{"id":26078,"date":"2019-10-30T12:32:13","date_gmt":"2019-10-30T12:32:13","guid":{"rendered":"https:\/\/dev.mtelehealth.com\/?p=26078"},"modified":"2019-10-30T12:32:13","modified_gmt":"2019-10-30T12:32:13","slug":"remote-telemetry-monitoring-supporting-clinical-care-and-clinical-leaders-with-a-simplified-operating-model","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/remote-telemetry-monitoring-supporting-clinical-care-and-clinical-leaders-with-a-simplified-operating-model\/","title":{"rendered":"Remote Telemetry Monitoring: Supporting Clinical Care and Clinical Leaders with a Simplified Operating Model"},"content":{"rendered":"\n

Telemetry is widely-used by hospitals and health systems as a means of providing continuous cardiac monitoring for designated patients. While internal development of these programs has been the norm, the ongoing management of these internal programs has absorbed significant resources for many hospitals and hospital systems. As a result, health care organizations are increasingly turning to remote telemetry monitoring (RTM) services in an effort to decrease internal resource burdens while simplifying and enhancing care delivery. Marcia Murphy, Vice President of Clinical Operations and Nursing for Advanced ICU Care, sits down with DailyNurse.com<\/a> to discuss this developing trend.<\/p>\n\n\n\n

How have hospitals traditionally addressed cardiac monitoring in house?<\/strong><\/p>\n\n\n\n

In-patient cardiac monitoring is often relied upon by\nhospital bedside teams as a means of continuously evaluating hospital patients\nwith certain medical conditions, those with cardiac-related co-morbidities, and\nindividuals on specific medications who require that extra layer of\nobservation. This monitoring is frequently provided to patients throughout the\nfacility and is rarely restricted to a cardiac unit. Traditionally, a\nhigh-quality in-house program relies on trained technicians or nurses who are\nresponsible for the real-time monitoring and interpretation of patient cardiac data\ntransmitted via waveforms and the engagement of additional clinical personnel\nwhen changes or abnormalities are noted. In some instances, hospitals use an\non-unit approach, while others use a centralized facility-specific approach.\nBoth approaches can eat up significant management time and can create a wide\nrange of clinical and administrative inefficiencies. <\/p>\n\n\n\n

What are the potential limitations of such an in-house approach?<\/strong><\/p>\n\n\n\n

Launching and maintaining an on-site telemetry program is neither simple nor self-sustaining. Rather, programs can often pose a significant burden to clinical leadership who are more accustomed to supervising clinicians at the bedside than monitoring teams in a \u201cclinical bunker\u201d.  On-going management, supervision, and 24\/7 staffing of the telemetry program includes continuous recruitment efforts, periodic training, and detailed direct management of an hourly workforce. In the case of an on-unit approach in which dedicated telemetry technicians are not assigned, the time available for continuous monitoring can vary and therefore the quality and consistency of monitoring can fluctuate. For example, nurses tasked with bedside patient responsibilities as well as telemetry monitoring can be inundated with perpetual tugs on their time, forcing difficult decisions regarding exactly where their bandwidth is best spent.<\/p>\n\n\n\n

What does a remote telemetry monitoring model look like versus a build your own approach? <\/strong><\/p>\n\n\n\n

I feel that implemented appropriately, RTM delivers both the\nenhanced clinical benefits associated with a specifically trained and focused monitoring\nteam as well as the elimination of the bulk of related administrative costs and\nheadaches.  In addition, RTM can free up\nboth budgeted headcount and space in the hospital. <\/p>\n\n\n\n

With a partnered telemetry model, hospitals benefit from the\nsame 24\/7 continuous cardiac monitoring by certified technicians or nurses that\none would expect in an in-house program. Utilizing telemetry monitoring systems\nthat allow for remote patient observation, trained personnel can monitor\nhospitalized patients\u2019 cardiac functions, review alerts and when necessary\ncollaborate with bedside care teams to assess patients that require clinical\nattention. In these instances, recruiting, hiring, training, and productivity\nmanagement for the monitoring personnel are all off-loaded to the selected\nclinical services partner. <\/p>\n\n\n\n

Rather than working to sustain a fully staffed and well-managed telemetry program, a partnered solution allows hospital leadership to focus on clinical improvements and allows nurses to attend to patient care rather than the constant monitoring alerts. Further, working with a telemetry partner enables an on-demand monitoring resource supply that flexes based on a hospital\u2019s census and patient risk profile. This approach assures that cardiac care is not constrained by staffing unavailability and, conversely, the risk of costly overstaffing and operational inefficiencies due to mis-estimated patient census expectations. <\/p>\n\n\n\n

How have care teams traditionally reacted to the adoption of a RTM solution? <\/strong><\/p>\n\n\n\n

In my experience with Advanced ICU Care since we introduced our RTM services, client acceptance has generally been very positive. As with any change, the disruption of the status quo needs to be thought through and managed in advance. What I think is key to the success of our telemetry partnerships is building collaboration and ensuring that bedside nursing teams know what to expect and understand both the programmatic and personal benefits that come with such a program. In selecting an RTM solution, it is important for the bedside leadership team to screen for a partner that listens well and is focused on appropriate collaboration.<\/p>\n\n\n\n

I also think it\u2019s important to reinforce the fact that the\nbedside nurse\u2019s voice ultimately leads on all care-related decisions. RTM is a\nsupportive function intended to allow bedside nurses to focus on the treatment\nof their individual patients more closely which should be viewed as a positive\nbenefit. Just as with any introduction of new\nmethods or processes into the delivery of patient care, there will be a\nsmoother implementation and improved synergy among stakeholders with proper\ncommunication that reinforces how the telemetry process adds additional support\nfor the bedside care team. <\/p>\n\n\n\n

How does remote telemetry monitoring lessen the resource burden on care teams?<\/strong><\/p>\n\n\n\n

At the end of the day the primary goal of telemetry monitoring is to ensure that hospitals and health systems are offering outstanding care 24\/7 to some of their most at-risk patients throughout the facility. With RTM dedicated remote telemetry technicians make this possible by allowing bedside care teams to make care and treatment for patients with urgent needs their top priority. This is accomplished by removing the distraction of the bedside caregiver\u2019s valuable time driven by simultaneously managing all cardiac monitor alarms. Having all readings monitored in a central place around the clock allows bedside nurses to be more focused on their patients and their care delivery and diminishes false alarms and the alarm fatigue <\/a>frequently experienced on units outfitted with telemetry infrastructure. These high-quality, remote telemetry programs include trained telemetry technicians that provide real-time interpretation and immediate notification to the appropriate nurse or physician. Ultimately, remote telemetry monitoring allows a nursing staff to focus on our number one goal: providing the very best possible patient care.<\/p>\n","protected":false},"excerpt":{"rendered":"

Telemetry is widely-used by hospitals and health systems as a means of providing continuous cardiac […]<\/p>\n","protected":false},"author":3,"featured_media":5371,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[14,141,143,159],"tags":[],"class_list":["post-26078","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-reimbursement","category-remote-patient-monitoring","category-telehealth"],"acf":[],"yoast_head":"\nRemote Telemetry Monitoring: Supporting Clinical Care and Clinical Leaders with a Simplified Operating Model · Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"Telemetry is widely-used by hospitals and health systems as a means of providing continuous cardiac monitoring for designated patients. 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