Remote Patient Monitoring
EVIDENCE BASED TELE-MEDICINEMonitoring Patients Wherever They Are
Any person confronted with any abnormal symptom would benefit greatly of a prompt diagnosis, treatment determination and ultimate recovery with the best possible outcomes. In most cases, the longer to reach the proper diagnosis/treatment/recovery will cause a negative impact on quality of living and functional capacity and likely degrade from an ambulatory to an acute episode requiring emergency care and even hospitalization.
The popular tele-medicine today is mostly focused on interactions between the patient and the physician at a remote location. This interaction could be either asynchronous with messaging exchanges, or synchronous via video or phone conversations. The commonalty with this type of medicine is the patient self-describing her/his perception of symptoms, and the clinician trying to ascertain a diagnosis and treatment based on this information. Patients’ self-description of symptoms is notoriously very limited and inaccurate representation of the likely actual evidence of a clinical condition. Thus, “messaging” based tele-medicine is of limited effectiveness and can only treat a reduced sub-set of conditions.
THE DIFFERENCE: EVIDENCE BASED TELE-MEDICINE
Serinus Health provides evidence-based physicians consults to patients promptly upon referral by a health care provider, or upon request by the patient as a follow up or treatment checkup of a prior encounter. These consults are facilitated via video conferencing between the physician and the patient. The patient would be at a location, typically a primary care clinic, but it can also be at home, a work place, assisted living facility or any other location where the Serinus Health equipment has been previously deployed. These consults are facilitated via high quality video conferencing between the physician and the patient such that the doctor can actually see the patient and focus the camera in the patient’s face and relevant body portions. The patient can also see and talk with the physician like the doctor “would be” in the same room with the patient. Furthermore, the encounter is supported by a skilled encounter assistant person at the patient location, who has been trained to handle and operate all the evidence gathering devices and the video conference equipment.
The patient evidence includes the customary blood pressure, pulse, oximeter, temperature, weight and other indications captured during the primary or referring encounter. Otherwise, the evidence about patient’s condition is captured by the skilled assistant using the necessary specialized devices. The patient’s evidence readings are log in and transmitted to the physician instantaneously who has them available throughout the encounter with the patient. The physician sees and communicates with the patient, as well as further determine and capture (with the help of the assistant) additional evidence like auscultation using a digital stethoscope; takes view of the eyes, mouth, nose and ears via high resolution specialized tele-lenses; and perform and evaluates 12 leads EKG.
Furthermore, should the patient be in the Serinus Health Remote Patient Monitoring, RPM, program, then the vitals history, collected from home, enhance the available evidence on the true condition of the patient. Even if there is no encounter assistant in the tele-consult, the clinician has a full set of vitals and its evolution as provided by the Remote Patient Monitoring. This evidence enables a more effective and accurate Tele-Consult.