Remote patient monitoring in home health


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Remote patient monitoring in home health

  1. 1. Remote Patient Monitoring in Home Health<br />Pam Miller, RN,MSN<br />Vice President <br />Archbold Health Services<br />1<br />
  2. 2. Objectives<br />1. Identify reasons for remote patient monitoring in the home health environment.<br />2. Recognize the value and benefits of remote patient monitoring for the patient, family, agency and/or physician.<br />2<br />
  3. 3. Reasons for Remote Monitoring <br />Obtain Data to Effectively Evaluate and Proactively Manage Symptoms<br />Keep Patient in Home Environment<br />Lower the Cost of Care <br />3<br />
  4. 4. Value and Benefits<br />Physician:<br />Data Driven Decision Making<br />Improve Patient Oversight & Management<br />Patients and Families:<br />Maintain Control and Feeling of Security<br />Improve Patient Compliance<br />Patient Education<br />Agency: Clinical and Financial<br />Early Intervention for At-Risk Patients<br />Improve Patient Management, 7 Days a Week <br />Decrease ACH and ER Visits<br />Decrease LOS for Hospitals<br />Decrease SN Visits; Manage more Patients<br />Decrease Mileage<br />4<br />
  5. 5. Patient Scenarios<br /><ul><li>Mr. BP - Blood pressure increased at 9am each day and “out of control” most of day
  6. 6. Ms. CHF - Weight gain of 4 pounds in 2 days, tired,</li></ul> mild shortnessof breath on ambulation<br /><ul><li>Mr. COPD – Pulse ox below 88%, shortness of </li></ul> breath; Assessment noted wheezing<br />5<br />
  7. 7. Outcomes of Remote Patient Monitoring<br />Acute Care Hospitalization (Quality)<br />Archbold Home Health Patients <br />2004 38.6% No monitors<br />2005 32.4% 40 monitors, National<br />Telehealth Value Study<br />2007 29.1% 60 monitors<br />2010 26.8% 105 monitors <br />6<br />
  8. 8. Outcomes - continued<br />New England Healthcare Institute, 2009: <br /> “the available evidence demonstrated that using Remote Patient Monitoring for heart failure improves patient outcomes and decreases health care costs.” <br />July 2010: (Quality)<br />Archbold Hospital Readmission for CHF = 9%<br />7<br />
  9. 9. Outcomes - continued<br />Archbold, HH- CAHPS (Patient Satisfaction)<br />“…Helped you manage your health better.” 78%<br />“…Made you Feel more involved in your care.” 81%<br />“…Gave you sense of security.” 74%<br />Skilled Nursing Visits per Patient Episode ($$)<br />12 for non-monitored patients<br /> 7 for monitored patients<br />8<br />
  10. 10. Monitoring System Overview<br />FDA Approved Telemonitoring Device<br />Records and Documents BP, weight, heart rate, pulse oximmetry (other available peripherals)<br />Documents Patient Responses to Programmed Questions <br />30 plus Reminders for Programming<br />9<br />
  11. 11. Monitoring System Overview <br />Eleven Languages<br />Male or Female Voice Gender<br />User Friendly- For Patient and Staff<br />Transmits Data to Central Station at Office<br />10<br />
  12. 12. Monitoring System Overview<br />Central Station (RN)<br />Analyzes Patients Data <br />Phones Patient to Repeat Monitoring, if Results outside set Parameters<br />Sends Nurse and/or Phones Physician if Results of 2nd Reading outside set Parameters<br />Schedules Nurse Visit for full Assessment/Interventions<br />11<br />
  13. 13. Monitoring System Overview<br />System Interfaces to Clinical Record<br />Reports sent to Physicians <br />Data Available in Document Imaging for Physicians/Providers<br />12<br />
  14. 14. ??Questions ??<br />13<br />