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Updated: Nov 18, 2025

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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A Novel Large Scale Integrated Telemonitoring Program for COVID-19.

James G Shaw¹, Sandeep Sankineni¹, Charles A Olaleye¹

¹Virtual Home Care Program, Mid-Atlantic Permanente Medical Group, Rockville, Maryland, USA.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association

|February 5, 2021

Summary

This summary is machine-generated.

Kaiser Permanente

Keywords:

COVID-19 disaster medicine pandemic remote monitoring telehealth telemedicine

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Area of Science:

Healthcare Management
Telemedicine
Infectious Disease Management

Background:

COVID-19 pandemic necessitated innovative healthcare delivery models.
Reduced demand for subspecialty services contrasted with increased need for general medicine providers.
Healthcare systems needed to adapt to maintain social distancing and optimize provider utilization.

Purpose of the Study:

To describe the implementation and outcomes of a virtual home care program for COVID-19 patients.
To assess the feasibility of utilizing multi-disciplinary providers for remote patient monitoring.
To share experiences that may inform the development of similar telemedicine initiatives.

Main Methods:

Patients testing positive for COVID-19 were enrolled in a virtual home care program (VHCP).
Physicians and registered nurses (RNs) conducted daily telemedicine check-ins via phone calls.
Select patients received pulse oximeters; clinical stability determined discharge criteria.

Main Results:

The VHCP served thousands of COVID-19 positive members across Washington, DC, and Baltimore.
Common patient comorbidities included obesity (35%), hypertension (32%), and diabetes mellitus (19%).
Hospital admission rate was 8.2%, and the mortality rate was 1.33%.

Conclusions:

The VHCP successfully provided virtual care for COVID-19 patients, optimizing provider resources.
This model allowed for social distancing while managing a high volume of positive cases.
The program's structure and outcomes offer a valuable template for other healthcare systems.