Remote Patient Monitoring

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For all participants, registration nurses conducted baseline surveys via in-person meetings prior to randomization. On conclusion, clients were randomized through the web-based enrollment software program, with randomization alert supplied by the registration registered nurse. All participants were gotten in touch with for study interviews at 7 days, thirty day, as well as 180 days after discharge by staff at the working with facility who were uninformed of the treatment randomizations. Throughout these telephone meetings, information was accumulated about quality of life, contentment with treatment, and also use medications. Enrollment standards were expanded in January 2012 to consist of all individuals being proactively dealt with for HF instead of simply those having a major medical diagnosis of HF.

the Most Up To Date information In health Care It.

  • In 2015, Medicare continued plan adjustments that allowed healthcare providers to expense for RPM services.
  • There was a high in advance price to obtain devices to clients, functional expenses to have treatment supervisors center around deployment, and a monetary design was not in position to give rewards for launching an RPM program.
  • What is arising today is the possibility for the wide fostering of remote health surveillance gadgets as well as systems that take advantage of consumer wearables, smart residence communication systems, as well as large data to produce alternative views particularly for healthcare providers.
  • Next generation remote medical care surveillance will likely look a lot different than anything done before.
  • Huge Technology is also incorporating these innovation services with health care particular solutions like telemedicine, prescription medicine distribution, as well as clinical testing.

They likewise inquired reimbursement stakeholders such as policymakers and also health insurance business. In 2018, Congress passed a government budget plan that considerably expanded Medicare coverage for telemedicine, consisting of RPM. As a result of these sort of adjustments, RPM devices are coming to be more portable, trustworthy, as well as affordable while digital brows through are becoming extra prevalent. Constructed to promote much better as well as much safer sleep results for individuals with obstructive sleep apnea, the myAir Application, created by ResMed, is alone assistance program that immediately tracks constant positive air passage stress device as well as provides crucial metrics. Created to aid taking care of diabetic issues, ONLINE FORUM GTel offers blood sugar and blood ketone mobile monitoring, integrated pattern analysis, a two-way messaging feature together with a talking feature that comes furnished with distinct cause 3 different languages. It likewise has the capacity to store over 1,000 test outcomes and includes a solution request choice to push in instance of emergency situations. By March 2020, the warning signs were evident, sending out shockwaves via the U.S. medical care system.

How does remote patient monitoring work?

Remote patient monitoring (RPM) uses digital technologies to collect medical and other forms of health data from individuals in one location and electronically transmit that information securely to health care providers in a different location for assessment and recommendations.

They describe the consequences of the definition given by CMS revolved around the Assessment and Management (E/M) solutions that concentrate on the collection and also evaluation of person physiologic data, usually collected in the house setup. The specific Medicare codes controversial are CPT codes 99091, 99453, 99454, 99457, and 99458. We likewise create the applications in a manner to have them range flawlessly in between different display dimensions. Thinking about client applications and a control panel for physicians, somewhere between $70,000 and also $120,000, depending upon the amount of systems we cover and also the features established. You need to understand the gadgets that people are going to use due to the fact that a UX/UI for a tablet computer application should vary from one for telemedicine or telehealth smartphones. Clients get alerted on a mobile application, while medical professionals may obtain emails and sms message along with updates in their cloud application.

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A lot of these information points provide physicians the details they need to discover a variety of possible concerns. It's enough to identify shortness of breath, dehydration, an irregular heart rhythm, fluid retention, very early indicators of pneumonia, and also reactions to drug. Lindsay started at Medtronic Care Management Provider in 2011 and held a selection of placements consisting of professional operations administration, program monitoring and critical scientific program design. Before Medtronic Treatment Monitoring Solutions, Lindsay was a cost registered nurse for a big in-center hemodialysis company and a Heart Failure Nurse Clinician for an incorporated network in Minneapolis, Minnesota. The messaging in between the patient-module and Remote Patient Monitoring as well as Treatment Management System is two-way, and the physician, too, might pass on messages to the patients in case he sees any kind of discrepancy in the health and wellness specifications. While CPT code can only be furnished by a physician or other certified healthcare expert, CPT codes and also can be equipped by a physician or various other certified health care specialist, or by scientific personnel under the basic guidance of the medical professional. Inglis SC, Clark RA, Dierckx R, Prieto-Merino D, Cleland JG. Structured telephone assistance or non-invasive telemonitoring for patients with cardiac arrest.

A family medication health innovation method for achieving the three-way go for United States health care. Feasibility of an image-based mobile health and wellness protocol for postoperative wound surveillance. This study will certainly examine the impact on client as well as provider results from incorporating an online pharmacologist right into a telehealth-based palliative care model. Remote Patient Monitoring broadens a facilitiy's capability to give patient care in new ways and to remote locations. The ZOOM LATITUDE Programming System, Design 3120 is a portable cardiac rhythm administration programs system created to help you interrogate, keep an eye on and also program Boston Scientific implantable pulse generators.

2020 Current trends in Remote Patient Monitoring Devices Market Size, Share, Industry Trends, Growth Insight, Share, Competitive Analysis, Statistics, Regional, And Industry Forecast - The Think Curiouser

2020 Current trends in Remote Patient Monitoring Devices Market Size, Share, Industry Trends, Growth Insight, Share, Competitive Analysis, Statistics, Regional, And Industry Forecast.

Posted: Thu, 12 Nov 2020 09:29:37 GMT [source]

Telehealth.

It uses you a detailed understanding path of online training that aids you be legally as well as morally compliant, scientifically efficient, and able to deal with even the most hard of scientific situations. Take advantage of COVID discount rate pricing to learn exactly how to sit back and enjoy your telehealth experiences, instead of struggling with ZOOM fatigue and clinical unpredictability. All training courses are evidence-based, offered 24/7 via any tool and also many count towards legal and also ethical needs for licensure. Senior advise at the Foley & Lardner law firm, as well as a member of its Telemedicine & Digital Health And Wellness Sector Team, together with associates Nathaniel Lacktman as well as Emily Wein, explained the issues in 10 FAQs on their company's August 5 Healthcare Legislation Today blog site. In the post, they described the CMS news as well as laid out how it objectives to manage as well as reimburse for RPM.

choose Your treatment management software With Great care.

The individual data stream must never be disturbed, and so using available modern technology to lower battery and also memory intake will certainly always settle. And also, there is a lot of proof which recommends that patients prepare as well as eager to take advantage of health and fitness and health-centric wearables. When your individuals feel more encouraged while doing so, they will become more bought enhancing their health and wellness with your advice. According to the findings of a study performed last year by the Consumer Technology Organization, 68% of doctor strongly mean to make use of RPM. In this research study, researchers surveyed 2,005 UNITED STATE adults concerning their use of RPM modern technologies together with 200 doctor.

Keep in mind that to follow HIPAA, user alerts have to not consist of individual information. Note that FHIR is obtaining more popularity with medical care application developers as it permits them to work with EHRs using a contemporary tech pile. And in situation you would certainly choose to deal with Epic's wellness record system, there's an open sandbox-- Epic USCDI on FHIR-- that's offered for growth and testing purposes. Your RPM software have to maintain running without draining your mobile phone's battery too much.

If the unique coronavirus pandemic continued its predicted course, American medical facilities would need more inpatient beds than currently readily available. Patients with problems like diabetes, heart failure, and COPD regularly battle with therapy compliance as well as experience condition state worsenings which could possibly be prevented if caught early and also dealt with. Remote Patient Monitoring motivates increased person involvement and also real-time choice assistance, which brings about far better scientific results as well as improvement on MIPS measures. Misha is a grad of the University of Miami where she made a Bachelor of Songs in Songs Business and Enjoyment Industries and also Minors in Service Law as well as Psychology. Thereafter, she obtained her Juris Doctorate with a Copyright Concentration from Yeshiva College's Benjamin N. Cardozo School of Legislation in New York City City. Her post-graduate expert experience consists of working in Business Matters at Bertelsmann Songs Team and later on, prosecuting cases as a test attorney in New york city's Supreme as well as Appellate Judiciaries. Kennedy Foundation, a startup non-profit company whose objective is to bring STEM education to underprivileged and at-risk pupils in South Florida.

executing Remote Patient Monitoring Into care monitoring.

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"