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Sending out data straight from a person to a medical care professional in real-time has evident advantages, consisting of reducing the drainpipe on healthcare facility ERs. Treatment is extra immediate due to the fact that doctors can counsel patients without awaiting a visit to roll around. The remote patient monitoring system, Withings MED PRO CARE, allows wellness specialists to accessibility and take care of physiological data of numerous clients in genuine time within a customized interactive control panel. The platform additionally enables a custom person experience as the Withings Wellness Friend application can be adapted for patient individuals. In addition to all the health and wellness information normally found within Health Mate, clients can obtain straight messages from their caretakers, consisting of suggestions to take and also share measurements.
Wellness specialists monitor these people remotely and also act upon the info got as part of the treatment plan. For those clients that have day-to-day battle with diabetic issues, heart disease, inability to conceive and other persistent problems, it is essential to know info such as important signs, weight, blood pressure and heart price. This permits early detection of damage; therefore, reducing the variety of emergency division brows through, hospital stays, and duration of medical facility remains. Normally, collecting this info would certainly be accomplished with duplicated sees to the physician's office, which can be time consuming, pricey as well as demanding. Remote patient monitoring is a technology that allows people to preserve self-reliance, protect against problems, and also reduce individual prices. Many of the FDA accepted options have shown their effectiveness in minimizing the variety of hospitalizations, readmissions, as well as sizes of stay in medical facilities, which assists enhance quality of life and have expenses for health and wellness systems.
assimilation With health Centers.
Furthermore, EarlySense's technology will be readily available later this year in a portable, cloud-based module that will certainly allow caregivers, telehealth companies and also a range of item programmers to incorporate as well as expand their remote patient monitoring abilities. Because the major source of the BEAT-HF funding was originated from American Healing and also Reinvestment Act of 2009 funds, we can not expand enrollment beyond September 30, 2013. Doing so might have reinforced the 30-day death findings because the research study was not powered for this details result. The study websites are all academic medical facilities in The golden state, which could restrict generalizability. However, fifty percent of the sites included safety-net medical facilities, and the wide person qualification criteria boost generalizability. Making use of other kinds of employees as opposed to registered nurses potentially might telemedicine or ehealth have impacted research results.
What is emerging today is the potential for the wide fostering of remote health tracking tools and systems that take advantage of customer wearables, wise residence interaction systems, and also huge data to generate alternative sights specifically for doctor. The pandemic has propelled telemedicine remedies onward by years otherwise a decade or even more in the brief span of three to 6 months. This is producing a possibility for remote patient monitoring to supply even better exposure into clients past what can be achieved with standard video clip conferencing. The remote-monitoring innovation utilized by suppliers will certainly vary based on the certain demands of their clients. Some surveillance programs make use of the same data accumulated by most wearable task trackers-- heart rate, steps, floors, and miles. Besides providing suppliers the ability to continuously keep track of patient heart rate as well as level of exercise, individuals wearing such devices follow task programs at a higher rate when they recognize their data is being kept track of. Lindsay Streeter, former professional leader for Medtronic Care Administration Solutions, shares her viewpoint on five advantages remote patient monitoring can have in handling client health and wellness and also recuperation.
With over 46,000 patients signed up as well as 600 brand-new patients included every week, Validic is powering the nation's biggest remote monitoring program. The huge information handling of clinical details will end up being progressively vital as virtual medical care remote surveillance grows. The capability to analyze the huge amounts of real-time, streaming data to create trends, correlations, and clinical diagnoses can potentially transform just how health care is used at both an individual as well as social level. Huge Technology is distinctly placed with shear company size as well as innovation assets to seek remote tracking huge information. In addition, Huge Technology is currently going after healthcare information relationships with substantial healthcare providers as well as can utilize those jobs right into new applications refining remote tracking data. In this design, tailored rehab as well as exercise programs are supplied to clients based upon specific medical diagnoses or movement-pattern deficits.
Published by the New England Journal of Medicine, a randomized controlled test entailing congestive heart failure individuals wrapped up that making use of telemonitoring failed to give a benefit over common treatment. The telemonitoring client team was instructed to call a marked number daily, and respond to a collection of questions about their signs and symptoms using a keypad. Plainly, the process described by Chaudhry et al. differs from the RPM method illustrated in the review, which involves real collection and also transmission of physical information via point-of-care gadgets. With articles from Forbes associating RPM with the negative searchings for by Chaudhry et al., it may be hard to remove the mistaken belief that telemonitoring is identified with remote patient monitoring.
Datos Health and wellness gives a remote treatment and telehealth system that enables clients to be monitored and taken care of out of the healthcare facility setting. Datos uses advanced analytics and works agnostically throughout any therapy protocol, person profile, information resource, wearable and medical gadget, enabling automated discovery, monitoring and also forecast of irregular symptoms. Modern technology Rivers has developed remote patient monitoring software program for two of our clients. This software application permits suppliers to remotely keep track of clients' vitals from cellular-powered tools and also health and fitness information with bluetooth-connected tools. Measurements carried out by the person, such as high blood pressure and also weight, become immediately offered on the doctor's control panel. Clients who miss out on a dimension automatically obtain a text reminder, and carriers are alerted when individual dimensions fall beyond the regular range.
- The obstacle going into the coming years is establishing an electronic health platform that has the ability to integrate various programs and permit simple accessibility for both individuals and also providers ¹.
- This information is then presented or sent real-time to health and wellness professionals in remote patient monitoring facilities in primary care settings, hospitals, critical care unit, competent nursing facilities, as well as streamlined off-site scientific nerve center.
- Remote Patient Monitoring programs can collect a variety of health data from the factor of care as well as healthcare record such as vital indicators, weight, high blood pressure, blood sugar level, blood oxygen degrees, heart price, electrocardiograms, and bedside device data.
- Biotricity concentrates on remote patient monitoring as well as constructs diagnostic as well as post-diagnostic systems for chronic conditions, beginning with cardiac.
- Wellness professionals keep track of these patients remotely and also act upon the information got.
The prospect of even more health care organizations embracing RPM modern technology-- such as that supplied by the Care Innovations ® Wellness Harmony platform-- opens the door to enhanced access to look after people across the country. This information is then sent to wellness specialists in facilities such as monitoring facilities in primary care setups, healthcare facilities as well as critical care unit, skilled nursing centers, as well as systematized off-site situation monitoring programs.
Progress reports are sent out to doctors as well as medical team, allowing for interventions and modifications as needed. Finally, Spire Health has a "Wellness Tag" that uses a clever garments idea in which adhesive tools are attached to a client's undergarments or bra.
The many merits of remote patient monitoring - BusinessLine
The many merits of remote patient monitoring.
Posted: Tue, 10 Nov 2020 12:49:46 GMT [source]
The treatment was not directly incorporated with the medical professional practices looking after the people, which is significantly possible with breakthroughs in digital health and wellness records. The performance of transition of treatment, disease management, and also telemonitoring interventions may be very based on just how they are incorporated and followed in practice.32 Adherence to the BEAT-HF treatment appears to have been a vital factor.
Is telemedicine the same as video conferencing?
Telemedicine is a specific kind of telehealth that involves a clinician providing some kind of medical services and can include, but is not limited to, the following applications: the use of video conferencing for patient consultations, patient portals and/or sending images for diagnosis, remote monitoring of vital
People who are enlisted in the high threat program obtain a remote patient monitoring package that includes a high blood pressure cuff, thermometer, pulse oximeter and also a weight range. These measurements are sent automatically to Mayo Clinic via a cellular-enabled tablet that patients obtain with their sets. Remote Patient Monitoring registered nurses will certainly additionally call individuals to establish if they are experiencing signs and symptoms such as nausea as well as lack of breath. People who go to lower danger for problems record vital signs utilizing the Mayo Clinic app. Daily, these people receive an alert on their mobile phone allowing them recognize that they need to offer info to their treatment team through the Mayo Clinic app. Wellbox leverages remote patient monitoring innovation to enhance the efficiency and outcomes of its market-leading persistent treatment administration program. By concentrating our efforts on high-risk, high-cost populaces, we have the ability to have a substantial positive impact on the economic and also professional outcomes of the person, the method, as well as the healthcare system in its entirety.
Medtronic Care Administration Services offers remote monitoring programs designed to aid healthcare providers and wellness systems much better manage the health of focused populaces, giving five crucial advantages. Without the individual's willingness to be an active participant in their treatment, RPM application will likely fail.
The difficulty going into the coming years is creating a digital wellness system that has the ability to integrate various programs and enable easy gain access to for both patients and service providers ¹. Remote Patient Monitoring programs can gather a variety of health and wellness information from the point of treatment and health care document such as vital indicators, weight, high blood pressure, blood sugar level, blood oxygen levels, heart rate, electrocardiograms, and bedside tool information. This information is after that displayed or transmitted real-time to wellness professionals in remote patient monitoring facilities in primary care settings, healthcare facilities, intensive care units, knowledgeable nursing facilities, and also streamlined off-site professional control centers.
Wellbox has been dealing with the persistantly unwell populace since 2015 with its chronic treatment monitoring service line. Having finished greater than 250,000 patient interactions in the last 2 years, it introduced its remote patient monitoring system to assist further broaden accessibility to remote care management. Access to precise as well as timely information from these tools can give Wellbox the ability to recommend far better objectives and also interventions while assisting individuals in accomplishing those objectives in quantifiable ways. Many individuals under remote surveillance have overlapping chronic problems and utilize several in-home devices. To suit information input from a number of tools, Qure4u utilizes a proprietary combination engine and also open API method. The business attaches APIs from several RPM tools, consisting of the most popular home monitoring-apps and gadgets covering all vitals required, from blood pressure, pulse, blood glucose and also oxygen saturation to temperature level, weight, nutrition as well as sleep information. Information from any RPM vendor that uses API connectivity can be posted into the Qure4u system.
Telehealth and Remote Patient Monitoring software growth.
The remote surveillance platform, Trapollo Converge, allows healthcare organizations to extend treatment outside the wall surfaces of their facilities to satisfy people where they remain in their day-to-day lives. The system can be accessed by either a mobile application or a web-based application for both intended individuals - care groups and also people The platform supports a 'bring your own device' model or can be preloaded on a gadget offered to a patient by the health care organization. In addition, for the 'remote important monitoring' application, the system has the capacity to couple with many of one of the most usual devices via Bluetooth. The technology commonly is sustained by house medical gadgets such as glucometers, high blood pressure cuffs, thermostats and also pulse oximeters. These check-ins establish a liable dialogue for patients with suppliers, to support trust and engagement. Attached health and wellness gadgets run the range from wearable heart monitors, to Bluetooth-enabled scales, to Fitbits.
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Biotricity focuses on remote patient monitoring as well as constructs analysis and also post-diagnostic systems for persistent problems, starting with heart. The firm has actually developed a core technology system that incorporates cellular IoT, AI, sensors and the cloud to change the treatment process. Biotricity believes the future of health care technology remains in remote shipment, remote diagnostics as well as remote treatment monitoring, led by linked wise medical gadgets. Remote patient monitoring is one way to support treatment given to client populations. Remote patient monitoring programs use modern technology and also client support solutions to check clients' wellness status with time outside of traditional medical settings.
Service providers should always talk to their certified billing and coding professionals for correct Medicare tool invoicing. SynsorMed is the premier digital health system that encourages patient engagement and also conformity. SynsorMed lowers expensive chronic condition readmissions, provides personalized treatment, and gives information for value-based treatment designs. SynsorMed incorporates telehealth, remote patient monitoring and also machine learning to reduce healthcare's trip toward better patient wellness. Purchasing telehealth solutions like remote patient monitoring may be the solution as this growing modern technology shows to link physicians and also clients in manner ins which enhance overall medical care procedures. In addition, clients. really feel more connected to their doctor and also safer in their treatment many thanks to these developments in telehealth and also telemedicine. An app that allows medical professionals to check people remotely and monitor their vitals is an enormously engaging alternative in times when medical care solutions remain in strong need, hospital stay expenses remain to skyrocket, and also COVID-19 keeps prowling around.
Benefits to remote patient monitoring - Medical Economics
Benefits to remote patient monitoring.
Posted: Thu, 05 Nov 2020 08:00:00 GMT [source]
Depending on the comorbidities monitored, RPM entails a diverse choice of gadgets in its execution. Standardization is needed for information exchange and also interoperability among multiple elements. Additionally, RPM deployment is extremely depending on a comprehensive cordless telecommunications framework, which may not be offered or feasible in backwoods. Considering that RPM involves transmission of sensitive person data throughout telecommunication networks, info safety and security is a concern. As a contact-free surveillance option, there are no leads or various other wearable gadgets to adjust or to touch the person's body.
Current Health and wellness then utilizes AI to identify those at risk of illness and also proactively alert medical professionals to prospective problems, driving earlier treatment as well as treatment. The platform also allows wellness systems to figure out just how to best designate resources-- such as healthcare employees and beds-- and also contains the spread of contagious illness by handling take care of lower-risk clients remotely. Vivify Wellness is changing health care by replacing anecdotal strategies with the marketplace's most full, patient-centered, and alternative connected care system. Discover how we can aid you introduce and scale comprehensive, reliable remote care programs that produce phenomenal professional and financial ROI for chronic and also post-acute treatment as well as wellness administration. In a country where a significant increase in the number of insured has actually made it more difficult for some individuals to accessibility caretakers, remote patient monitoring boosts the capacity for physicians to treat even more patients.
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"