Why is Remote Patient Monitoring Important?

Remote patient monitoring (RPM) is changing the healthcare landscape for the better. Today, patients don't have to leave their homes to access different healthcare services. In fact, they can sip coffee in their backyard while their smartphone and wearable devices report vital signs like heart rate, dietary intake, blood sugar levels, etc., to their care team. Doctors, too, can monitor their patients remotely and ensure they adhere to their treatment regime.

That is RPM and chronic care management at its best - no traffic, crowds, waiting times, extra cost, stress, etc. Smartphones and wearable devices allow medical systems to offer remote care for relaxed, engaged patients while real-time health data, like beats per minute, is sent to the care team.

Years of studies and documentation by many experts including federal government officials have shown that remote patient monitoring (RPM) can improve patient outcomes for those suffering from chronic conditions like heart failure, diabetes, Alzheimer’s, and COPD. According to these studies, remote patient monitoring is among the most effective and efficient tools for chronic disease management for seniors, especially those with these diseases.

What is remote patient monitoring?

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RPM uses digital technologies to track and capture patient’s health data and transmit the data to providers for assessment and, when necessary, instructions and recommendations. It allows medical providers to monitor real-time changes in patient’s data remotely once they’re discharged from the hospital. RPM is a critical part of the wider telehealth industry and eHealth domain.

Remote patient monitoring focuses on patients with chronic diseases or in rural areas with limited access to hospitals. Providers also use it to monitor senior and post-operative patients.

According to studies, RPM can:

With RPM, healthcare providers can monitor patients in their homes, on vacation, at work, etc., using monitoring devices like:

The importance of remote patient monitoring

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Enhances doctor-patient communication

Communication between patient and doctor is critical in healing and recovery. Remote patient monitoring facilitates communication and forges transparency and trust. It offers a deeper understanding of conditions and treatment, enabling patients to take more control of their care plans.

It helps physicians overcome burnout

Burnout is a real issue in healthcare. According to a Medscape survey before COVID-19, about 50% of doctors experienced burnout. A follow-up survey in September 2020 found that 64% had more intense burnout than before the pandemic.

Many cited time pressures and performing delicate procedures in chaotic environments as the leading stressors. Uncertain patient outcomes and overcrowded, understaffed health facilities were also cited.

Remote patient monitoring allows medical providers to perform routine patient care without physical visits to the hospital or clinic. This redirects resources and space from “healthy” patients to those with acute medical attention. As a result, it eases the strain on the system and the stress on doctors - thereby reducing burnout.

Reduces the risk of infection at hospitals

Since RPM is all about monitoring patients virtually, doctors can keep sick people from their offices. This keeps healthy people out of harm's way, especially in a health crisis such as the COVID-19. Patients with acute or chronic diseases that can be managed at home can use RPM. This way, they don't have to make unnecessary trips to the office and expose themselves to infections.

It helps healthcare facilities to grow

Buying medical software and equipment is a significant investment upfront. But RPM pays over time both in terms of growing the practice and offering better patient outcomes. With RPM opened to many Medicare and Medicaid patients, an investment in the opportunity is a good long-term strategy. Experts say this could become the new standard, and patients may start to expect their insurance company to support RPM.

Ensures patients get personal, proactive care

Remote patient monitoring is proactive care. It tracks the patient’s vitals, performs disease-specific analysis, and answers health questions while keeping the care team advised. Patients enjoy better service for their health problems, and providers get to monitor health patterns and detect treatable issues before they escalate into emergencies.

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It optimizes time spent with patients

With remote patient monitoring technology, providers need not spend time measuring vitals and asking questions. That’s because they already have the patient data at hand. So, in-person meetings are spent answering questions and making the most out of the time. And when providers have fewer tasks, they are less likely to burn out.

For instance, devices like smart scale detect water retention in patients managing congestive heart failure. Any changes might prompt the physician to prescribe a diuretic, increase the dosage, or call the patient in for a visit.

Offers cost savings and reduced hospitalization

RPM has the potential to minimize hospitalization and readmissions as it allows caregivers to monitor patients remotely. This reduces costs for both patients and healthcare systems. It also increases Medicare coverage reimbursement rates and helps hospitals improve their industry reputation.

According to one report, widespread adoption of RPM could save the US as much as $6 billion annually. RPM helps deal with age-related health issues, which account for nearly 90% of US healthcare costs. That’s because it allows care to be moved out of hospitals into homes. When facilities cut on costs, the savings trickle down to patients.

Improves patient outcomes

Possibilities with remote patient monitoring are diverse. The technologies can detect out-of-range values that can be alarming and identify trends that point to the need for changing care plans. They also offer coaching on everyday choices like exercise that tend to be ignored despite their significance on chronic condition management. Patient support ensures a better quality of care and can improve outcomes.

The Future of Healthcare on the Blockchain

Blockchain technology has many applications in healthcare. It can improve monitoring devices, mobile health applications, and clinical trial data. It can also offer a new model for health information exchanges by making electronic medical records more secure, efficient, and decentralized. While not a magic bullet, blockchain technology offers a platform for investment, experimentation, and proof-of-concept testing.

There's so much hype around blockchain. You'd think it is the cure-all technology or one that will solve the chronic data security and interoperability issues that cripple health data sharing. Blockchain will be used to share health information securely and to approve and monitor health data usage. However, the technology alone won't make health data interoperable or ensure data is shared. A lot has to go into standardizing health data formats and coding and controlling data sharing for research and system-wide improvement.

The first blockchain applications will likely handle the secure exchange of well-defined healthcare transactions like tracking the drug supply chain to prevent counterfeiting or settling insurance claims, and so on. But it will take a while to address challenges like interoperability, sharing, and access.

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What is blockchain technology?

Blockchain is a distributed ledger technology (DLT) used to securely record transactions across many computers in a peer-to-peer network without the need of a third party. In the blockchain, every block of data (block) is secured and linked to the next one using cryptographic principles (chain). It's emerging as one of the most promising technologies of the 21st century and is widely applied in healthcare for these reasons:

But despite its potential in healthcare, blockchain remains immature. Gartner's research describes it as a technology in a "hype cycle,” meaning one that's marked with stages of innovation triggers, enlightenment, disillusionment, inflated expectation but ending in a "plateau of productivity." Health blockchain is still in its early days. It cannot be compared to sectors like supply chain, logistics, and financial services that have seen a much faster adoption rate.

Future of healthcare on the blockchain

From biomedical research, to insurance payments and everything in between, blockchain applications will impact almost all healthcare system aspects. This is because the healthcare sector thrives on data generation and sharing. Here is what the health blockchain may look like soon.

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Solution for the Drug Supply Chain Security Act (DSCSA)

Blockchain's ability to trace and store time-stamped data across a P2P network makes it perfect in solving DSCSA's traceability requirements. DSCSA upholds drug security standards by ensuring that all drugs are traceable from when they leave the manufacturer to the time they reach the dispenser. This is in a bid to boost tracking, detection, and removal of misbranded, counterfeit, or potentially dangerous drugs from the supply chain. A network using blockchain is uniquely secured and could be effective in drug fraud prevention. Today, various trials are underway as different vendors try to craft solutions that meet DSCSA's requirements.

A possible solution for EHRs

Electronic health record management is an important application area for blockchain technology. It deals with data exchanges across various health sectors and ensures to protect the data's source, integrity, and privacy for accurate analysis and insights. EHR is an excellent example of the blockchain-based privacy-preserving prediction model. Facilities are now applying machine learning to study data in their EHRs and using the learned model to predict patient outcome. But since no facility has enough patient records, there's the need to share various data across organizations. However, they have to apply privacy-preserving prediction modeling methods – like blockchain to avoid re-identification and data breach risks. Blockchain stores medical records securely and allows real-time updates. It can also allow secure access for all permissible users.

Solution for medical staff credentialing

Credentialing can be time-consuming and expensive when done through snail mail, faxes, and phone calls. Since blockchain can be approved and updated in stages, it may be a perfect solution in the credentialing process. Credentialing smart contract is an excellent example of a possible blockchain application. A smart contract is a self-executing contract with terms of the agreement between parties written into code lines. It facilitates trusted agreements and transactions to be carried out among disparate, anonymous parties without the need for a legal system, central authority, or external enforcement mechanism. Smart contracts can be used:

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Solution to the need for sharing and privacy

Many blockchain-based features can help facilities strike a balance between privacy and sharing. For years, healthcare organizations have depended on policy to maintain patient data and siloed. But without technologies to resolve the sharing and privacy issues, these organizations risk compromising data. In the coming years, blockchain will take care of such issues, allowing facilities to share critical data without the fear of breach and arising suits. This is thanks to its ability to audit who, when, and where the data is used.

On top of that, the disruptive technology will enable open health data exchange markets run by patients. These markets will only have valuable, verified, and validated data from treatment outcomes, verified diagnostics, genetics, real-world evidence, etc. Permissioned blockchains will allow patients to decide how they want to use their data in exchange for health solutions and compensation.

Adoption of blockchain in healthcare

The perception that blockchain is fairy a new technology and closely linked to the Bitcoin cryptocurrency, hinders its adoption within the healthcare community. Besides, the technology cost can be high. The proof of work, for instance, consumes a large amount of computational power. Again, blockchain doesn't remove or replace modified records but adds blocks to the chain to represent modifications and deletions, which adds to the storage problem.

With that said, blockchain absolutely is a viable technology. And while it could take years for its practical application across the industry, blockchain adoption has already taken off with financial institutions and in dozens of companies. For instance, IBM is using AI to detect patterns with Block Chains to help find treatments or remedies for specific diseases. Mount Sinai also uses blockchain in AI to rapidly read chest CAT Scans of potential COVID-19 patients. There is no telling what the future holds, but we know that blockchain will immensely disrupt the healthcare sector, perhaps for the better.