{"id":42127,"date":"2015-09-21T16:25:05","date_gmt":"2015-09-21T16:25:05","guid":{"rendered":"http:\/\/tele.healthcare\/new.php\/?p=2082"},"modified":"2015-09-21T16:25:05","modified_gmt":"2015-09-21T16:25:05","slug":"how-remote-monitoring-tools-reduce-costs-and-hospitalizations","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/how-remote-monitoring-tools-reduce-costs-and-hospitalizations\/","title":{"rendered":"How Remote Monitoring Tools Reduce Costs and Hospitalizations"},"content":{"rendered":"

A combination of providing higher quality of care and lowering organizational cost is what Bedford Nursing & Rehabilitation Center (BNRC) based in New Hampshire will accomplish by using remote patient monitoring technology. \u00a0<\/strong><\/p>\n

By Vera Gruessner<\/a> on

Remote monitoring tools could impact the healthcare sector in a variety of ways from reducing hospital readmissions and improving health outcomes to lowering costs and advancing quality care improvements. Bedford Nursing & Rehabilitation Center (BNRC)<\/a> based in New Hampshire is one such organization that has seen the potential within remote monitoring tools.<\/p>\n

BNRC has recently partnered with Geneia to adopt an analytics platform and remote monitoring tools to improve the quality of care across their facility. mHealthIntelligence.com<\/em> spoke with John Turcotte, President and CEO at BNRC, and Deb Harpin, Director of Admissions at BNRC, to learn more about their remote monitoring implementation plans.<\/p>\n

\"Remote<\/p>\n

\u201cFor about 30 years beginning in the early 1980s, our facility had been operated by\u00a03rd<\/sup> party operators,\u201d John Turcotte began. \u201cWe reassumed control last September in large part because \u2013 the facility has been good to my family, we have a lot of committed staff, and we felt we owed an obligation to our resident populations. Our goal over the next few years is to rehabilitate the facility. We\u2019re excited about this partnership opportunity with Geneia because it offers us the potential to bring the facility and care to a state-of-the-art level.\u201d<\/p>\n

When asked why they felt remote monitoring technology was right for their organization, Deb Harpin explained, \u201cWhen we started looking at Geneia and what the technology had to offer, we were sitting down and trying to decide who and what we wanted to be. Ultimately in everything we\u2019re doing right now, we want to be able to provide the highest quality of care possible at the lowest cost.\u201d<\/p>\n

\u201cThe remote monitoring coupled with the analytics platform gives us a powerful tool to lay a strong foundation for the focus of highest possible quality care at lowest cost for our residents,\u201d Harpin continued. \u00a0\u201cIt gives us a lot more opportunity to manage both our short-term and long-term population that are admitted into the facility. We\u2019re seeing a lot more with our chronic diseases, congestive heart failure, diabetes and the comorbidities that go with these conditions. The monitoring is allowing us to intervene earlier and ultimately prevent costly hospitalizations.\u201d<\/p>\n

When asked what Turcotte and Harpin hope to achieve at Bedford Nursing from implementing the remote monitoring tools, Harpin spoke about having real-time access to data and trends about the facility\u2019s patients. Having the tools necessary for more powerful analysis will lead to better care and lower costs across their organization.<\/p>\n

\u201cA lot of the information is there. The vital signs are being taken on a regular basis. Blood sugar is being taken on a regular basis. It\u2019s taking a human to sit down and integrate all of the data from our clinical system, our pharmacy data, lab data, and vital signs. It\u2019s relying on somebody physically doing the analysis. This is going to give us a really strong tool to do a lot of this analysis. It\u2019s never going to replace the nurse or the MD, but it\u2019s going to provide a lot more power to what they\u2019re able to do.\u201d<\/p>\n

\u201cThe other advantage of the system is that these metrics get assembled in real-time,\u201d Turcotte added. \u201cWe\u2019re gathering all the information but it doesn\u2019t get assembled into a single point until a later time when our staff has the opportunity to put it altogether. This system gathers all the information electronically and puts it in a single format.\u201d<\/p>\n

\u201cWe have a current resident here who\u2019s 76 years old, has atrial fibrillation, congestive heart failure, diabetes, hypertension, and dementia,\u201d Harpin spoke about a patient. \u201cHaving been her nurse prior, she\u2019s alert, she\u2019s conversant, but not able to articulate when she\u2019s experiencing an episode of atrial fibrillation or breathing difficulty. The real-time data and clinical alert settings show if her congestive heart failure may be exacerbating. We\u2019re going to be able to intervene clinically before it becomes anything acute.\u201d<\/p>\n

When asked whether they predict hospitalization rates to decrease and health outcomes to improve after integrating the remote monitoring tools, Harpin confirmed, \u201cAbsolutely. We\u2019re going to be able to intervene earlier and not all of our folks are able to tell us when they\u2019re experiencing something. In a skilled nursing facility, you don\u2019t have the same state of the art technology that a hospital will have.\u201d<\/p>\n

Turcotte added that, \u201cTypically, in a hospital, you have this type of monitoring going on constantly. Traditionally, skilled nursing facilities are not set up to provide that constant degree of monitoring because our residents are not bedridden as most people are in a hospital. This mobile technology allows us the flexibility to do more consistent and constant monitoring in a fragile population where that opportunity has not existed previously.\u201d<\/p>\n

Harpin spoke further about their plan to reduce healthcare costs throughout their facility with the implementation of the analytics platform.<\/p>\n

\u201cOur key set of metrics will help us identify what we are spending for the treatment of each person,\u201d Harpin explained. \u201cThe goal is to lower costs. We\u2019re a fairly low-cost provider for our area but I think we have a lot of room for improvement. Across the board, we\u2019ll be able to look at the balance of high quality versus low cost.\u201d<\/p>\n

The Admissions Director concluded by discussing the implementation plans for both the Geneia analytics platform and the remote monitoring tools.<\/p>\n

\u201cWe\u2019re working right now on a plan for kicking off the implementation,\u201d She continued. \u201cWe\u2019ll be starting in late May\/early June. We\u2019re going to phase in. Our initial plan is to focus on the analytics platform and getting that integrated. We\u2019re using Point Click Care for\u00a0our clinical data, a separate system houses\u00a0our pharmacy data, Therapute for therapy-related data, and Medicare data sets. This is going to give us the ability to integrate all of that into a single repository where we can identify our metrics and cost saving opportunities.\u201d<\/p>\n

\u201cOnce that is set, we will look at integrating the @home remote monitoring platform and the kits that go with that,\u201d Harpin concluded. \u201cThe kit comes with a Samsung tablet. Each kit has some type of wireless technology tablet to report everything. It has a blood pressure monitor that transmits data wirelessly, an oxygen saturation machine for tracking oxygen, a scale for weight, and the bio-patch for heart rhythms and EKGs.\u201d<\/p>\n

BNRC and Geneia expressed excitement about the possibilities and benefits that will\u00a0result from this new partnership.<\/p>\n","protected":false},"excerpt":{"rendered":"

A combination of providing higher quality of care and lowering organizational cost is what Bedford 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