National Supply Chain
National Restaurant Chain
- 90-day program to help with the population’s most complex disease – Type 2 Diabetes
- Cost Savings
- Increased Health Education
- Regular Patient Engagement in Measuring their Diabetes
% change after 90 days
|Cost Savings During RPM||83%|
|Additional Savings (3 Months Post-RPM)||12%|
|Increase in PAM Scores||13%|
*Patient Activation Measure (PAM) Scores are indicators of patients’ health education and level of engagement in their health. Scores range from 1 (lowest) to 4 (highest).
During the pilot there were no Emergency Room or Hospital admissions by the participants.
Early success helping one participant identify they had high blood pressure and encouraged them to see their Primary Care Physician (PCP) for treatment. The participant is feeling better as a result of getting the proper care and medication. The individual would not have pursued treatment as they said they had been feeling this way for quite a while but thought “it was just how things go.”
Another participant, due to their blood pressure monitoring and advice from the nurse, went to their PCP mid-January and that allowed the PCP to adjust their medication.
One participant learned how their diet has been a significant detriment to their overall health. By the second month of monitoring, their understanding increased regarding the connection between their diet and their overall health. They took that lesson and applied it during the final thirty days of monitoring and have continued to see favorable results with their weight, blood pressure, and glucose readings and feel better also.
Multiple participants learned about the effect of stress on their health through educational discussions.
Post-pilot Participant Surveys. Upon reviewing the post-pilot survey, the following comments were identified in the participants words themselves, which indicate the program did add anecdotal value when they asked what was most helpful:
“Exercise and what I eat, affects my blood pressure as well”
“I did find it helpful to see my sugar levels since this is something I had never done before.”
“It made me accountable and showed me that my Blood Pressure was consistently higher than I knew it was. The reports they sent me every couple of weeks, helped me to be more aware and provided my doctor with information they needed.”
“It allowed me to be more cognizant in my blood sugar numbers, my blood pressure and my weight. It made me think of the choices I am making in my day-to-day and forced me to ask the question, “should I…?””
- Since 02/2015 Health VUE has been implementing an RPM solution within both the hospital and clinics, focused on monitoring COPD and CVD for 6 months for each patient.
- Reduce A1c’s
- Improve daily clinical indicators
- Keeping patients in the rural community
Nurse Notes: PCP wanted to see a 10 pound weight decrease, glucose between 70 and 150 and BP parameters set at 120/60. Initial 20 day weight average was 233 pounds. Current 20 day average is 221 pounds. BP average has maintained no higher than 111/77. 2.
Nurse Notes: I believe Jamie* is doing really well for a couple of reasons. She has a strong family support system. Parents are making lifestyle changes with her rather than expecting her to change when they continue their unhealthy choices. Conversation and praise motivate her. Indicators that reflect she is doing well are consistent BPs, decreasing weights, overall stable glucose results. Also, when results fluctuate she and parents are willing to discuss openly and honestly. They receive information well and are committed to making changes that will result in improved overall health. (*Name changed)
|Patient||No. of Months on Program||A1c Before RPM||A1c During and Post RPM||PAM Score before RPM||PAM Score after RPM|
- Diabetes, Congestive Heart Failure, Cardiomyopathy, Ventricular tachycardia, kidney failure/transplant
Life before RPM
- Slow Transplant Recovery
- Frequent Hospital and ER VisitsRea
- Homebound and restricted in her activities
- Hemoglobin A1c level has decreased by 20%
- Low-density lipoprotein level has decreased by 53%
- Blood pressure has decreased by 34%
- Weight has decreased by nearly 5%
- Tamara has had no ER visits or hospitalizations
- Leads the children’s ministry and music at her church
- Homeschools her two sons
Another great success story is Tamara’s experience on RPM. Before RPM, she had several diagnoses, including diabetes, CHF, kidney failure, and a kidney transplant. She was only 38, and had young twin sons, but her husband had to arrange for friends to drop by during the daytime, just in case she had fallen ill. She was a frequent visitor to the ER and Hospital. Her illnesses were a major stressor on the family, and she had extreme health risks. After her involvement in RPM, Tamara has kept her weight down, improved her HbA1c, and blood pressure, and has had no ER visits or hospitalizations. She is now able to homeschool her kids, volunteer in the community, and even take in a new foster child.