Remote patient monitoring in home health provides data to effectively manage symptoms, keeps patients in their home, and lowers costs of care. It offers value to physicians through data-driven decision making and improved oversight. Patients and families benefit from a sense of security, compliance, and education. Agencies see early intervention, better management, and decreased visits, admissions, and mileage. Case studies showed monitoring helped control conditions like blood pressure and caught weight gain and breathing issues. Outcomes data found lower readmission rates and patient satisfaction was higher regarding health management, involvement, and security with monitoring.

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

2. 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

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

4. 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

7. 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

8. 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

9. 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

10. 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

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

12. Monitoring System Overview 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

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

14. ??Questions ?? 13