Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19
Abstract Established technology, operational infrastructure, and nursing resources were leveraged to develop a remote patient monitoring (RPM) program for ambulatory management of patients with COVID-19. The program included two care-delivery models with different monitoring capabilities supporting...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2021-08-01
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| Series: | npj Digital Medicine |
| Online Access: | https://doi.org/10.1038/s41746-021-00490-9 |
| _version_ | 1797643132975710208 |
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| author | Jordan D. Coffey Laura A. Christopherson Amy E. Glasgow Kristina K. Pearson Julie K. Brown Shelby R. Gathje Lindsey R. Sangaralingham Eva M. Carmona Porquera Abinash Virk Robert Orenstein Leigh L. Speicher Dennis M. Bierle Ravindra Ganesh Debra L. Cox R. Nicole Blegen Tufia C. Haddad |
| author_facet | Jordan D. Coffey Laura A. Christopherson Amy E. Glasgow Kristina K. Pearson Julie K. Brown Shelby R. Gathje Lindsey R. Sangaralingham Eva M. Carmona Porquera Abinash Virk Robert Orenstein Leigh L. Speicher Dennis M. Bierle Ravindra Ganesh Debra L. Cox R. Nicole Blegen Tufia C. Haddad |
| author_sort | Jordan D. Coffey |
| collection | DOAJ |
| description | Abstract Established technology, operational infrastructure, and nursing resources were leveraged to develop a remote patient monitoring (RPM) program for ambulatory management of patients with COVID-19. The program included two care-delivery models with different monitoring capabilities supporting variable levels of patient risk for severe illness. The primary objective of this study was to determine the feasibility and safety of a multisite RPM program for management of acute COVID-19 illness. We report an evaluation of 7074 patients served by the program across 41 US states. Among all patients, the RPM technology engagement rate was 78.9%. Rates of emergency department visit and hospitalization within 30 days of enrollment were 11.4% and 9.4%, respectively, and the 30-day mortality rate was 0.4%. A multisite RPM program for management of acute COVID-19 illness is feasible, safe, and associated with a low mortality rate. Further research and expansion of RPM programs for ambulatory management of other acute illnesses are warranted. |
| first_indexed | 2024-03-11T14:10:15Z |
| format | Article |
| id | doaj.art-863419a993a147c7ade739c1b9dfaa0f |
| institution | Directory Open Access Journal |
| issn | 2398-6352 |
| language | English |
| last_indexed | 2024-03-11T14:10:15Z |
| publishDate | 2021-08-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Digital Medicine |
| spelling | doaj.art-863419a993a147c7ade739c1b9dfaa0f2023-11-02T00:09:42ZengNature Portfolionpj Digital Medicine2398-63522021-08-014111110.1038/s41746-021-00490-9Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19Jordan D. Coffey0Laura A. Christopherson1Amy E. Glasgow2Kristina K. Pearson3Julie K. Brown4Shelby R. Gathje5Lindsey R. Sangaralingham6Eva M. Carmona Porquera7Abinash Virk8Robert Orenstein9Leigh L. Speicher10Dennis M. Bierle11Ravindra Ganesh12Debra L. Cox13R. Nicole Blegen14Tufia C. Haddad15Center for Digital Health, Mayo ClinicCenter for Digital Health, Mayo ClinicKern Center for the Science of Health Care Delivery, Mayo ClinicCenter for Digital Health, Mayo ClinicCenter for Digital Health, Mayo ClinicDepartment of Management Engineering and Consulting, Mayo ClinicKern Center for the Science of Health Care Delivery, Mayo ClinicDivision of Pulmonary and Critical Care Medicine, Mayo ClinicDivision of Infectious Diseases, Mayo ClinicDivision of Infectious Diseases, Mayo ClinicDivision of General Internal Medicine, Mayo ClinicDivision of General Internal Medicine, Mayo ClinicDivision of General Internal Medicine, Mayo ClinicCenter for Digital Health, Mayo ClinicCenter for Digital Health, Mayo ClinicCenter for Digital Health, Mayo ClinicAbstract Established technology, operational infrastructure, and nursing resources were leveraged to develop a remote patient monitoring (RPM) program for ambulatory management of patients with COVID-19. The program included two care-delivery models with different monitoring capabilities supporting variable levels of patient risk for severe illness. The primary objective of this study was to determine the feasibility and safety of a multisite RPM program for management of acute COVID-19 illness. We report an evaluation of 7074 patients served by the program across 41 US states. Among all patients, the RPM technology engagement rate was 78.9%. Rates of emergency department visit and hospitalization within 30 days of enrollment were 11.4% and 9.4%, respectively, and the 30-day mortality rate was 0.4%. A multisite RPM program for management of acute COVID-19 illness is feasible, safe, and associated with a low mortality rate. Further research and expansion of RPM programs for ambulatory management of other acute illnesses are warranted.https://doi.org/10.1038/s41746-021-00490-9 |
| spellingShingle | Jordan D. Coffey Laura A. Christopherson Amy E. Glasgow Kristina K. Pearson Julie K. Brown Shelby R. Gathje Lindsey R. Sangaralingham Eva M. Carmona Porquera Abinash Virk Robert Orenstein Leigh L. Speicher Dennis M. Bierle Ravindra Ganesh Debra L. Cox R. Nicole Blegen Tufia C. Haddad Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19 npj Digital Medicine |
| title | Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19 |
| title_full | Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19 |
| title_fullStr | Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19 |
| title_full_unstemmed | Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19 |
| title_short | Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19 |
| title_sort | implementation of a multisite interdisciplinary remote patient monitoring program for ambulatory management of patients with covid 19 |
| url | https://doi.org/10.1038/s41746-021-00490-9 |
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