Remote physiological monitoring: clinical, financial, and behavioral outcomes in a heart failure population.
This article reports on the outcomes associated with remote physiological monitoring (RPM) conducted as part of a heart failure disease management program. Claims data, medical records, data transmission records, and survey results for 91 individuals ages 50-92 (mean 74 years) successfully completing a heart failure RPM program were analyzed for time periods before, during, and after the monitoring intervention. The program was associated with significant reductions in per member per month costs and emergency room and hospital utilization. More detailed analyses were performed for specific gender and age subgroups. Participant surveys indicated high levels of satisfaction, and improvements in self-perceived health status, self-efficacy, and self-management behaviors. This study is the first to assess the impact of a RPM program following removal of the monitoring equipment. The results indicate that RPM, as a component of a traditional disease management program, has a sustained, beneficial effect on participants' lifestyles after the monitoring period has ended.
Hudson
Laurel R
LR
American Healthways, Nashville, Tennessee 37215, USA.
Hamar
G Brent
GB
Orr
Patty
P
Johnson
Jeffrey H
JH
Neftzger
Amy
A
Chung
Richard S
RS
Williams
Myra L
ML
Gandy
William M
WM
Crawford
Albert
A
Clarke
Janice
J
Goldfarb
Neil I
NI
D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D019468:Disease Management; D005260:Female; D006279:Health Maintenance Organizations / Q000191:economics / Q000458:organization & administration*; D006333:Heart Failure / Q000175:diagnosis* / Q000191:economics / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D008923:Missouri; D010043:Outcome and Process Assessment, Health Care / Q000191:economics; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015397:Program Evaluation; D013686:Telemetry; D013689:Telephone; D014481:United States; D019037:Urban Health Services / Q000458:organization & administration