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

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Evaluation of a Remote Patient Monitoring Program During the COVID-19 Pandemic: Retrospective Case Study With a Mixed

Rose Gunn¹, Shelby L Watkins¹, Dave Boston¹

¹OCHIN, Inc, Portland, OR, United States.

JMIR Formative Research

|July 9, 2024

Summary

Community health centers can improve hypertension control using remote patient monitoring (RPM) programs. Successful implementation requires significant investment in support and technical assistance for these chronic disease management tools.

Keywords:

COVID-19: pandemic Patient-generated health data chronic condition community health center diabetes mellitus hypertension implementation science patient portal remote patient monitoring self-management telehealth telemedicine

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Area of Science:

Health Services Research
Digital Health
Chronic Disease Management

Background:

Community health center patients have high rates of chronic conditions.
Barriers exist in accessing technology for managing these conditions.
Remote patient monitoring (RPM) use increased during the COVID-19 pandemic.

Purpose of the Study:

To assess the implementation of a remote patient monitoring (RPM) program in a community health center (CHC).
To evaluate the impact of RPM on hypertension control during the COVID-19 pandemic.

Main Methods:

Retrospective case study with a mixed-methods explanatory sequential design.
Utilized electronic health record data for health outcomes.
Conducted semistructured interviews with CHC staff and patients.

Main Results:

147 patients enrolled in a hypertension RPM program.
Significant reductions in systolic (13.4 mm Hg) and diastolic (6.4 mm Hg) blood pressure observed.
Hypertension control increased from 33.3% to 81.5% after 6 months.
Program implementation faced challenges including limited training and technical complexities.

Conclusions:

Remote patient monitoring (RPM) shows promise for chronic disease management.
Successful RPM program implementation necessitates substantial investment in support and technical assistance.