Implementation of a multisite, interdisciplinary remote patient monitoring program for ambulatory management of patients with COVID-19.
Jordan D CoffeyLaura A ChristophersonAmy E GlasgowKristina K PearsonJulie K BrownShelby R GathjeLindsey R SangaralinghamEva M Carmona PorqueraAbinash VirkRobert OrensteinLeigh L SpeicherDennis M BierleRavindra GaneshDebra L CoxR Nicole BlegenTufia C HaddadPublished in: NPJ digital medicine (2021)
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.
Keyphrases
- quality improvement
- emergency department
- end stage renal disease
- blood pressure
- liver failure
- healthcare
- coronavirus disease
- chronic kidney disease
- sars cov
- newly diagnosed
- case report
- drug induced
- mental health
- primary care
- respiratory failure
- cardiovascular disease
- type diabetes
- cardiovascular events
- aortic dissection
- patient reported outcomes
- intensive care unit
- pain management
- acute respiratory distress syndrome
- health insurance
- social media
- early onset
- hepatitis b virus
- chronic pain
- extracorporeal membrane oxygenation