A child with sensory sensitivities may tolerate a brief in-home assessment far better than a long trip to a specialty clinic. A rural patient with heart failure may need closer follow-up than geography allows. These are the moments when remote patient assessment technologies move from interesting to operationally necessary.

For healthcare leaders, the question is no longer whether virtual care has a role. The real question is which technologies support clinically meaningful assessment, fit reimbursement and workflow requirements, and help care teams reach patients who are otherwise hard to serve. That distinction matters, especially in pediatric, rural, and community-based care, where access barriers are not abstract. They affect whether an exam happens at all.

What remote patient assessment technologies actually include

The term covers more than video visits. In practice, remote patient assessment technologies combine connected exam tools, patient monitoring devices, data capture, software workflows, and communication pathways that allow clinicians to assess a patient without requiring every encounter to happen in a traditional exam room.

Some tools focus on physiologic monitoring over time, such as blood pressure, pulse oximetry, weight, or glucose collection. Others support remote physical assessment by enabling a clinician to listen to heart and lung sounds, visualize the ear or throat, review skin conditions, or gather other clinically relevant findings during a guided virtual encounter. The strongest models bring these functions together rather than treating them as separate programs.

That difference is especially important for organizations serving children, patients with chronic conditions, and populations with transportation, mobility, or specialist access challenges. A standalone video platform may increase convenience, but it does not always increase clinical confidence. An integrated assessment model can.

Why clinical relevance matters more than virtual convenience

Healthcare organizations are under pressure to improve access, manage workforce shortages, and reduce avoidable utilization. Virtual care can help, but only when the technology supports decision-making instead of adding another fragmented touchpoint.

A remote assessment platform should help a clinician answer a real clinical question. Is this child improving after treatment? Does this respiratory patient need escalation? Can this follow-up happen safely at home, school, or a community site? If the technology does not improve the quality of those decisions, it may still create activity, but not necessarily value.

This is where many programs hit a ceiling. They launch telehealth, gain initial adoption, and then realize the care team still lacks the exam data needed to manage patients confidently. Video alone has limits. So do remote monitoring programs that collect numbers without enough clinical context. The better approach is to connect virtual exams, monitoring, care coordination, and follow-up into one operational pathway.

Where remote patient assessment technologies deliver the most value

The highest-value use cases tend to be settings where access is limited, follow-up is difficult, or the care experience itself creates barriers. Pediatrics is a strong example. Children, especially autistic children and pediatric patients with special healthcare needs, may do better in familiar environments with caregivers present. A lower-stress setting can improve cooperation, reduce missed appointments, and support more complete participation in care.

Rural health is another major fit. Critical access hospitals, rural health clinics, and community providers often face specialist shortages, long travel distances, and staffing constraints. Remote assessment tools can extend clinical reach without requiring every patient to travel for every touchpoint. That does not eliminate the need for in-person care. It helps organizations reserve in-person capacity for the cases that truly require it.

Safety-net settings also benefit when the technology is designed around real-world operations. Federally qualified health centers and community clinics often manage high-need populations with limited resources. In those environments, technology has to do more than impress in a demo. It must support continuity, work across distributed sites, and fit financially sustainable models of care.

What healthcare leaders should evaluate before adoption

Not every virtual care platform is built for assessment. For decision-makers, the first screening question should be whether the system enables clinically relevant data capture or simply facilitates communication.

That means looking closely at device integration, virtual exam capability, data quality, and workflow design. Can clinicians gather useful findings during the encounter? Can those findings be documented in a way that supports care planning? Can the program adapt to different service lines, from pediatric follow-up to chronic disease management to school-based care?

The next issue is operational fit. Technology that works in a pilot can still fail at scale if training demands are too high or workflows are too rigid. Organizations should examine who will support the patient during the encounter, how data moves into care coordination processes, and whether the model can function across homes, clinics, schools, and community settings.

Financial alignment also matters. Reimbursement-aware deployment is not a side consideration. It is central to long-term success. Healthcare leaders need clarity on how remote patient monitoring, chronic care management, telehealth, and related services may fit their billing strategy, compliance obligations, and staffing model. A platform can be clinically strong and still be difficult to sustain if implementation ignores the realities of CMS requirements, documentation standards, and payer variation.

The trade-offs organizations should expect

Remote assessment is not a replacement for all in-person care, and it should not be presented that way. Some conditions still require hands-on examination, imaging, testing, or procedures that cannot be replicated remotely. The goal is not to virtualize everything. The goal is to make care more responsive, more targeted, and easier to access when remote evaluation is appropriate.

There are also trade-offs around adoption. More advanced assessment capabilities may deliver better clinical value, but they often require stronger onboarding, clearer protocols, and greater staff engagement. Programs serving medically complex patients may need customized workflows rather than a one-size-fits-all rollout.

Patient and caregiver readiness can vary as well. In pediatrics, caregiver participation is often a strength of the model, but it still requires support and clear communication. In rural and underserved communities, broadband access, device availability, and digital comfort can affect utilization. These are not reasons to avoid deployment. They are reasons to design for reality.

Why connected care models outperform point solutions

Healthcare organizations increasingly need systems that support an ongoing relationship, not just isolated visits. That is why connected care models are becoming more relevant than single-purpose tools. When assessment devices, monitoring, care coordination, and patient engagement function together, teams can manage patients across settings with greater continuity.

This model is particularly effective when multiple stakeholders are involved in care. Pediatric patients may depend on parents, school nurses, primary care clinicians, specialists, and community programs. Rural patients may receive services across local clinics, regional hospitals, and home-based follow-up. A connected framework helps each participant contribute to a more complete view of the patient.

That is also where a platform approach becomes more valuable than a device-only approach. The technology should support the broader circle around the patient, including caregivers, clinicians, and operational teams. When organizations build around that principle, remote assessment becomes part of a durable access strategy rather than a temporary digital add-on.

How to think about scale

The most successful programs usually start with a clear clinical and operational use case, then expand. That may mean pediatric follow-up, chronic disease monitoring, school-based access, rural triage support, or post-discharge assessment. What matters is choosing a model where better access and better clinical visibility can be measured.

From there, scale depends on standardization without rigidity. Teams need defined protocols, training, documentation pathways, and performance metrics. They also need flexibility to adapt the model for different populations and sites of care. A platform such as Dr. Miltie N9+ is most useful when it helps organizations extend clinically guided virtual exams and monitoring into the settings where patients actually live, learn, and receive support.

For many provider organizations, the long-term value of remote patient assessment technologies is not just visit substitution. It is better reach, earlier intervention, more effective caregiver engagement, and a stronger ability to deliver care beyond the walls of the clinic.

The organizations that benefit most will be the ones that treat remote assessment as part of care redesign, not just technology adoption. When the model is clinically grounded and operationally practical, it gives care teams something more valuable than convenience. It gives them a way to bring care closer to the people who have historically had the hardest time reaching it.

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A workforce clinic that only works when employees can leave the job site, drive across town, and sit in a waiting room is not much of a workforce strategy. For employers trying to improve access, reduce avoidable absenteeism, and support preventive care, virtual examinations for employer health programs offer a more practical model – especially when those exams are backed by clinically relevant devices and workflows instead of video alone.

That distinction matters. Many employer health leaders have already tested telehealth as a convenience benefit, only to find that basic video visits do not always support the level of assessment needed for occupational health, chronic condition follow-up, pediatric family coverage, or care delivery in rural and distributed workforces. The conversation is now shifting from virtual visits to virtual exams.

Why virtual examinations are different from standard telehealth

A virtual visit can be useful for straightforward conversations, medication refills, or low-acuity triage. But employer-sponsored care programs often need more. They may need a clinician to evaluate respiratory symptoms, inspect the throat or ears, review heart and lung sounds, assess skin concerns, or capture vital signs that can guide next steps.

Virtual examinations for employer health programs are designed to close that gap. When a program includes connected exam tools, remote patient monitoring capabilities, and clinician-directed workflows, the virtual encounter becomes more clinically actionable. That changes the value proposition for employers, health systems, and care partners alike.

For an employer, the benefit is not simply convenience. It is the ability to extend care access into workplaces, community settings, schools, or employees’ homes while preserving clinical quality. For providers, it creates a way to reach populations who might otherwise delay care because of travel, scheduling strain, caregiver responsibilities, or limited local access.

Where employer health programs are seeing the strongest fit

The strongest use cases tend to be programs with distributed populations, limited onsite clinical staff, or a strong need for care continuity. Rural employers are an obvious example. When employees live far from primary care or specialty services, small symptoms can become untreated problems because the logistics of care are too difficult.

There is also a strong fit in industries with hourly workforces, multiple shifts, and operational pressure to minimize time away from work. In those settings, a virtual exam supported by connected devices can help a clinician make a more informed assessment without requiring every employee to leave the work site.

Family-centered employer plans can also benefit. Many employers are looking more closely at pediatric access, especially for dependents who need frequent follow-up, behavioral support, or lower-stress care environments. Virtual exams can be particularly valuable for autistic children and pediatric patients with special healthcare needs who may do better in familiar settings with caregiver participation.

That does not mean every clinical scenario belongs in a virtual pathway. Emergencies, high-acuity presentations, and certain diagnostic workups still require in-person escalation. The point is not to replace the exam room in every case. It is to use virtual care where it improves access without lowering standards.

What makes virtual examinations clinically meaningful

The success of virtual examinations for employer health programs depends on whether the model supports a real assessment, not just a conversation. That starts with device-enabled exams. If a clinician can capture key physical exam data remotely, the visit becomes far more useful for triage, treatment planning, follow-up, and care coordination.

It also depends on workflow design. A good employer health program has to account for who initiates the visit, where the exam happens, who supports the patient if assistance is needed, how data is documented, and how care transitions are handled if additional services are required. Without that operational structure, even strong technology can underperform.

Clinical oversight is another non-negotiable. Employer health programs sit at the intersection of access, workforce operations, privacy, and reimbursement. Virtual exam pathways should be clinician-directed, HIPAA compliant, and aligned with the realities of documentation, coding, and escalation protocols.

This is where many organizations underestimate the challenge. Buying telehealth software is easier than building a care model that clinicians trust and administrators can scale.

Operational gains are real, but they are not automatic

There is a reason health systems, community-based providers, and employer groups continue to revisit virtual care strategy. When implemented well, virtual examinations can reduce unnecessary travel, shorten the time from symptom onset to assessment, and support better follow-up for employees and covered family members.

They can also improve workforce continuity. An employee who can be evaluated quickly may avoid a full day lost to a low-acuity issue. A care manager who can check in virtually on chronic conditions may catch a problem earlier. A pediatric dependent who can be seen from home or school may receive care with less disruption for caregivers.

Still, the return on investment depends on fit. If the employer population has low digital readiness, poor connectivity, or inconsistent access to facilitated exam locations, adoption may lag. If the program is not integrated with care navigation and referral pathways, virtual exams can create activity without resolving problems. Operational gains come from design, training, and clinical alignment – not from technology alone.

Reimbursement and compliance shape the model

Employer health decision-makers cannot treat reimbursement as an afterthought. Some virtual services can align with established reimbursement pathways, including remote patient monitoring, chronic care management, and other virtual care services, but the details vary by care setting, payer structure, and program design.

For self-funded employers, the equation may include direct cost avoidance, improved access, lower disruption, and employee experience, not just fee-for-service reimbursement. For provider-led employer health models, coding and documentation standards remain central. Either way, compliance has to be built into the program from the start.

That includes HIPAA requirements, secure data handling, role-based access, clinical documentation standards, and clear separation between healthcare delivery and employer-facing reporting. Employers may want population-level insight, but individual clinical privacy must remain protected.

This is one reason institution-facing buyers increasingly favor connected-care partners over point solutions. A platform that supports workflow customization, training, documentation needs, and reimbursement-aware implementation is more likely to hold up under real operating conditions.

Virtual examinations for employer health programs in pediatric and rural settings

Pediatric and rural populations highlight both the promise and the complexity of this care model. In rural communities, access barriers are often structural. There may be long travel distances, clinician shortages, or limited specialty support. In that environment, a virtual exam can bring timely assessment closer to where the patient already is – at home, at school, in a local clinic, or in a community setting.

For pediatric populations, the benefit is often tied to environment and caregiver participation. Children may be more comfortable in familiar surroundings, and caregivers can be more directly involved in the encounter. That can be especially meaningful for children with sensory sensitivities, developmental differences, or chronic conditions that require ongoing monitoring.

These are not fringe use cases. They are exactly the kinds of scenarios where employer-sponsored health access and community-based care begin to overlap. An employer trying to support working families is often trying to solve for more than adult urgent care. The real question is whether the care model can extend beyond the individual employee and support the broader circle around that employee.

Connected virtual exam platforms are increasingly relevant here because they make it easier to combine remote physical assessment, monitoring, and care coordination in one operational framework. Dr. Miltie approaches this through a Circle of Care™ model that helps organizations support patients, caregivers, and clinicians across distributed settings rather than treating each virtual encounter as an isolated event.

What leaders should evaluate before launching a program

The best starting point is not the device list. It is the care objective. Leaders should be clear on whether they are trying to improve preventive access, support chronic disease follow-up, reduce unnecessary travel, expand pediatric support, extend occupational health services, or strengthen care access in rural or underserved communities.

From there, technology selection should follow clinical need. Some programs need lightweight virtual triage. Others need remote physical exam capability with clinically relevant data capture. Some require school-based or home-based deployment. Others need workflows that support community clinics, employer-sponsored care sites, or mobile teams.

Vendor evaluation should also include training, implementation support, customization, and administrative fit. Can the model align with existing care teams? Can it support compliance expectations? Can it scale without creating extra burden for staff? These questions matter more than feature counts.

The organizations that get this right tend to view virtual exams as part of care delivery redesign, not as an isolated digital benefit. They build around access, clinical integrity, and long-term sustainability.

Employer health programs are under pressure to deliver more than convenience. They are expected to support access, workforce stability, family well-being, and measurable value. Virtual examinations can help meet that standard when they are clinically grounded, operationally realistic, and designed for the populations an organization actually serves. The opportunity is not to digitize the old model. It is to bring better care closer to the people who would otherwise struggle to reach it.

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A blood pressure reading that trends upward over five days may not look urgent in isolation. To a remote patient monitoring nurse, it can be the early signal that keeps a patient out of the emergency department, prompts a medication review, or triggers a same-week follow-up before a chronic condition worsens. That is the practical value of this role. It sits at the point where clinical judgment, patient engagement, and connected-care infrastructure meet.

For healthcare organizations expanding virtual care, the remote patient monitoring nurse is no longer a niche position. It is becoming a core operational and clinical function, especially in programs serving chronic disease populations, rural communities, pediatric patients with ongoing monitoring needs, and patients who benefit from care delivered at home, school, or other lower-stress environments.

Why the remote patient monitoring nurse role matters now

Remote patient monitoring, or RPM, has matured beyond simple device distribution. Health systems and community-based providers are under pressure to improve access, manage staffing constraints, support value-based care goals, and create financially sustainable care pathways. That changes what organizations need from nursing teams.

A remote patient monitoring nurse does more than review incoming numbers. The role often includes triaging physiologic data, identifying when values fall outside patient-specific parameters, communicating with patients and caregivers, escalating concerns to prescribing clinicians, documenting interventions, and supporting adherence over time. In a strong program, the nurse helps turn data into action rather than letting dashboards become passive repositories of readings.

This matters even more in rural and safety-net settings. When patients face long travel distances, clinician shortages, or transportation barriers, the nurse becomes a clinically meaningful bridge between the patient and the broader care team. In pediatrics, the role can also reduce strain on families by supporting follow-up in familiar settings and involving caregivers more directly in monitoring routines.

What a remote patient monitoring nurse actually does

The day-to-day work varies by organization, patient population, and technology model. Still, several responsibilities define the role across most RPM programs.

Reviewing and interpreting patient data

At the center of the role is the review of patient-generated health data. That may include blood pressure, pulse oximetry, weight, temperature, glucose values, or other condition-specific metrics. The nurse is not simply checking whether a number is high or low. Context matters. A mildly elevated reading in one patient may be less concerning than a smaller change in another patient with heart failure, complex pediatrics, or recent medication adjustments.

The best programs support this work with configurable alert thresholds and clinically relevant workflows. Even then, the nurse still applies judgment. False alarms, missing readings, and normal physiologic variation can all create noise. A useful RPM workflow helps nurses distinguish meaningful trends from device friction or one-off anomalies.

Engaging patients and caregivers

A remote patient monitoring program succeeds or fails on participation. Nurses often spend substantial time helping patients understand why readings matter, how and when to take them correctly, and what to do if symptoms change. In pediatric care, that engagement extends to parents, guardians, school staff, and other members of the care circle.

This is especially important for autistic children and pediatric patients with special healthcare needs. Monitoring may need to fit the child’s environment, communication style, and sensory preferences. The nurse’s role becomes part clinical support and part care coordination, with a strong emphasis on reducing disruption while preserving the quality of follow-up.

Escalating care at the right time

One of the most important functions of a remote patient monitoring nurse is timely escalation. Not every alert requires a physician call, and not every symptom can wait for the next scheduled visit. The nurse helps determine what needs education, what needs care coordination, and what needs immediate clinical review.

That middle layer is operationally valuable. It protects physician time, supports continuity, and creates a more responsive patient experience. It also reduces the risk that subtle deterioration goes unnoticed between visits.

Documenting for clinical and reimbursement integrity

RPM is a care model, but it is also a regulated service line. Nurses working in these programs often support documentation tied to care plans, patient communication, time-based service requirements, escalation pathways, and care coordination activities. If documentation is weak, the program may struggle clinically and financially.

That is why many healthcare leaders look for platforms and workflows that are reimbursement-aware from the start. A nurse should be able to focus on patient care without chasing fragmented data across systems.

Where this role creates the most value

Not every organization will structure RPM nursing the same way. The highest value usually appears where there is a combination of ongoing monitoring need, access friction, and a patient population that benefits from more frequent touchpoints.

Chronic disease management

Patients with hypertension, diabetes, heart failure, COPD, and other chronic conditions often benefit from trend-based monitoring rather than episodic office visits alone. The nurse helps identify deterioration earlier, reinforce treatment plans, and support adherence between appointments.

Pediatric and family-centered care

In pediatric programs, RPM nursing can support follow-up without requiring repeated travel or disrupting school and caregiver schedules. For children with special healthcare needs, the nurse may coordinate around developmental, behavioral, or environmental considerations that make in-person monitoring harder. That flexibility can improve participation and reduce missed follow-up.

Rural and community-based care

For rural health clinics, critical access hospitals, federally qualified health centers, and community-based organizations, the nurse can extend the reach of limited clinical teams. Instead of asking every patient to return for every concern, organizations can use remote monitoring to maintain visibility into patient status while reserving in-person capacity for those who truly need it.

What healthcare leaders should consider before hiring or scaling

It is tempting to think of the remote patient monitoring nurse as a staffing add-on. In practice, the role works best when it is designed into the care model from the beginning.

First, technology fit matters. If devices are difficult for patients to use, data transmission is inconsistent, or virtual exam tools are disconnected from nurse workflows, the burden falls back on staff. Nurse efficiency depends on clinically useful device integration, dependable data capture, and clear escalation logic.

Second, patient population fit matters just as much. A pediatric RPM workflow should not mirror an adult cardiac workflow. Rural programs may need more caregiver coaching and outreach persistence. Safety-net settings may need stronger support for language access, digital confidence, and care coordination across fragmented resources.

Third, organizations should be realistic about alert design. Too many alerts create fatigue. Too few can miss meaningful change. The right balance depends on condition, acuity, staffing model, and physician oversight.

Fourth, reimbursement and compliance cannot be afterthoughts. RPM programs require operational discipline around consent, documentation, time tracking where applicable, HIPAA-aligned workflows, and clinical oversight. A good nurse can strengthen the program, but no nurse should be expected to compensate for a weak implementation model.

The technology question: data alone is not enough

Many RPM programs start with connected devices and stop there. That can produce data, but not necessarily better care. Nurses need more than raw numbers. They need enough clinical context to assess what the reading means, enough communication capability to reach the patient or caregiver, and enough workflow support to move efficiently from observation to intervention.

This is where connected-care platforms can make a measurable difference. When remote monitoring is paired with virtual exam capability, care coordination tools, and customizable workflows, the nurse role becomes more clinically complete. In some settings, that means combining monitoring with clinician-directed virtual assessment rather than sending the patient to another site simply to confirm what a trend already suggests. For organizations building pediatric, rural, or distributed care models, that broader approach is often more practical than piecing together multiple disconnected tools.

A role that strengthens the whole care team

The remote patient monitoring nurse should not be viewed as a replacement for in-person nursing or physician care. The better way to see it is as a force multiplier for clinical teams trying to manage more patients across more settings with greater continuity.

When the role is well supported, nurses can identify change earlier, guide patients more consistently, improve caregiver participation, and help organizations use virtual care in a way that is clinically credible and operationally sustainable. That is particularly relevant for healthcare leaders building programs around chronic care management, pediatric access, and rural health equity.

For many organizations, the real question is no longer whether remote patient monitoring has value. It is whether the program has the nursing workflows, clinical tools, and care model design to turn that value into daily practice. Getting that part right is what makes virtual care feel less remote for the people who depend on it most.

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Hospitals across the nation are facing financial constraints and unprecedented staffing shortages. This situation is compounded by the growing need to provide skilled, resource-intensive care for sicker patients being admitted to hospitals’ general care units.

This situation is not only impacting clinical staff, who are overworked, stretched thin and reporting high levels of burnout, but patients, who are more likely to experience a harmful safety event due to inadequate working conditions.

“The intersection of fewer providers and sicker patients is challenging hospitals a great deal,” said Dr. Sam Ajizian, Chief Medical Officer of the Patient Monitoring Operating Unit at Medtronic.

A powerful, impactful strategy to address this challenging landscape is for hospital leaders to leverage technology, specifically remote monitoring, connectivity, and interoperability solutions.

The impact of remote monitoring

Technology — particularly, remote patient monitoring — provides clinical staff with a significant gift: more time with patients.

Right now, clinicians spend far too much of their shift on administrative tasks such as manual charting. They continuously check routine vital signs and manually input the information into the electronic medical record, leading to short, stressful and unsatisfactory interactions with patients.

Remote patient monitoring automates some of this work for caregivers by enabling the continuous capture of vital patient data, which is then uploaded to the EMR and put in the hands of caregivers in the most convenient format for them, such as on a desktop, mobile app or tablet.

As a result, remote patient monitoring can help reduce burnout for clinicians as it decreases the need for manual charting and supports more one-on-one time with patients.

“Remote patient monitoring frees up a lot of nursing hours^3,5 where they can do what they went into the profession for — to talk to patients and give care. No provider went into healthcare to type on a computer,” Ajizian said.

The continuous capture of real-time patient data also allows clinicians to identify adverse patient trends earlier and intervene sooner, helping them improve patient outcomes overall.

In order to gather this data from patients continuously, the monitoring device, such as a wearable, must be comfortable for patients to wear. The BioButton multi-parameter wearable from BioIntellisense, part of Medtronic’s HealthCast portfolio, is small, with a self-adhesive, worn on the patient’s upper left chest, with up to 16 days of battery life. “The BioButton device offers an effortless user experience. Just stick it on and forget it” Ajizian said.   

The important role of connectivity

While the device used to continuously capture patient vital sign information is key to the success of remote patient monitoring programs, so is connectivity. Clinicians must be able to access patient data anytime, anywhere, quickly and easily.

“You can have the best wearable in the world but if the data can’t be displayed where the caregiver wants it and how they want to see it, it’s useless,” Ajizian said.

To achieve this, remote patient monitoring systems should be part of the existing ecosystem of devices and workflows, including the hospital’s EMR.

The HealthCast^TM Vital Sync^TM remote patient monitoring system allows clinicians to remain connected to their patients wherever they are in the hospital. The system is designed to connect to hospitals’ EMRs and existing devices. Additionally, it provides clinicians with actionable insights through near real-time trend and alert data on patients wherever they prefer to see it including via desktop or mobile app.   

The future of remote monitoring

Choosing a remote monitoring platform is a significant financial investment. In addition to considering the product features, hospitals should also factor in the quality of the partnership with the provider.

Hospitals must prioritize finding a partner that will offer long-term clinical, technical, education and maintenance support that puts patients and clinicians first. Medtronic understands the importance of partnering with hospitals to build sustainable remote monitoring programs.

“We meet the customer where they are, we fill in the gaps with the tech and we connect it in the easiest way possible,” Ajizian said.

Learn more about Medtronic’s HealthCast^TM intelligent patient monitoring, a portfolio of remote monitoring, connectivity and interoperable solutions, here.

Footnotes

1. Baker MA, Sands KE, Huang SS, et al. The Impact of Coronavirus Disease 2019 (COVID-19) on Healthcare-Associated Infections. Clin Infect Dis. 2022;74(10):1748-1754.
2. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sentinel-event-general-information-and-2021-update.pdf
3. Bellomo R, Ackerman M, Bailey M, et al. A controlled trial of electronic automated advisory vital signs monitoring in general hospital wards. Crit Care Med. Aug 2012;40(8):2349-61.
4. Stellpflug C, Pierson L, Roloff D, et al. Continuous physiological monitoring improves patient outcomes. Am J Nurs. 2021;121(4):40–46.
5. Han WH, Sohn DK, Hwangbo Y, et al. Effect of a Wireless Vital Sign Monitoring System on the Rapid Response System in the General Ward. J Med Syst. 2022;46(10):64. Published 2022 Aug 26.
6. Downey C, Randell R, Brown J, Jayne DG. Continuous versus intermittent vital signs monitoring using a wearable, wireless patch in patients admitted to surgical wards: pilot cluster randomized controlled trial. J Med Internet. Res. 2018;20(12):e10802
7. Eddahchouri Y, Peelen RV, Koeneman M, Touw HRW, van Goor H, BrediS JH. Effect of continuous wireless vital sign monitoring on unplanned ICU admissions and rapid response team calls: a before-and-after study. Br JAnaesth. May 2022;128(5):857-863.
8. Verrillo SC, Cvach M, Hudson KW, Winters BD. Using Continuous Vital Sign Monitoring to Detect Early Deterioration in Adult Postoperative Inpatients.J Nurs Care Qual. Apr/Jun 2019;34(2):107-113.
9. Weller RS, Foard KL, Harwood TN. Evaluation of a wireless, portable, wearable multi-parameter vital signs monitor in hospitalized neurological and neurosurgical patients. J Clin Monit Comput. Oct 2018;32(5):945-951.

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The internet, COVID-19 pandemic and increased access to smartphones and laptops has changed the way people shop, bank, travel and work. It also has changed how people manage their health care.

Telehealth, including telemedicine and virtual visits, uses digital information and communication technologies to access health care services remotely and manage your health care. It’s often thought of as remote communication or monitoring between a health care team and the patient or caregiver.

Asynchronous and synchronous communication

Some interactions are asynchronous, meaning communication that doesn’t happen at the same time. For example, a patient sends a message through an online portal and the health care team responds at a different time. Or a patient completing an online survey about symptoms to update the health care team.

Remote monitoring, which is asynchronous technology that collects and reports temperature, weight and other vital signs, allows the health care team to check a patient’s status without a visit to a health care facility. Any identified problems are usually addressed quickly.

In contrast to these examples are synchronous interactions, in which the patient and health care team communicate in real time. A telephone conversation is synchronous communication and an important part of a health care journey. Virtual visits use online technology to allow the patient and team to see and hear each other in real time. These synchronous communication telehealth options extend health care to meet patient needs.

Telehealth options are available for general health care, acute needs or specific conditions. Virtual visits became common because of the needs of the COVID-19 pandemic. Two years later, oncology professionals recommend telehealth interactions when appropriate for the patient or the caregiving team.

Telehealth and cancer care

For many people with cancer or malignant diagnosis, telehealth has become an important part of their care. It may be appropriate for medical oncology, hematology, consultations, second opinion consultations and surgical consultations.

Many patients use portal online messages throughout their cancer journeys to communicate medication side effects, changes in condition or send questions to the health care team. Other common telehealth options during cancer care are virtual visits and telephone conversations. These extend care and options for patients, regardless of geography. Occasionally, remote monitoring is part of cancer treatment plans as well.

Some appointments and treatments cannot be conducted virtually. The health care team recommends in-person or virtual visits based on the needs and treatment plan for each patient.

Telehealth benefits

There are multiple benefits of telehealth for all patients, but especially for people with a chronic or complex health condition, such as cancer, including:

• Greater access
  Telehealth can bring cancer experts to people who live in remote communities. It can provide people with choices to meet with specialists who don’t live where they do, especially when they are seeking a second opinion on a complex cancer diagnosis. Patients who don’t have good access to devices or internet may be able to participate in virtual appointments by using cancer center clinic resources and assistance.
• Reduced travel time and expense
  Cancer care requires many appointments, and patients often travel significant distances to receive the care they need. Some appointments, especially consultations or general checkups, can be completed virtually. This reduces travel time and expense for the patient and family. Not every appointment can be conducted using telehealth but saving travel expenses a few times can make a significant difference.
• Larger support network
  Most of the time, patients who receive care in Oncology attend visits with a family member or other support person. Virtual visits allow remote family members to participate in important conversations, ask questions and lend support, regardless if they live across the street or across the country.
• Improved energy
  Gearing up to travel to and from an appointment can be a challenge, especially if a person is experiencing severe fatigue due to cancer treatment. Participating in virtual visits can be less draining and preserves energy for recovery.
• Improved safety
  Hospitals and clinics are safe to visit and receive care. However, traveling to and from appointments does increase a person’s exposure to infectious diseases in the community, such as influenza and COVID-19. Mobility and falls are concerns for some people. Remaining at home to receive care can keep the person safe.

There are limitations to telehealth. Sometimes technology doesn’t work as well as designed. It’s important to have a plan with your health care team to call on the telephone if there is an issue connecting to a virtual visit.

Some people have no or limited internet access and may have to travel to a local clinic to participate in a virtual visit with specialized providers at other sites. Others don’t have or don’t feel confident using a mobile device or may need to have an exam done in person. Telehealth may not be appropriate for these patients. However, it’s an important tool to have that can extend options for care.

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You may have heard of or used Telehealth. The growth of Telehealth has increased rapidly after the pandemic of COVID-19. Because during the pandemic of COVID-19, people depended on the Internet for their daily issues, and health was one of the issues faced daily by people. They needed a platform where they could get healthcare services. They found Telehealth, where they can get healthcare services from different experts at a distance with the help of the Internet. 

Sometimes people use Telemedicine in place of Telehealth, or vice versa. Sometimes, they are confused between them. In this blog, we will discuss the difference between Telehealth vs Telemedicine. We will discuss them one by one. First, we will start with Telehealth. 

Telehealth 

Telehealth is a medium where people get their healthcare services at a distance, mainly through video conferencing. Apart from this, this medium is also used for sharing information related to health with patients, doctors, and medical students. It is a broader concept than Telemedicine. You will get all these services at your home or any comfortable place through telecommunications. Let’s understand Telehealth app with some examples. 

Examples of Telehealth 

The followings are some examples of Telehealth-

• To check their body’s blood pressure and cholesterol levels, patients use a mobile app. 
• Patients can examine their lab results, schedule appointments, and obtain prescription medications through an online self-service portal like a patient portal.
• Patients can receive online reminders for vaccines, examinations, or prescription refills. 

Let’s see some benefits of Telehealth. 

Benefits of Telehealth 

The following are some benefits of Telehealth- 

1. Remote Health Monitoring 

Checkups for preventative health are made easier by a novel method of health monitoring. It fills the gap between the actual healthcare facilities and the places where patients reside and work. Physicians can remotely communicate information with patients and track the healthy development of their patients with the aid of remote technologies. Few devices can immediately exchange patient data with doctors, including blood pressure, weight, and pulse rate. It enables the doctor to continuously monitor any abnormal deviation in the patient’s body and spot areas for improvement and minor issues before they turn into major issues. 

2. Mobile Health

The person’s current health status is displayed on this platform using mobile apps. Its potential is open to both ill and healthy individuals. With the use of mobile devices like smartphones, tablets, and laptops/computers, mHealth enables patients and mobility disorder professionals to give healthcare and educational support materials. A dependable form of communication is provided by mobile health. It provides services irrespective of geographical limitations. 

3. Cost effective 

It reduces the overhead cost of patients, including traveling, food, staying, parking, etc. as well as reduces the maintenance cost of hospitals, including office decor, waiting room, the salary of staff, etc. 

4. The Accessibility Of Rural Areas 

It was always an issue for rural areas to get proper healthcare services. The people of rural areas have to travel far for better treatment. But now, people in rural areas get better treatment from their homes with the help of Telehealth. 

Now it’s time for Telemedicine. Let’s see what Telemedicine is. 

What is Telemedicine? 

Telemedicine is a subset of Telehealth, which means it is a part of Telehealth. Telehealth and Telemedicine are approximately similar, but the only difference is that Telemedicine is limited to providing services to patients. 

  Telemedicine is a medium where Only people get healthcare services from a doctor at a distance through telecommunications. Apart from this service, no other services are provided by Telemedicine. Telemedicine apps emerged as the best choice during a recent pandemic crisis to make sure patients receive high-quality care remotely. 

Benefits of Telemedicine 

The following are some benefits of Telemedicine- 

1. Virus Exposure is Lessened 

If you get your treatment from Telemedicine, there is no need to go to the hospital or face to face interactions with doctors. You can get the treatment at your home that reduces the virus exposure. 

2. Care during the night

Patients have 24/7 access to Telemedicine, which provides immediate medical care from distant locations.

3. Enhances doctor’s safety 

No need for face to face interaction between doctors or patients for treatment in Telemedicine, which increases the doctor’s safety from any infection or viruses. 

4. Assistance for Patients with Chronic Illnesses

Patients with chronic diseases find Telemedicine to be a handy choice since it allows them to avoid making in-person hospital visits.

5. Online Psychiatric Support 

Medical professionals offer various advantages to patients in psychiatry. A couple of them include swift healing and individualized treatment.

Telehealth v/s Telemedicine 

The following are some differences between Telehealth and Telemedicine- 

1. Telehealth is a broad concept, where Telemedicine is a part of Telehealth. 

2. Telehealth is not only restricted to providing healthcare services to patients. It also engages in providing information related to health to students, doctors, or patients. But, Telemedicine is restricted to providing only healthcare services to patients. 

3. In Telehealth, the services are provided by healthcare experts, healthcare staff, pharmacists, medical professors, and Frontline workers. But, only healthcare professionals provide healthcare services in Telemedicine. 

4. Education about healthcare, numerous lab test results, training, a partnership between technology and the healthcare industry, etc. are all included in Telehealth. But, Telemedicine provides healthcare services to patients only. 

5. Patients with chronic conditions who use Telehealth can track their progress and communicate with their doctors to take part in their care. Whereas, Telemedicine only broadens the scope of physician coverage. 

Conclusion 

In this blog, we have discussed the differences between Telehealth and Telemedicine. After reading this blog, you will know that all the services of Telemedicine are Telehealth, but not all the services of Telehealth are Telemedicine. We hope that the blog will be useful for you. 

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