The Digital Connected Care article series elevates the conversation from tech talk to the practical application of remote patient monitoring in clinician designed workflows with evidence of improved outcomes without increasing staff burden.
Digital technologies and online app-based services provide a clear pathway for innovation that enable care where consumers and providers reside. Digital health data exchange fuels technology and app-based services providing the health information on demand needed for evidence-based telehealth, remote patient monitoring (RPM), care management, patient engagement and self-care, and virtual behavior change programs. In the U.S., temporary policies, regulations, and coverage changes allowed digital care delivery during the COVID-19 public health emergency. These new (and still temporary) regulations, policies and coverage, made it abundantly clear that digital care delivery is efficacious.
There are many virtual tools that address the challenges integral to: chronic condition management, maternal health, diabetes prevention, heart failure, sleep apnea, weight management, blood pressure control, and diabetes self-management programs in the market. Barriers to use of these digital tools exacerbates the well-established link between socioeconomic status and chronic disease burden in the United States[i], amplified by limiting access for those who need them most.
The Diabetes Prevention Program, an intensive behavior-change for healthy lifestyle program, using the best behavior-change science is able to deliver a low-cost intervention that delays onset of Type 2 diabetes. When tested in the Medicare program (via a CMMI pilot), the community based, lay coach delivery model was found to save over $2,000 per Medicare beneficiary within 15 months.[ii] The program is now available virtually, with the same outcomes in the private sector.
The cost of the disconnect between coverage, reimbursement, innovative prevention and self-management tools is high. The obstacles and barriers to the evidence proven programs that support healthy lifestyle leads to:
HIMSS Accelerate Health is working with a community of healthcare providers and system integrators to develop and deploy the underlying tools and infrastructure that supports the effective application of PGHD to a broad range of workflows that allow for successful transitions to RPM models of care. You are invited to participate in this effort by joining the HIMSS Innovation Organization, Personal Connected Health Alliance.
[i] Paula A. Braveman, Catherine Cubbin, Susan Egerter, David R. Williams, Elsie Pamuk, “Socioeconomic Disparities in Health in the United States: What the Patterns Tell Us”, American Journal of Public Health 100, no. S1 (April 1, 2010): pp. S186-S196.
[ii] DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Certification of Medicare Diabetes Prevention Program
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