Remote patient monitoring in home health

Remote Patient Monitoring in Home Health
Pam Miller, RN,MSN
Vice President
Archbold Health Services
1

Objectives
1. Identify reasons for remote patient monitoring in the home health environment.
2. Recognize the value and benefits of remote patient monitoring for the patient, family, agency and/or physician.
2

Reasons for Remote Monitoring
Obtain Data to Effectively Evaluate and Proactively Manage Symptoms
Keep Patient in Home Environment
Lower the Cost of Care
3

Value and Benefits
Physician:
Data Driven Decision Making
Improve Patient Oversight & Management
Patients and Families:
Maintain Control and Feeling of Security
Improve Patient Compliance
Patient Education
Agency: Clinical and Financial
Early Intervention for At-Risk Patients
Improve Patient Management, 7 Days a Week
Decrease ACH and ER Visits
Decrease LOS for Hospitals
Decrease SN Visits; Manage more Patients
Decrease Mileage
4

Patient Scenarios
Mr. BP - Blood pressure increased at 9am each day and “out of control” most of day
Ms. CHF - Weight gain of 4 pounds in 2 days, tired,
mild shortnessof breath on ambulation
Mr. COPD – Pulse ox below 88%, shortness of
breath; Assessment noted wheezing
5

Outcomes of Remote Patient Monitoring
Acute Care Hospitalization (Quality)
Archbold Home Health Patients
2004 38.6% No monitors
2005 32.4% 40 monitors, National
Telehealth Value Study
2007 29.1% 60 monitors
2010 26.8% 105 monitors
6

Outcomes - continued
New England Healthcare Institute, 2009:
“the available evidence demonstrated that using Remote Patient Monitoring for heart failure improves patient outcomes and decreases health care costs.”
July 2010: (Quality)
Archbold Hospital Readmission for CHF = 9%
7

Outcomes - continued
Archbold, HH- CAHPS (Patient Satisfaction)
“…Helped you manage your health better.” 78%
“…Made you Feel more involved in your care.” 81%
“…Gave you sense of security.” 74%
Skilled Nursing Visits per Patient Episode ($$)
12 for non-monitored patients
7 for monitored patients
8

Monitoring System Overview
FDA Approved Telemonitoring Device
Records and Documents BP, weight, heart rate, pulse oximmetry (other available peripherals)
Documents Patient Responses to Programmed Questions
30 plus Reminders for Programming
9

Eleven Languages
Male or Female Voice Gender
User Friendly- For Patient and Staff
Transmits Data to Central Station at Office
10

Central Station (RN)
Analyzes Patients Data
Phones Patient to Repeat Monitoring, if Results outside set Parameters
Sends Nurse and/or Phones Physician if Results of 2nd Reading outside set Parameters
Schedules Nurse Visit for full Assessment/Interventions
11

System Interfaces to Clinical Record
Reports sent to Physicians
Data Available in Document Imaging for Physicians/Providers
12

??Questions ??
13

Remote patient monitoring in home health

by Lloyd Sirmons on Mar 15, 2011

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