Remote Patient Monitoring

Content

For all individuals, enrollment nurses carried out baseline studies by means of in-person interviews before randomization. On completion, clients were randomized through the web-based registration software, with randomization alert supplied by the enrollment registered nurse. All individuals were contacted for survey interviews at 7 days, thirty day, and 180 days after discharge by staff at the coordinating facility that were unaware of the treatment randomizations. During these telephone meetings, information was accumulated about quality of life, satisfaction with treatment, and use drugs. Registration standards were expanded in January 2012 to include all clients being actively treated for HF instead of simply those having a primary diagnosis of HF.

the Latest information In medical Care It.

  • In 2014, Medicare continued policy adjustments that enabled doctor to expense for RPM solutions.
  • There was a high ahead of time cost to obtain devices to patients, functional expenses to have care managers facility around release, as well as a monetary design was not in place to give motivations for releasing an RPM program.
  • Market proof suggests that Big Technology is currently putting these pieces together and utilizing this take advantage of to expand right into the broader health care market.
  • Huge Tech is even integrating these innovation remedies with medical care particular services like telemedicine, prescription medication shipment, and also medical testing.

They likewise quized repayment stakeholders such as policymakers and also medical insurance companies. In 2018, Congress passed a federal budget plan that appreciably increased Medicare coverage for telemedicine, consisting of RPM. As a result of these sort of modifications, RPM devices are coming to be more portable, reliable, and also cost effective while digital visits are coming to be much more widespread. Constructed to facilitate much better and much safer sleep outcomes for remote patient monitoring vendors individuals with obstructive rest apnea, the myAir App, made by ResMed, is alone assistance program that instantly tracks constant positive air passage pressure device and also offers vital metrics. Made to help taking care of diabetic issues, FORA GTel offers blood glucose and also blood ketone cellular surveillance, built-in trend evaluation, a two-way messaging feature together with a talking function that comes furnished with distinct results in three different languages. It additionally has the ability to shop over 1,000 test results as well as consists of a service demand choice to press in case of emergency situations. By March 2020, the warning signs appeared, sending out shockwaves via the U.S. healthcare 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 effects of the meaning supplied by CMS focused on the Assessment as well as Administration (E/M) solutions that concentrate on the collection and also evaluation of individual physiologic data, usually collected in the house setup. The specific Medicare codes controversial are CPT codes 99091, 99453, 99454, 99457, as well as 99458. We additionally establish the applications in a way to have them range perfectly in between various display sizes. Thinking about client applications as well as a control panel for doctors, somewhere between $70,000 and also $120,000, depending on how many systems we cover as well as the attributes established. You ought to know the devices that people are going to use due to the fact that a UX/UI for a tablet application have to differ from one for smartphones. Clients obtain informed on a mobile app, while physicians may obtain e-mails as well as sms message together with updates in their cloud application.

https://www.google.com/maps/embed?pb=!1m14!1m8!1m3!1d8947.036876281465!2d12.491811!3d55.901534999999996!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x0%3A0x898ec6ac10b10b23!2sLevvel%20Health!5e0!3m2!1sda!2sdk!4v1605261304363!5m2!1sda!2sdk

Many of these data points provide physicians the details they need to detect a number of possible problems. It's enough to identify lack of breath, dehydration, an irregular heart rhythm, fluid retention, early signs of pneumonia, and responses to drug. Lindsay started at Medtronic Treatment Administration Solutions in 2011 as well as held a range of settings including professional procedures administration, program administration as well as strategic clinical program layout. Before Medtronic Treatment Administration Solutions, Lindsay was a fee registered nurse for a big in-center hemodialysis provider and a Heart Failure Registered Nurse Clinician for an incorporated network in Minneapolis, Minnesota. The messaging between the patient-module and also Remote Patient Monitoring and Treatment Administration System is two-way, as well as the doctor, also, could pass on messages to the patients in instance he sees any kind of inconsistency in the wellness criteria. While CPT code can just be provided by a doctor or various other qualified medical care expert, CPT codes and also can be provided by a physician or other certified health care professional, or by clinical team under the basic supervision of the doctor. Inglis SC, Clark RA, Dierckx R, Prieto-Merino D, Cleland JG. Structured telephone support or non-invasive telemonitoring for individuals with cardiac arrest.

What are RPM services?

Instead, like a physician interpretation of an electrocardiogram or radiological image that has been transmitted electronically, RPM services involve the interpretation of medical information without a direct interaction between the practitioner and beneficiary.

A family members medicine health and wellness technology technique for attaining the three-way go for United States health care. Feasibility of an image-based mobile wellness protocol for postoperative wound tracking. This research study will examine the effect on client and company outcomes from incorporating an online pharmacist into a telehealth-based palliative care version. Remote Patient Monitoring broadens a facilitiy's capacity to offer client care in brand-new methods and to remote locations. The ZOOM LATITUDE Programming System, Design 3120 is a portable heart rhythm monitoring programs system made to help you question, monitor 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 step-by-step knowing course of on-line training that aids you be legally and also fairly certified, clinically competent, and able to deal with also one of the most difficult of medical circumstances. Take advantage of COVID price cut pricing to learn exactly how to relax and also enjoy your telehealth experiences, instead of having problem with ZOOM tiredness as well as medical uncertainty. All courses are evidence-based, readily available 24/7 via any gadget and many count towards lawful and moral requirements for licensure. Elderly advice at the Foley & Lardner law office, as well as a participant of its Telemedicine & Digital Wellness Industry Team, together with associates Nathaniel Lacktman and Emily Wein, defined the issues in 10 Frequently asked questions on their company's August 5 Healthcare Regulation Today blog site. In the post, they defined the CMS announcement and also detailed how it functions to manage and repay for RPM.

The client information stream need to never be cut off, therefore utilizing readily available innovation to decrease battery as well as memory intake will always repay. And also, there is a lot of evidence which suggests that patients prepare and eager to use physical fitness and health-centric wearables. When your individuals feel extra encouraged at the same time, they will certainly become a lot more purchased improving their health with your assistance. According to the findings of a study performed last year by the Customer Innovation Organization, 68% of medical professional highly plan to utilize RPM. In this research study, scientists checked 2,005 UNITED STATE adults regarding their use of RPM innovations along with 200 doctor.

Who qualifies for remote patient monitoring?

The regulation, at 42 CFR § 410.26(b)(5), states that designated care management services can be furnished under the general supervision of the 'physician or other qualified health care professional (who is qualified by education, training, licensure/regulation and facility privileging)' when these services or supplies

Note that to abide by HIPAA, customer notices need to not include client information. Note that FHIR is getting a lot more appeal with health care application developers as it enables them to work with EHRs utilizing a modern-day technology stack. As well as in instance you 'd decide to work with Epic's health record system, there's an open sandbox-- Epic USCDI on FHIR-- that's offered for growth and also screening purposes. Your RPM software program should keep running without draining your mobile phone's battery way too much.

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

If the novel coronavirus pandemic continued on its anticipated course, American health centers would require more inpatient beds than presently readily available. People with problems like diabetes, heart failure, and COPD often have problem with treatment conformity as well as experience illness state exacerbations which might possibly be protected against if captured early and dealt with. Remote Patient Monitoring urges raised patient involvement and also real-time choice support, which leads to better professional results as well as improvement on MIPS actions. Misha is a graduate of the University of Miami where she made a Bachelor of Songs in Songs Company and Home Entertainment Industries as well as Minors in Organization Regulation as well as Psychology. After that, she received her Juris Doctorate with a Copyright Concentration from Yeshiva College's Benjamin N. Cardozo School of Law in New York City. Her post-graduate professional experience includes operating in Organization Affairs at Bertelsmann Songs Group and also later, prosecuting instances as a test attorney in New York's Supreme and Appellate Courts. Kennedy Foundation, a startup charitable company whose objective is to bring STEM education to underprivileged as well as at-risk students in South Florida.

<img class='aligncenter' style='display: block;margin-left:auto;margin-right:auto;' src="data:image/jpeg;base64,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"