MaineGeneral hits congestive heart failure readmission rate of 0% using RPM

MaineGeneral Health in Augusta had high, rising readmission rates for congestive heart failure. In January 2020, the organization launched a remote patient monitoring pilot, working with vendor Health Recovery Solutions to monitor CHF patients after alat pembuatan esential oil discharge from the hospital.

THE PROBLEM

Upon discharge, patients often need support to understand their symptoms and warning signs after returning home. Remote patient monitoring allows patients to monitor their blood pressure, weight, oxygen saturation, symptoms and medication adherence in real time at home with a dedicated registered nurse who actively outreaches to patients as needed.

During the pilot, MaineGeneral Health learned it takes more clinical time to monitor and follow up with patients. Because of this, it hired a full-time employee to monitor the patient panel. As the program grew to more than 100 patients, the organization expanded to allowing referrals for patients with any chronic condition or COVID-19 and hired additional clinical staff.

“When COVID-19 hit, patients avoided coming into the office, when possible,” said Laura Mrazik, telehealth coordinator at MaineGeneral Health. “Patients needed a mechanism to connect with their primary care providers for chronic or acute care needs when virtual care was appropriate.

“We shifted priority to identifying a user-friendly solution for our outpatient practices to deploy virtual visits,” she continued. “Patients with COVID-19 symptoms were able to stay out of the office for their routine chronic condition follow-ups without exposing patients or staff.”

PROPOSAL

MaineGeneral already had selected the RPM vendor prior to COVID-19. However, the pandemic exacerbated the need, especially as patients began delaying care.

“Patients are educated while in the hospital on the opportunity to monitor,” Mrazik explained. “Once discharged, a care team member visits their home and sets up the unit for them; this includes a data-enabled tablet, programmed only for the vendor’s application, as well as Bluetooth-connected heart-rate monitor, pulse oximeter and scale.

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