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Using a centralized nursing team to implement multi-specialty pediatric remote patient monitoring programs
Kylee Denker1, Micah Dean1, DaVona Chapman2
1Center for Telehealth, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229, United States of America.
Insights
Pediatric Remote Patient Monitoring (RPM) programs are expanding care access for children. A centralized RPM department successfully managed over 1200 patients, improving care delivery and patient experience.
Area of Science:
- Healthcare Technology
- Pediatric Care
- Digital Health
Background:
- Telehealth utilization has significantly increased post-COVID-19 pandemic.
- Remote Patient Monitoring (RPM) is widely adopted for adult care but less common in pediatrics.
- Pediatric RPM programs are crucial for expanding healthcare access and improving patient outcomes.
Purpose of the Study:
- To describe the development and implementation of a multi-specialty pediatric Remote Patient Monitoring (RPM) department.
- To highlight the operational model of a centralized nursing team managing diverse pediatric RPM programs.
- To assess the impact of pediatric RPM on patient care delivery and stakeholder experience.
Main Methods:
- Establishment of a dedicated RPM department with a centralized nursing team.
- Development of unique RPM programs in collaboration with ambulatory care teams.
- Integration of patient/caregiver-generated health data and real-time provider communication.
Main Results:
- Over 1200 pediatric patients managed across 18 distinct RPM programs.
- Consistent monthly monitoring of approximately 300 patients by the centralized nursing team.
- High patient and caregiver satisfaction attributed to accessible communication channels and on-demand visits.
Conclusions:
- Multi-specialty pediatric RPM departments enhance institutional reach and patient access to care.
- Continuous quality improvement is essential for ensuring program equity and benefit for all stakeholders.
- Pediatric RPM effectively reduces patient time away from home and improves overall care delivery.
Background:
The increase in telehealth usage has sustained since the beginning of the COVID-19 pandemic. While Remote Patient Monitoring (RPM) programs are abundantly used in the management of adults, pediatric RPM programs remain rare.
Methods:
An RPM department was developed to serve several, multi-specialty pediatric programs. This department uses a centralized nursing team that manages all patients enrolled in RPM programs. Each program is unique and created in partnership with the centralized nurses and the ambulatory care teams. The various programs allow for transmission of patient- and caregiver-generated health data and consistent communication between the patient or caregiver and the managing providers, allowing for real-time plan adaptation.
Findings:
Over 1200 patients have been managed through the 18 various RPM programs. Approximately 300 patients are monitored each month by the centralized nursing team. Patient and caregiver experience has been high due to resources offered including on-demand video visits and text messaging with the nursing team.
Discussion:
Multi-specialty RPM departments help to expand the reach of an institution and provide care to more patients. Quality improvement must be ongoing to ensure equity of participation and perceived benefit of the programs for both providers and patients and caregivers.
Application To Practice:
Pediatric RPM programs can improve patient care delivery by decreasing days away from home while improving access to care. Ensuring equitable opportunity for patient participation is imperative in achieving success for an RPM department.
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