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Updated: Jul 1, 2025

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

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Published on: April 19, 2019

Unlocking Continuous Improvement in Heart Failure Remote Monitoring: A Participatory Approach to Unveil Value

Rafael Miranda^1,2, Rita Silvério¹, Filipa Matos Baptista²

¹Centro de Estudos de Gestão do Instituto Superior Técnico, Instituto Superior Técnico, Universidade de Lisboa, Lisboa, Portugal.

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

|March 4, 2024

Summary

This study developed a comprehensive approach to identify key indicators for remote patient monitoring (RPM) in heart failure (HF) management. It ensures diverse stakeholder perspectives are included for better assessment and improvement opportunities.

Keywords:

heart failure participatory approach performance indicators remote patient monitoring telemedicine value dimensions

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Area of Science:

Health Services Research
Digital Health
Patient Monitoring

Background:

Heart failure (HF) significantly impacts public health, quality of life, and healthcare costs.
Remote patient monitoring (RPM) offers potential to improve HF management through active patient involvement and enhanced follow-up.
Current HF RPM assessments often focus narrowly on cost-effectiveness, neglecting broader impacts and stakeholder insights.

Purpose of the Study:

To develop a participatory approach for selecting value dimensions and indicators for continuous heart failure remote patient monitoring assessment.
To integrate diverse stakeholder perspectives into the evaluation framework for HF RPM.
To identify comprehensive indicators for monitoring and evaluating HF RPM effectiveness.

Main Methods:

A four-stage participatory approach was employed, starting with a literature review.
Expert interviews were conducted for validation and list expansion.
A web-Delphi process with stakeholders and experts facilitated agreement on assessment dimensions and indicators.

Main Results:

An initial list of 4 value dimensions and 22 indicators was refined to 5 dimensions and 43 indicators through expert input and stakeholder consensus.
A significant portion (76.0%) of indicators reached group agreement.
The process identified 5 dimensions, 43 indicators, and 6 case-mix parameters deemed relevant for HF RPM evaluation.

Conclusions:

A comprehensive social approach successfully captured diverse stakeholder perspectives on HF RPM.
Agreement was reached on pertinent indicators for monitoring and evaluating heart failure remote patient monitoring.
The findings can guide the development of tools for improved daily RPM evaluation and identification of enhancement opportunities.