2. Remote Patient Management Programs
Exploring Design, Planning & Focus Areas
Anne Hartgerink Becker RN, BSN, MS
Clinical Consultant - Care Innovations

3. What Is Remote Patient Management (RPM)?
Overview
Patient Interface
Vital Sign Measurements
Health Assessments
Clinician Interface/Tools
Triage Dashboard
Population prioritization
Video Visits
Reporting

4. Why is so much planning required for success?

5. Partnership in Planning
Importance of Planning
You'll see throughout the presentation how much planning goes into building a successful RPM program
Importance of Partnering
Choose the right vendor partner who has expertise in helping customers build successful programs
Choose a vendor that has quality services offerings if you choose to outsource components of your program
To learn more, visit 

6. Program Design Focus Areas
Problem Statement Identification
Program Goals Identification
Population Assessment
Recruitment & Onboarding
Clinical Workflow
Operations & Logistics
Outcomes & Success Metrics

7. Problem Statement Identification
What problem is your organization trying to solve through the application of a remote care program?
Examples:
High rates of unplanned clinical encounters (example: overuse of ED)
Lack of access to more efficient clinical resources
Educational deficits in the population (diet, medications, following plan of care)

8. Program Goals Identification
What are your key program goals that correlate to your problem statement(s)?
Examples:
Reduction in unplanned clinical encounters/use of expensive resources (ED, inpatient hospitalization)
Reduction in re-admissions for a specific population
Increased patient education & compliance
Improved patient & clinician satisfaction

9. Population Assessment
Which patients/members do you target for the program? Which segment of your population can benefit the most from the program?
What methods will you utilize to screen the population against your enrollment criteria?
Inclusion & Exclusion Criteria Example:
Inclusion: Primary dx of HF, at least 1 hospitalization in the previous year that was HF related, patient is willing to cooperate with program staff & sign informed consent.
Exclusion: Hospice/palliative care, dementia or cognitive impairment, home is not conducive.

10. Recruitment & Onboarding
Enroll, Support, and Operate
ONBOARDING PATIENTS
CLINICAL MONITORING
How do you plan to recruit patients/members into the program?
Do you have the staff in-house or would you be open to outsourcing this to your vendor?
Success rates can go up from approximately 30% (industry average for onboard conversion) to 70%+ when tightly managed by an experienced vendor  
Can you integrate with MD’s for assisted introductions? 10

11. Enroll, Support, and Operate
Clinical Workflow
Enroll, Support, and Operate
ONBOARDING PATIENTS
CLINICAL MONITORING
Staffing - Will you use clinicians? M-F or 7 days/week?
Does your organization have the type of staff & staff availability to conduct the daily clinical monitoring?
Would your organization benefit from out-sourcing the clinical monitoring to a clinical call center who would monitor your patients on your behalf?
“Centralized” vs. “De-Centralized”- A small, centralized team conducting the monitoring who become ‘super users’ of the system has more success than a de-centralized approach with several ‘dabblers’ monitoring small volumes of patients. 11

12. Operations & Logistics
Activities for consideration: Purchasing, Inventory Management, Cleaning & Refurbishment, Installation Coordination including patient self-installation assistance
In-House or Out-Sourced
Does your organization have the staff (with available time) & expertise in the logistics components of operating a program?
Could your organization benefit from outsourcing this part of the program to your technology vendor or other 3rd party?

13. Outcomes & Success Metrics
Continual evaluation & measurement against defined objectives is key to success.
How will your organization measure the success of the program?
What data is available on members/patients pre-program intervention?
How frequently will the metrics be evaluated and measured?

14. Example Metrics Subjective: Objective: Utilization:
Hospitalizations
Re-admissions
Length of Stay
ED use
Clinical Measures:
BP, Weight, HbA1c, etc
Patient Adherence
Clinical Productivity
Clinician Encounters - per need vs. per schedule using RPM data to guide
Return on Investment
Subjective:
Clinician Satisfaction
Member/Patient Satisfaction
Marketing
Competitive Differentiator
Additional Referral Sources

15. Common Pitfalls and Lessons Learned
Lack of Leadership & Program Team Alignment and Commitment
Population Selection
Not finding the right size funnel & right group of patients
Recruitment
Not having the right workflow, scripts, tools & team with confidence
Lack of clearly defined program goals & objectives
Outsourcing vs. Owning
Not selecting the right teams for program responsibilities ownership