scholarly journals Successes and Lessons Learned in Moving All Education and Service Activities to Virtual Learning and Services

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 475-476
Author(s):  
Anna Faul ◽  
Pamela Yankeelov ◽  
Barbara Gordon ◽  
Joseph D'Ambrosio ◽  
Sam Cotton
Keyword(s):  
Workforce Development ◽  
Patient Monitoring ◽  
Learning Experience ◽  
Quality Care ◽  
Monitoring Program ◽  
Lessons Learned ◽  
Remote Patient Monitoring ◽  
Interprofessional Learning ◽  
Vulnerable Patients ◽  
Remote Patient

Abstract Despite technology challenges, the UofL GWEP was able to provide access to quality care during the pandemic by pivoting all health and behavioral health patient appointments to telehealth. We found being flexible and using technology patients were most familiar with, was the most successful way easing into telehealth. We trained providers in a variety of technology tools and modalities to support this flexibility. We implemented a remote patient monitoring program and a virtual friendly visitors’ program for our most vulnerable patients. Our workforce development focus supported us in teaching our 60+ interdisciplinary interns how to conduct telehealth visits, how to collaborate as an interdisciplinary team in managing the remote patient monitoring program, and how to do virtual case conceptualization and care planning meetings. To re-create the dynamic atmosphere of an interprofessional learning experience, we have paired students together in teams, and provide them with regular opportunities to meet and engage.

scholarly journals Remote patient monitoring for ED discharges in the COVID-19 pandemic

2021 ◽  
Vol 38 (3) ◽  
pp. 229-231
Author(s):  
Ahmad A Aalam ◽  
Colton Hood ◽  
Crystal Donelan ◽  
Adam Rutenberg ◽  
Erin M Kane ◽  
...  
Keyword(s):  
Patient Monitoring ◽  
Clinical Status ◽  
Remote Patient Monitoring ◽  
Hospital Capacity ◽  
Vulnerable Patients ◽  
Natural Progression ◽  
Extended Access ◽  
Discharged Patients ◽  
The Individual ◽  
Remote Patient

COVID-19 has had a significant effect on healthcare resources worldwide, with our knowledge of the natural progression of the disease evolving for the individual patient. To allow for early detection of worsening clinical status, protect hospital capacity and provide extended access for vulnerable patients, our emergency department developed a remote patient monitoring programme for discharged patients with COVID-19. The programme uses a daily emailed secure link to a survey in which patients submit biometric and symptoms data for monitoring. Patients’ meeting criteria are escalated to a physician for a phone or video visit. Here, we describe the development, implementation and preliminary analysis of utilisation of the programme.

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.

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.

Program completion and glycemic control in a remote patient monitoring program for diabetes management: Does gender matter?

2020 ◽  
Vol 159 ◽  
pp. 107944
Author(s):  
Tzeyu L. Michaud ◽  
Mohammad Siahpush ◽  
Keyonna M. King ◽  
Athena K. Ramos ◽  
Regina E. Robbins ◽  
...  
Keyword(s):  
Glycemic Control ◽  
Patient Monitoring ◽  
Diabetes Management ◽  
Monitoring Program ◽  
Program Completion ◽  
Remote Patient Monitoring ◽  
Remote Patient

Technique failure in remote patient monitoring program in patients undergoing automated peritoneal dialysis: A retrospective cohort study

2020 ◽  
pp. 089686082098222
Author(s):  
Leyder Corzo ◽  
Martin Wilkie ◽  
Jasmin I Vesga ◽  
Bengt Lindholm ◽  
Giancarlo Buitrago ◽  
...  
Keyword(s):  
Cohort Study ◽  
Peritoneal Dialysis ◽  
Failure Rate ◽  
Patient Monitoring ◽  
Monitoring Program ◽  
P Value ◽  
Remote Patient Monitoring ◽  
Automated Peritoneal Dialysis ◽  
Remote Patient ◽  
Technique Failure

Background: Remote patient monitoring (RPM) programs in automated peritoneal dialysis (APD) allow clinical teams to be aware of many aspects and events of the therapy that occur in the home. The present study evaluated the association between RPM use and APD technique failure. Methods: A retrospective, multicentre, observational cohort study of 558 prevalent adult APD patients included between 1 October 2016 and 30 June 2017 with follow-up until 30 June 2018 at Renal Therapy Services network in Colombia. Patients were divided into two cohorts based on the RPM use: APD-RPM ( n = 148) and APD-without RPM ( n = 410). Sociodemographic and clinical characteristics of all patients were summarized descriptively. A propensity score was used to create a pseudo-population in which the baseline covariates were well balanced. The association of RPM with technique failure was estimated adjusting for the competing events death and kidney transplant. Results: Five hundred fifty-eight patients were analyzed. 26.5% had APD-RPM. In the matched sample comprising 148 APD-RPM and 148 APD-without RPM patients, we observed a lower technique failure rate of 0.08 [0.05–0.15] episodes per patient-year in APD-RPM versus 0.18 [0.12–0.26] in APD-without RPM cohort; incidence rate ratio = 0.45 95% confidence interval: [0.22–0.91], p-value = 0.03. Conclusions: The use of an RPM program in APD patients may be associated with a lower technique failure rate. More extensive and interventional studies are needed to confirm its potential benefits and to measure other patient-centered outcomes.

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