How to Implement Remote Patient Monitoring (RPM) Programs for Chronic Care and Aging Patients

Chronic conditions and aging patients need constant check-ups to assess their current health status. But, that puts a huge burden on these patients as well as the health sector. Let’s face it, spending a day at the doctor’s office is not most people’s idea of a good day. That’s where RPM comes in. This new technology helps aging patients and those with chronic conditions receive the monitoring they need from the comfort of their home and enables health care staff to monitor a larger number of patients at any time. 

What is Remote Patient Monitoring (RPM)?

Remote Patient Monitoring (RPM) helps healthcare providers keep an eye on patients while they’re outside typical clinical settings. It uses typical clinical monitoring devices like blood pressure monitors and glucose meters and connects them to the internet or another protocol used for data transfer. This enables them to transmit data to RPM programs so clinical professionals can track the patient’s health from afar.

Three core components make up a RPM solution:  
  • Connected Devices: These are the devices used to collect health data about the patient.
  • Data Transmission: Each connected device needs to use some form of data transmission protocol to send the information to the digital health platform.
  • Digital Health Platforms: Software like DC2Vue takes the information from the connected devices and helps clinicians analyse the data.

Benefits of RPM for Treating Chronic Care and Aging Patients

Chronic conditions require constant monitoring to notice flairs or progressions in the condition immediately. That type of constant monitoring can help identify issues so the patient can receive intervention before the issue progresses further. But, most patients with chronic conditions can’t live their life in a clinical setting. RPM allows them to live their regular life while still being monitored by their doctors and healthcare providers to catch potential signs of deterioration. Similarly, aging patients tend to develop conditions quickly. Oftentimes, they can go unnoticed as elderly patients often dismiss signs of a serious illness as a symptom of getting old. This is becoming a large issue as the population of Australia is aging overall. With up-to-date health data on the patient, a doctor or healthcare provider can assess the situation and notify the aging patient when they need to come into the practice for further tests or arrange care providers to visit them.
 

8 Steps to Implementing RPM

Given the range of technologies and participation amongst both patients and healthcare providers required for RPM, implementing it is no easy task. So, we broke the basic process for implementing RPM down to eight core steps based on the AMA’s recommendations except applied to Australia.
 

Step #1: Identify Needs and Goals

Health services and providers in Australia delivering care to aging patients or those with chronic disease provide a very broad range of care, and will need to consider carefully the specific patient cohorts they can provide remote patient monitoring for, and adjust the model of care accordingly. The goals for implementing RPM can be different too. Of course, better health outcomes should always be one of the goals. Being more specific with your goals can help you achieve better results and track those results more effectively. For instance, a community based health service may want to reduce the travel time for their nursing staff by reducing the number of home visits, but supplement that with remote monitoring. Or, a chronic condition facility could aim for a goal of improving patient adherence to treatment plans.
 

Step #2: Form a Multidisciplinary Team

Given the blend of clinical expertise, technological implementation, and patient onboarding needed for a successful RPM implementation, a multidisciplinary team is a must. At a minimum, implementing RPM will require a team that includes:
  • Clinical Staff: Doctors, nurses and other healthcare providers need to use the digital health platform to monitor their patients’ health data.
  • IT Professionals: Implementing all of this technology requires the support of IT.
  • Administrative Personnel: Constant RPM typically requires patient registration, device  allocation and support to set up an App.

Step #3: Select Appropriate Technology

The needs and goals identified in step one should inform the technology to invest in. For example, prioritising user-friendly equipment would help a facility achieve the goal of improving their patients’ quality of life. On top of the specific needs and goals of your service, it’s also important to choose technology that integrates with your existing systems. That’s why DC2Vue integrated their RPM software with iHealth devices and Roche blood glucose devices to ensure a wide range of compatibility.

Step #4: Develop Protocols and Workflows

Once you pick appropriate technology, you can start developing protocols and workflows for putting that technology to use. This includes practices for:
  • Patient Enrollment: RPM requires patient onboarding which includes everything from them using the monitoring devices to setting up an App.
  • Data Collection: In cases where data collection is not continuous, create standardised guides for patients to follow dictating when and how they should collect and report their health data.
  • Follow-Up Procedures: Clearly define the model of care governance for monitoring of observations results and escalation of care.

Step #5: Training and Education

Both staff and patients will require training and education to use these new technologies. So, create training documentation that staff can follow and patients can take home to learn how to use these new tools and technologies. Also consider naming RPM experts who can answer staff and patient questions as well as troubleshoot any issues that pop up.
 

Step #6: Ensure Data Security and Privacy

To keep your RPM compliant, you need to make data security and privacy a priority. Compliance with The Privacy Act 1988 is not optional. It applies to every organisation with an annual turnover of over $3 million. At a minimum, encrypt all patient data at rest and transit as well as implement robust access controls to limit access to patient data to only those who need to see and use it.
 

Step #7: Patient Engagement and Support

All too often patients slowly fall off their treatment plans. Either they start to forget or the treatment takes too much of their time to follow through on. The same goes for RPM. That’s why patient engagement and support is so crucial and needs to be considered before implementation. Regular check-ins can help remind patients of the importance of their RPM data collection. These check-ins can also identify technical barriers where support can help overcome potential obstacles for the patient.
 

Step #8: Evaluate and Scale

Throughout the RPM rollout and afterwards, set regular review sessions to assess the effectiveness against the stated goals from step one. Then, come up with plans to adjust the processes based on results. As you fine-tune your processes, you can further scale your RPM rollout.
 

Simplifying Implementation with DC2Vue’s RPM Software

DC2Vue integrated RPM into its digital health platform as a module. That lets DC2Vue act as a central hub for both patients and healthcare providers. It also connects all of the RPM devices enabling seamless communication between all parties. As mentioned, it integrates with ihealth devices and Roche blood glucose devices for a wide range of support. The RPM module in DC2Vue supports real-time data speeding up the time between a patient showing symptoms and receiving treatments. To ensure efficiency for your team, DC2Vue offers workflow automation streamlining repetitive tasks. This extends to DC2Vue’s dynamic interactive care plans for a better patient experience as well. Get in touch with DC2Vue today to see how its RPM module can enhance your chronic care and aging patient outcomes with an interactive demo.
By Leanne Anderson

Leanne Anderson is the Chief Clinical Informatics Officer at Data Capture Experts, bringing over 25 years of experience in healthcare. With a background in medical laboratory science and clinical transformation, she specialises in optimising digital health solutions. Her expertise lies in integrating technology with patient care, driving improvements in healthcare efficiency and patient outcomes.

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