Comprehensive remote patient monitoring — coupled with technology-enabled, guideline-directed medical therapy through remote patient care (RPC) — has the potential to fill this gap by enabling continuous, real-time vitals monitoring and timely clinical care outside of the traditional health care environment.
Providence co-developed such a program with Cadence, which provides RPC for patients with hypertension, heart failure, and type 2 diabetes by leveraging a nurse practitioner-led team of multidisciplinary clinicians that act as a fully integrated practice extension for the primary care clinician.
Over 19 to 28 months (depending on the chronic condition), the program has shown relative increases in the percentage of patients achieving goal blood pressure (<140/90 mmHg) by 43%; all four pillars of guideline-directed medical therapy for heart failure with reduced and preserved ejection fraction by 107% (to 31% from 15%) and 300% (to 24% from 6%), respectively; as well as an overall reduction in blood glucose levels for patients enrolled for diabetes. The RPC program also has contributed to reductions in health care costs and utilization, including inpatient admissions.