ER Hospital Reduction/ Readmission Avoidance
Reduction with RPM alone
We have already achieved a 20% reduction in medical hospital admissions using RPM. This is possible because RPM allows for the early detection of emergent health risks which enables providers to give timely care to patients at the clinic or remotely. There is, however, room for improvement. With 46% of all Critical Vitals Alerts occurring outside of normal clinic hours, meaning evenings and weekends, we have an opportunity to further increase the 20% already being reduced to a target of 30-35% reduction of Medical Admissions. We can do this by implementing a practical and feasible solution to extend access to effective and timely care to the patient in their homes.
It is well established that expanding access to care is a key component of an ER/Hospitalization reduction program. With advances in Tele-Diagnostics from home, we can enable effective [evidence base] healthcare consults, when and where it is needed. This has long been the holy grail of medicine and healthcare but recent advances can now enable advanced medical diagnostic and evidence capture equipment at patients homes: such as 12 lead EKG, digital heart and lung auscultations, high-resolution cameras to observe any relevant details on the patient, vitals, temperature, and ultrasounds. Advanced and more complete condition’s evidence allows for the provision of effective healthcare, usually at the doctor’s office, but now at the patient’s home, without additional delays; rapid and effective medicine where and when is needed.
“Rapid and effective medicine where and when is needed,
Serinus’ Tele-Diagnostics are taken to the patient’s home in vehicles by trained techs or MAs bringing healthcare to the patient within hours of a vitals alert. The Provider’s time is optimized by allowing the clinician to remain in a central location, and giving them the ability to see multiple patients, taking shorter time periods per consult, but still providing effective, individualized healthcare to the patients in their homes.
The other component of critical importance to prevent ER/Hospitalizations is the early detection of emergent health episodes, non-compliance of a medication regimen. Remote Patient Monitoring. RPM is intended to provide early warning of emergent risks. Serinus advanced health monitoring have three synergistic components:
- On-going Vitals monitoring (BP, SPO2, glucometer, weight): designed to provide Vital Alerts and vitals evolution and trends.
- Personalized Patient Symptoms Health Assessments, to complement the vitals monitoring: triggered by a Vital Alert, during Transitions of Care or on schedule.
- Advanced Chest Monitor to use during crisis episodes or Transition of Care: continuous, hands-free automatic collection and transmission of a wide array of physiological parameters.
RPM + Medication Management + Vitals Alerts Based Advanced Tele-Diagnositics + Continuous Monitoring after critical Events = 30% to 35% or more in Hospital Reduction and Readmission Reduction
Studies on this subject
CAPITAL BLUE CROSS 2016 @Home study:
compared Blue Cross CHF members equipped with a home monitoring platform to a control group of non-monitored HF patients:
“A year long remote monitoring program for patients with heart failure saved more than $8,000 per patient and reduced hospitalizations by more than 30 percent
UPMC / ONTARIO TELEHEALTH NETWORK:
One year long (April/17 to March/18) program included remote monitoring and prompt care via Telemedicine to 3587 COPD/CHF patients“ 3,151 hospital visits avoided ” and “$71 Million [est.] annual savings to the healthcare system”. An average of 88% of the RPM patients avoided a hospital admission over 12 months”
Serinus Health Patient Study:
Two Years March/2018 thru March/2020 analysis of a cohort [unmanaged Medicare] patient group under remote monitoring, RPM, and timely clinic care 27% of patients had a Vital Alert per month 40% were seen earlier than scheduled follow up 21% savings of Hospital Medical Admissions on the 300 Admits per 1000