Remote patient monitoring (RPM) – like home teleheath and telemonitoring – can help improve coordination, improve patients’ experience of care, and reduce hospital admissions and costs. Such technologies remotely collect, track, and transmit health data from a patient’s home to a health care provider and can facilitate communication and help engage patients in the management of their own care. This synthesis brief offers findings from case studies of three early RPM adopters: the Veterans Health Administration, Partners HealthCare, and Centura Health at Home. Each of the programs started as a pilot with the support of a small group of advocates who believed in the technology’s potential for offering improved care for a targeted population. Early lessons include promoting a culture of openness and preparedness; using a multidisciplinary team-based approach; establishing leadership support; minimizing barriers to patient enrollment, like cost; and including nonstandard measures, like patient experience and staff satisfaction, in program evaluations.
A lack of systematic care coordination contributes to a high prevalence of preventable rehospitalizations in the Medicare population. As the U.S. health care system looks to achieve the goals of the Institute for Healthcare Improvement’s Triple Aim—improving patients’ experience of care, improving the health of populations, and reducing the cost of health care—providers increasingly acknowledge that patient-centered technologies can contribute toward the realization of those goals. However, providers for the most part have little experience with such technologies.
Health care reforms provide an opportunity to replace current fragmented and poorly coordinated care delivery practices with a more integrated model of care, supported by the use of technology-enabled innovations. While their implementation into care practices can be disruptive to workflow and result in process changes in the basic delivery of care, experience indicates that their diffusion can lead to significant improvements in the quality and cost of care and transform the performance of care delivery on key outcome measures such as preventable readmissions.