CHRISTUS Remote Monitoring for Chronic Condition Management: Coaching Patients to Wellness at Home

Shannon CliftonThe daily monitoring phase of CHRISTUS Health’s remote care management workflow involves the patient, a care transition nurse coach, and the patient’s primary care physician if needed. During a February 24, 2015 webinar, Remote Patient Monitoring for Chronic Condition Management, Shannon Clifton, director of connected care for CHRISTUS Health, described this critical stage of the 60-day program that strives to keep high-risk patients within wellness parameters.

During the 45-minute webinar, now available as on on-demand replay, Ms. Clifton and Dr. Luke Webster, chief medical information officer, CHRISTUS Health, shared the key features of the remote monitoring effort, including program design and impact, ROI, and how the program fits into Christus’ long-term strategy as a risk-bearing organization.


Length: 3:46 minutes

N.Y. Diabetes Telehealth Monitoring Advocates Individualized Care, Individual Goals

Susan LehrerThere are no hard and fast rules to determine when a patient is ready to ‘graduate’ from the New York City Health and Hospitals Corporation’s (NYCHHC) House Calls Telehealth Program, notes Susan Lehrer, RN, BSN, CDE, associate executive director of NYCHHC’s telehealth office. To do so would violate the basic tenets of diabetes education: individualized care and the setting of individual goals.

That being said, there are some clinical guidelines for seniors who participate in the program.

In this audio interview, Ms. Lehrer describes the work environment of care managers in the House Calls program, a blend of telehealth and telephonic case management for patients with diabetes, and comments on case load assignments.

Susan Lehrer will describe the telehealth care management program as well as the initiative’s impact on patient behavior change and outcomes during a July 24, 2014 webinar, Diabetic Telehealth Monitoring: The Impact of Real-Time Data on High-Risk Patients, a 45-minute program sponsored by The Healthcare Intelligence Network.


Length: 3:48 minutes