How to improve patient care with remote monitoring solutions
Remote healthcare has taken big leaps forward over the past year, spurred on equally by new technologies and the onset of the COVID-19 pandemic. The biggest winners: senior patients, who are now able to benefit from more proactive care and avoid trips to the doctor’s office, clinic or emergency room. They can now use solutions such as remote patient monitoring (RPM) to track their vital statistics around the clock and share that information automatically each day with healthcare providers. Technologies such as RPM are helping to transform senior patient care, ensuring a patient’s safety and well-being while allowing them to live independently.
According to a recent report from the CDC, three-quarters of patients 65+ have two or more chronic conditions that require monitoring. This “Medicare population” makes up 71 percent of total U.S. healthcare spend. When patients are feeling poorly, they often end up at their doctor’s office or an emergency room or clinic. And in a COVID environment, that’s the last place patients with chronic illnesses should be.
There are other challenges the healthcare industry faces when treating patients with chronic illnesses, and RPM can help eliminate many of them:
- At-risk patients need to be monitored 24/7
- Proactive 24/7 real-time interventions can dramatically improve outcomes, but are difficult to achieve
- Lack of budgets, staff, and experience with new technologies can stymie deployments
- Ease of use is critical; ongoing patient education and support may be required
- Less than 40 percent of chronic patients have basic, in-home infrastructure to support remote monitoring
- Economic/cultural disparity causes a range of care
A Patient’s Perspective
With RPM solutions, a patient’s vital statistics, such as blood pressure, oxygen level, blood glucose, weight, temperature, and other metrics, are consistently monitored and delivered to healthcare providers in real time. Providers can then receive the results and make quicker decisions to what actions should be taken.
Some RPM solutions can also track data over time and spot abnormalities in readings, such as trends seen in low or high blood pressure, low oxygen levels, or see how new prescriptions are working in real time. It can then connect the patient to the doctor to explore solutions.
This is an important shift in healthcare, as many seniors might struggle with frequent in-person visits. For example, they may not have reliable means of transportation to and from their point of care, they might face an extended time in a waiting room and risk exposure to other illnesses, or—despite going home with paperwork—they might not remember all of the doctor’s orders once they leave the office.
For RPM solutions to work, above all they must be easy for the patient to use. Studies have shown that when a patient that needs a higher level of care can track their vital statistics and communicate with their doctors from home instead of traveling to a health care professional, they are willing to use technology. In a recent study, 88 percent of Americans over age 40 said they are willing to adopt telemedicine solutions to receive care. Meanwhile, in a recent trial, more than 85 percent of patients that used an RPM solution indicated they would use it again if it was made available.
Patients that receive the most benefit from RPM solutions are those that require consistent monitoring of their vital statistics. When the patient is able to take these vital signs at home and have them delivered to their provider automatically, the paradigm of care is shifted from reactive episodic care to proactive preventative care. This allows providers and patients to work together in new ways to reduce the need for trips to the doctor’s office or hospital.
A Physician’s Perspective
RPM solutions allow doctors to proactively treat patients with chronic illnesses, providing them with the patient’s most current vital statistics. RPM provides more than just data points sent once a day. It also offers context through a set of rich data that allows healthcare providers to:
- Provide a variety of voice reminders to help patients with their care
- Track patients’ vital statistics over time and connect the dots to make diagnoses
- View the data in context and quickly spot trends and determine a course of action
- Act proactively to make an assessment allowing them to solve small problems before they become big ones
- Communicate directly with a patient via the RPM device to gain additional information about their condition
- Proactively care for patients so they don’t end up at the emergency room, clinic or doctor’s office
- Intervene in the patient’s care to get their health back to normal
RPM in Action
Two examples of RPM in use show how the technology is providing better care:
One patient experienced a spike in blood glucose levels (>500 mg/dl), triggering an alert. The virtual care team followed provider protocol by increasing medication and tracking the patient’s condition every two hours. The blood sugar level was decreased to 300 mg/dl, and a trip to the emergency room was avoided.
In another patient, a 2-3+ edema bilateral in the lower extremities was detected. The virtual care team followed protocol, increasing medication and having the patient raise extremities and lower sodium intake. The outcome was the edema decreasing to +1 within 24/hours, and an emergency room visit was not required.
Technology solutions such as RPM are making a huge difference in patient care. When seniors can be monitored consistently from home rather than a healthcare facility, they have more say in their care. And when their healthcare solutions are easy to use, they’re more likely to have a positive experience—leading to positive outcomes.
Zoom enters the healthcare market - a timeline
Since the pandemic began Zoom has become an integral part of daily life for people working from home, as well as a vital tool for families and friends to communicate. However it's also been eyeing up the healthcare space since 2017, and following the boom in telehealth the company has been rolling out additional services. Here we chart Zoom's move into healthcare.
2011 - 2013
Zoom is founded in San Jose, California, by Eric Yuan, formerly of Cisco. He got the idea to create a video calling platform from his visits to his girlfriend while he was a student, which would take 10 hours by train.
A beta version is released in 2012, which can host up to 15 participants. In 2013 this rises to 25. By mid-2013, Zoom has 1 million users.
2014 - 2017
Zoom attracts investors, including Sequoia Capital, Emergence and Horizon Ventures. By January 2017, Zoom has a series D funding worth $100 million.
2017 - 2019
Zoom for Telehealth launches, including an integration with EHR system Epic. It has cloud-based video, audio, and content sharing features, a "waiting room" for patients, and can easily be integrated into healthcare provider's workflows.
In 2019 Zoom goes public, with its IPO rising 72% in one day.
As a result of the pandemic, Zoom gains 2.2 million new users, more than in the whole of 2019. On the 23rd of March alone - the day the UK lockdown was announced - the platform was downloaded 2.13 million times around the world.
Share prices rise to around $150, and founder and chief executive Eric Yuan becomes one of the world's richest people, with an estimated net worth of $7.9 billion.
Early security issues are addressed by encrypting data with the Advanced Encryption Standard (AES). By now the the platform allows 99 people to be on a call simultaneously
New features launch, including Zoom Home and Zoom for Chats. Throughout the year the platform is used to replace most kinds of real life events: work meetings, online classrooms, church services and social events.
Renamed Zoom for Healthcare, users can share secured video, audio, and content through desktops, mobile phones, and conference devices. As well as Epic, it can be integrated with Strmr, IntakeQ, and Practice Better.
It can also be used with diagnostic cameras and other point-of-care devices, including digital stethoscopes.
In an interview with Korea Biomedical Review, Zoom Global Healthcare Lead Ron Emerson said: "Our service is not simply a virtual care and telemedicine platform but a multi-purpose platform that can satisfy the needs of healthcare institutions."
"It can be used for administrative tasks, including telemedicine, medical team meetings, recruitment, medical education, employee training, and disease prevention. Analysing electronic records managed by Zoom could provide meaningful insights into patient care."
Phoenix Children's Hospital, Belfast's Hospital Services Limited, Butler Health Services and the global Project ECHO are among Zoom for Healthcare's current customers.