Negative Impact ◽  
Monitoring Program ◽  
Remote Patient Monitoring ◽  
Automated Peritoneal Dialysis ◽  
Remote Patient ◽  
Hospital Days

Background Automated peritoneal dialysis (APD) is a growing PD modality but as with other home dialysis methods, the lack of monitoring of patients’ adherence to prescriptions is a limitation with potential negative impact on clinical outcome parameters. Remote patient monitoring (RPM) allowing the clinical team to have access to dialysis data and adjust the treatment may overcome this limitation. The present study sought to determine clinical outcomes associated with RPM use in incident patients on APD therapy. Methods A retrospective cohort study included 360 patients with a mean age of 57 years (diabetes 42.5%) initiating APD between 1 October 2016 and 30 June 2017 in 28 Baxter Renal Care Services (BRCS) units in Colombia. An RPM program was used in 65 (18%) of the patients (APD-RPM cohort), and 295 (82%) were treated with APD without RPM. Hospitalizations and hospital days were recorded over 1 year. Propensity score matching 1:1, yielding 63 individuals in each group, was used to evaluate the association of RPM exposure with numbers of hospitalizations and hospital days. Results After propensity score matching, APD therapy with RPM ( n = 63) compared with APD-without RPM ( n = 63) was associated with significant reductions in hospitalization rate (0.36 fewer hospitalizations per patient-year; incidence rate ratio [IRR] of 0.61 [95% confidence interval (CI) 0.39 – 0.95]; p = 0.029) and hospitalization days (6.57 fewer days per patient-year; IRR 0.46 [95% CI 0.23 – 0.92]; p = 0.028). Conclusions The use of RPM in APD patients is associated with lower hospitalization rates and fewer hospitalization days; RPM could constitute a tool for improvement of APD therapy.

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