Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital Dismissal
Objective: To describe the creation of a scalable framework for a Remote Patient Monitoring (RPM) program tied to a large medical practice. Patients and Methods: In July 2020, at Mayo Clinic Rochester, we initiated the process to combine human-centered design, health systems engineering, and clinica...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
|
| Series: | Mayo Clinic Proceedings: Digital Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949761223000858 |
| _version_ | 1827304192084017152 |
|---|---|
| author | Mariam Charkviani, MD Douglas A. Simonetto, MD Desiree J. Ahrens, MA Rachel H. Amundson, MHA Sarah J. Bell, MSN, MHA Joel J. Busch, MSN Natalie A. Caine, MHA Eric J. Cleveland, MS Nayantara Coelho-Prabhu, MBBS Erin F. Barreto, PharmD, MS Craig E. Daniels, MD Meredith A. DeZutter, BFA Jon O. Ebbert, MD, MS Andrea G. Kattah, MD Christopher M. Kohler, MAN Angela M. Leuenberger, MS Dominick F. Pahl, MS Karen J. Reinschmidt, MS Lindsey M. Philpot, PhD, MPH |
| author_facet | Mariam Charkviani, MD Douglas A. Simonetto, MD Desiree J. Ahrens, MA Rachel H. Amundson, MHA Sarah J. Bell, MSN, MHA Joel J. Busch, MSN Natalie A. Caine, MHA Eric J. Cleveland, MS Nayantara Coelho-Prabhu, MBBS Erin F. Barreto, PharmD, MS Craig E. Daniels, MD Meredith A. DeZutter, BFA Jon O. Ebbert, MD, MS Andrea G. Kattah, MD Christopher M. Kohler, MAN Angela M. Leuenberger, MS Dominick F. Pahl, MS Karen J. Reinschmidt, MS Lindsey M. Philpot, PhD, MPH |
| author_sort | Mariam Charkviani, MD |
| collection | DOAJ |
| description | Objective: To describe the creation of a scalable framework for a Remote Patient Monitoring (RPM) program tied to a large medical practice. Patients and Methods: In July 2020, at Mayo Clinic Rochester, we initiated the process to combine human-centered design, health systems engineering, and clinical expertise to develop and refine RPM programs and explore new medical conditions where RPM could be beneficial. We report on the creation of the overarching RPM program, the development of a hybrid nursing model, the technology used for each population, and the lessons learned throughout the process. Results: Four pilot programs for hospitalized patients with cirrhosis, acute kidney injury (AKI), post-pancreatectomy, and post-gastroenterology (GI) procedures were launched. The 4 programs enrolled a range from 0 patients (post-GI procedures) to 91 patients over 5 months (AKI) for RPM programs ranging from 30 days to 96.5 days in average duration. Three of the programs continue enrollment (cirrhosis, AKI, and post-pancreatectomy), and one program was discontinued. Conclusion: RPM can uniquely facilitate the transition from hospital to home, decrease hospital length of stay, and optimize hospital capacity and staffing resources in select scenarios. To achieve positive results at the health care system level, RPM interventions require a change in the model of care. However, not all care models or medical conditions lend themselves to RPM, which should be explored in pilot testing. |
| first_indexed | 2024-04-24T17:25:41Z |
| format | Article |
| id | doaj.art-3c419404c2ea4dd69697967ab51e1c26 |
| institution | Directory Open Access Journal |
| issn | 2949-7612 |
| language | English |
| last_indexed | 2024-04-24T17:25:41Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Mayo Clinic Proceedings: Digital Health |
| spelling | doaj.art-3c419404c2ea4dd69697967ab51e1c262024-03-28T06:40:54ZengElsevierMayo Clinic Proceedings: Digital Health2949-76122023-12-0114586595Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital DismissalMariam Charkviani, MD0Douglas A. Simonetto, MD1Desiree J. Ahrens, MA2Rachel H. Amundson, MHA3Sarah J. Bell, MSN, MHA4Joel J. Busch, MSN5Natalie A. Caine, MHA6Eric J. Cleveland, MS7Nayantara Coelho-Prabhu, MBBS8Erin F. Barreto, PharmD, MS9Craig E. Daniels, MD10Meredith A. DeZutter, BFA11Jon O. Ebbert, MD, MS12Andrea G. Kattah, MD13Christopher M. Kohler, MAN14Angela M. Leuenberger, MS15Dominick F. Pahl, MS16Karen J. Reinschmidt, MS17Lindsey M. Philpot, PhD, MPH18Department of Medicine, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNAdministrative Services, Mayo Clinic, Rochester, MNDepartment of Nursing, Mayo Clinic, Rochester, MNDepartment of Surgery, Mayo Clinic, Rochester, MNAdministrative Services, Mayo Clinic, Rochester, MNAdministrative Services, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNDepartment of Pharmacy, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MNDepartment of Nursing, Mayo Clinic, Rochester, MNCenter for Digital Health, Mayo Clinic, Rochester, MNDepartment of Nursing, Mayo Clinic, Rochester, MNDepartment of Strategy, Mayo Clinic, Rochester, MNDepartment of Medicine, Mayo Clinic, Rochester, MN; Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN; Correspondence: Lindsey M. Philpot, PhD, MPH, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905.Objective: To describe the creation of a scalable framework for a Remote Patient Monitoring (RPM) program tied to a large medical practice. Patients and Methods: In July 2020, at Mayo Clinic Rochester, we initiated the process to combine human-centered design, health systems engineering, and clinical expertise to develop and refine RPM programs and explore new medical conditions where RPM could be beneficial. We report on the creation of the overarching RPM program, the development of a hybrid nursing model, the technology used for each population, and the lessons learned throughout the process. Results: Four pilot programs for hospitalized patients with cirrhosis, acute kidney injury (AKI), post-pancreatectomy, and post-gastroenterology (GI) procedures were launched. The 4 programs enrolled a range from 0 patients (post-GI procedures) to 91 patients over 5 months (AKI) for RPM programs ranging from 30 days to 96.5 days in average duration. Three of the programs continue enrollment (cirrhosis, AKI, and post-pancreatectomy), and one program was discontinued. Conclusion: RPM can uniquely facilitate the transition from hospital to home, decrease hospital length of stay, and optimize hospital capacity and staffing resources in select scenarios. To achieve positive results at the health care system level, RPM interventions require a change in the model of care. However, not all care models or medical conditions lend themselves to RPM, which should be explored in pilot testing.http://www.sciencedirect.com/science/article/pii/S2949761223000858 |
| spellingShingle | Mariam Charkviani, MD Douglas A. Simonetto, MD Desiree J. Ahrens, MA Rachel H. Amundson, MHA Sarah J. Bell, MSN, MHA Joel J. Busch, MSN Natalie A. Caine, MHA Eric J. Cleveland, MS Nayantara Coelho-Prabhu, MBBS Erin F. Barreto, PharmD, MS Craig E. Daniels, MD Meredith A. DeZutter, BFA Jon O. Ebbert, MD, MS Andrea G. Kattah, MD Christopher M. Kohler, MAN Angela M. Leuenberger, MS Dominick F. Pahl, MS Karen J. Reinschmidt, MS Lindsey M. Philpot, PhD, MPH Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital Dismissal Mayo Clinic Proceedings: Digital Health |
| title | Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital Dismissal |
| title_full | Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital Dismissal |
| title_fullStr | Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital Dismissal |
| title_full_unstemmed | Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital Dismissal |
| title_short | Conceptualization of Remote Patient Monitoring Program for Patients with Complex Medical Illness on Hospital Dismissal |
| title_sort | conceptualization of remote patient monitoring program for patients with complex medical illness on hospital dismissal |
| url | http://www.sciencedirect.com/science/article/pii/S2949761223000858 |
| work_keys_str_mv | AT mariamcharkvianimd conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT douglasasimonettomd conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT desireejahrensma conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT rachelhamundsonmha conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT sarahjbellmsnmha conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT joeljbuschmsn conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT natalieacainemha conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT ericjclevelandms conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT nayantaracoelhoprabhumbbs conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT erinfbarretopharmdms conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT craigedanielsmd conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT meredithadezutterbfa conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT jonoebbertmdms conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT andreagkattahmd conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT christophermkohlerman conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT angelamleuenbergerms conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT dominickfpahlms conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT karenjreinschmidtms conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal AT lindseymphilpotphdmph conceptualizationofremotepatientmonitoringprogramforpatientswithcomplexmedicalillnessonhospitaldismissal |