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SeniorCare President Joell Keim
Homebased care benefits from mHealth
technology and the personal touch
July 23, 2013 | Joell Keim, RN, BA, CPC
Historically, telemedicine was used in hospitals and rural
settings to help bring specialists to localized patients, including
those who are homebound or without a specialist in their area.
The goal then was the same as it is today: Allow physicians and
caregivers to exchange information electronically to improve
care.
Telemedicine’s transformation in recent years stems from the
desire to improve healthcare while better connecting patients and providers. With the increased use and
capabilities of mobile devices, providers can now actively monitor and transmit patient data through what is
commonly known as mHealth technology. The data gathered from these exchanges helps drive decision
making for patientspecific interventions, with the ultimate goal of improving patient outcomes. It also supports
shifting payment models and valuebased care initiatives that require quality data reporting.
Apart from the improved health and qualityoflife benefits, the combination of mHealth and patient outreach
also provides health plans, physicians and others across the care continuum with a better understanding of
each patient’s unique care situation. Leveraging mHealth technology to collect data directly from patients’
homes continuously and combining it with clinical care inhome visits will ultimately help improve care quality
metrics, manage care costs and increase patient satisfaction rates.
Analytics driving mHealth evolution
Data analytics, improved technology and specially trained clinical staff are the key differentiators that separate
the mHealth we know today from that of years past. Through analytics, physicians can pinpoint patients
struggling to manage their chronic conditions and those who may require additional engagement and monitoring
to avoid a potential hospitalization.
Many physicians, often through a health plan or ACO, now partner with technologyenabled firms to analyze
claims, medical records, pharmacy and laboratory data to target gaps in care, help patients better manage their
conditions and prevent readmissions. Data analysis technology can identify cohorts of highrisk patients who
may have a history of a particular condition but fail to consistently manage their conditions.
As the industry evolves, medical devices are also becoming increasingly sophisticated. Smaller in size but
more powerful in possibilities, these devices transmit readings wirelessly and can integrate with a personal
mobile device, enabling and empowering the patient while transmitting vital health status data to care providers
in realtime through cloudbased technology.
Clinical care visits fill the gaps
Yet the most important, and often overlooked, factor in improving outcomes with mHealth is achieving patient
adoption of this technology. Many attempts at home telemonitoring fail because patients become overwhelmed
as they attempt to learn how to operate this technology on their own. Compliance and adoption rates improve
with clinical care assessments, where providers visit the patients in their homes, help setup the technology
and provide oneonone, handson training.
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Based on prior data analysis, patients should be identified and contacted to schedule an inhome clinical care
visit. During the encounter, pertinent data regarding the patient’s living situation, medical record and care gaps
is gathered and transmitted to the primary care physician. The clinical care visit provider will also set up any
mHealth equipment and teach the patient how to operate any devices, which would then immediately transmit
readings to a cloudbased engine.
Through this preemptive solution to managing chronic illness, health plans and primary care physicians are
able to receive realtime data that can be leveraged to spot an adverse trend and potentially avoid an
emergency room visit or readmission.
Data combined with care improves compliance
With an inperson clinical care visit and handson mHealth training, practices receive a greater breadth of data
as it pertains to their patients and their disease management capability, improving chances of greater
compliance, better health outcomes and increased patient satisfaction rates. These clinical benefits translate
into improved quality and risk scores for programs such as PatientCentered Medical Homes, HCC Risk
Adjustment and ACO quality initiatives such as Group Practice Reporting Option (GPRO) and Physician
Quality Reporting System (PQRS).
All healthcare stakeholders have the same goals: Highquality care, efficient operations and improved patient
outcomes. As more providers connect to other physicians, hospitals and health plans through health
information technology, collaboration is crucial to help achieve these goals. By using clinical care visits,
mHealth monitoring and other patient engagement programs, physicians are able to extend their reach beyond
the walls of their practice. All of these pieces are working simultaneously to not only assist physicians in
meeting mandates, but also help treat more patients while increasing the quality of care – which, as we know,
is the most important factor of all.
Joell Keim is president of SeniorCare (Silent Seniors Community Care, LLC), an analyticsdriven patient
engagement company that addresses care and data gaps, and the sister company of Outcomes Health
Information Solutions.
Topics: Privacy & Security, Innovation, Clinical, Consumer
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