Telehealth and Medicine Today RPM Original Research Published!

Published: Mon, 09/19/22

Telehealth and Medicine Today (THMT) is pleased to present its current issue featuring original research, opinions, podcasts and blog, to readers
spanning 104 countries around the globe.

Volume 7, No. 3, 2022 Issue

Telehealth and Medicine Today (THMT) is pleased to present the current issue featuring original research, opinions, podcasts and blog, to readers spanning 104 countries around the globe.

The open access peer reviewed journal brings the most practical frontline research and insights from around the world, building knowledge, use and scale for this promising and newly energized market. Click a link below, or subscribe here, to learn what practicing professionals and researchers have recently reported in the field, including remote patient monitoring (RPM).

ORIGINAL RESEARCH
Strategies to Improve Time to Activation within an Ambulatory Remote Patient Monitoring Program - Mark Stemler, Nicole Ploog, Shelby Gathje, Jordan Coffey

Remote patient monitoring (RPM) programs have been shown to effectively decrease rates of healthcare utilization among patients with chronic conditions. Immediately enrolling a patient and activating them in the RPM program either upon or soon after discharge is an important step in achieving these benefits. We tested interventions across three Plan-Do-Study-Act quality improvement cycles to understand the extent to which operational improvements would lead to timely activation. Each improvement cycle resulted in decreased time to activation, with the cumulative effect (as applied to patients on the COVID-19 RPM program) resulting in a reduction that was overall greater than the sum of the individual improvements. As additional healthcare systems develop and deploy RPM programs, the learnings from this project can help to provide insight into the operational and logistical challenges encountered in providing these services as well as potential interventions that can be used to achieve timely activation.

Maternal Deaths During a Pilot Study Using Digitized Maternal Early Warning System - Narmadha Kuppuswami, Suresh Subramanian, Radharani Ravichandran

India accounts for nearly one in six maternal deaths and over the last two decades, maternal mortality in India has decreased rapidly and faster than the global rate. However, the rate of decline has been slowing and further progress calls for new interventions and improvements in existing programs and the care-delivery process.

The authors developed and tested a telehealth solution that included an early warning system and a clinical decision support tool for timely detection of clinical deterioration and appropriate management of women in labor at a large general hospital in India. The pilot study with 15,184 patients was associated with a significant decrease in maternal mortality and in-hospital eclampsia. Considering all cases, the telehealth early warning system generated red alerts in every case, indicating an acute emergency (66.7%) and/or yellow alerts requiring continued observation (33.3%). Telehealth early warning systems have the potential to accelerate the care-delivery process and expose gaps in an organization’s operating procedures as well as in the knowledge base of providers. Successful implementation of such telehealth systems requires strong referral networks and appropriate protocols.

Systematic Overview of Remote Patient Monitoring in Nigeria - Umarfarouq Idris, Latifah Abdulkarim, Bryan Arkwright

Remote Patient Monitoring (RPM) helps to eliminate or reduce the cost of care in Nigeria and West Africa. Management of diseases using RPM, measures, and regulations taken to incorporate RPM in Nigeria, and their connectivity to remote and rural areas, are all highlighted. Authors identify effective utilization of RPM technology as a solution to address problems of poor health care delivery and outcomes in Nigeria by identifying the prevailing limitations mitigating the incorporation and growth of RPM in the country’s healthcare delivery system.

OPINIONS, PERSPECTIVES, COMMENTARY

Promote Scientific Discourse, Not Lawsuits - Vikram Dhillon, Matthew Fisher

Authors comment on a lawsuit asserting trade libel over articles and related materials produced by a journal. The court focused on the preference for scientific disputes to be addressed through scientific discourse and under peer review. The decision will optimistically encourage dialogue and not chill future questions from being raised.

Note: THMT encourages comments and discourse for articles and content appearing in the journal, publishes editorial commentary, and further, encourages discourse across social media outlets and discussion on PubPeer.

1. The Critical Role Telehealth Plays in War
Zaher Sahloul, Marcus Osborne

Telehealth solutions play a critical role in conflict & combat situations to aid civilian patients. What’ the role of telehealth in war, how is continuous care provided, and what needs must be met for guaranteed remote and emergency care.

2. Home-based “Virtual” Primary Care
Sean Mehra, Marcus Osborne

The growth of home-based virtual primary care, its opportunities and challenges

Remote Patient Monitoring in Chronic Care Management: A Practitioner’s Experience using RPM to Increase Patient Adherence and Improve Patient Outcomes - Andrew Mills, Brad Guest

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Publisher's Note

THMT’s Kosovo Ambassador, Neshad Asllani, MD, launched an inititiave where telehealth plays a real life saving role with a coalition of clinicians from Kosovo and Ukraine. An online health platform enables access to health services for Ukrainians wherever they are. Forty MDs have joined the platform offering free online services to refugees and internally displaced people. The initiative is also supported by the Health Center of Excellence Peja, Kosovo. The medical community in Kosovo has experienced similar circumstances in the past.

To learn more visit https://digital-clinic.net/

About

Telehealth and Medicine Today (THMT) is the leading open access international peer reviewed journal examining the value of telehealth and clinical automation, its use and scalable developments, business process guidance, market research and the social and economic impact of digital health innovations in an evolving health technology field. Articles feature original research, pilot studies, case use, best practices and perspectives from multidisciplinary stakeholders. Authors are encouraged to submit outcomes data for cost efficiencies realized in health system(s), patient populations or clinical practice for a value based system

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