A new remote monitoring tool from AMC Health has enabled Geisinger Health Plan (GHP) to reduce 30-day readmissions by 44 percent, and increase case manager efficiency in monitoring patients transitioning from hospital to home.
The Geisinger Monitoring Program (GMP) interactive voice response (IVR) protocol, a post-hospital discharge telemonitoring solution using IVR and other technology and solutions provided by AMC Health, was first introduced as an adjunct to existing case managers in a managed care population, and was designed to reduce hospital readmissions.
In the results, drawn from a large scale, two-year telehealth program, GHP compared 30-day readmission rates for members who did and did not use the GMP home telemonitoring program to evaluate whether a comprehensive case management model utilizing a telemonitoring program such as IVR reduced 30-day readmission rates. The results showed a reduction in all-cause 30-day readmission rates by 44 percent in the group that used the IVR, as opposed to the control group that had case management but no IVR protocol.
Geisinger initially integrated AMC Health’s telemonitoring solutions into its complex care management heart failure (HF) program in 2008. The health system monitors about 1,000 HF patients remotely at any given time; the new solution enabled them to expand their program to more patients in their case management program than in their previous IVR program. Geisinger reported that patient compliance with the program was greater than 85 percent. Prompted by automated IVR outreach after submitting their weight measurements, HF patients provided symptom information through IVR on a regular basis.
In a survey of Geisinger case managers:
- Ninety-six percent stated that the telehealth technologies allowed them to monitor HF patients more efficiently.
- Eighty-five percent believe that the telehealth solution in combination with close monitoring from the healthcare team helped to keep their patients out of the hospital.
Given the success with the IVR and heart failure programs, GHP has expanded its telehealth program to include patients with hypertension and diabetes.
Source: AMC Health, February 29, 2012
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