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Remote patient monitoring

Remote patient monitoring. By: Eileen Wieszczyk. Objectives. Define remote patient monitoring Hardware and software used Information system used Role of the nurse in patient monitoring Ethical and legal issues with monitoring Advantages and disadvantages.

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Remote patient monitoring

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  1. Remote patientmonitoring By: Eileen Wieszczyk

  2. Objectives • Define remote patient monitoring • Hardware and software used • Information system used • Role of the nurse in patient monitoring • Ethical and legal issues with monitoring • Advantages and disadvantages

  3. remote patient monitoring defined • Falls under the telehealth category • Sensors collect and send data to physician’s office or hospital • Patients can continually be monitored between office visits • Beneficial for patients who live far from healthcare facilities • Data can be transmitted immediately or stored and sent later • Focuses on chronic diseases which are most costly to treat (Smith & Sweeney, 2010) (Wikipedia, retrieved 9/16/10)

  4. patient Monitoring examples • Nighttime dialysis done at home • Electrical brain activity through “tele-EEG” • Heart monitoring • Blood glucose in diabetics • Other vital measurements (Stokowski, 2008)

  5. Monitoring hardware • Tele-stations • Scales • Vital sign acquisition units • Blood glucose monitoring devices • Fluid monitoring devices (www.healthcare.philips.com, accessed 10/6/10)

  6. Additional hardware • Honeywell Company’s “HomMed Genesis” • Works with Honeywell’s “Lifestream telehealth platform” (http://www.hommed.com/Products/Genesis_DM.asp, accessed 10/6/10)

  7. software • Provides physician access to patient data • Transfers data to physician computer • Enables provider to organize data • Information transferred via World Wide Web • Bluetooth used in the future (Shore, 2006)

  8. Honeywell company “lifestream Connect” • Integrates with Honeywell Company’s “HomMed Genesis” • Windows based software system • On demand provider access to patient data • Eases maintenance of healthcare records (http://www.hommed.com, accessed 10/6/10)

  9. usability • Honeywell Company system won excellence award • Considered patient the “ultimate customer” • User-friendly for patient and provider alike • Testimonials from patients and families • Improves patient safety (www.mommed.com/Products, accessed 10/6/10) (Staggers, 2003)

  10. Information System by Honeywell Hommed, LLC • “HomMed Genesis” monitor in patient homes • “LifeStream Connect” gives physician information access • Two parts of system well-integrated • Information stored or in “real-time” • System provides improved patient care • System provides reduced cost of treatment (www.hommed.com/Products accessed 10/6/2010)

  11. Review of information system • Is a clinical system • Physicians and nurses use the system • Expedites storage/transmission of patient data • Web-based system • Utilizes Health level 7 data standards • System is highly recommended (www.hommed.com/Products, accessed 10/6/10)

  12. Advantages of remote patient monitoring • Improvement in patient outcomes • Reduction of healthcare costs • Increased patient and family satisfaction • Increased patient safety • Improvement in clinical systems productivity • Encourages patient involvement in their healthcare http://www.healthcare.philips.com/mainProducts (Stokowski, 2008)

  13. disadvantages • Lack of acceptance among patients and caregivers • Risk of breeching patient privacy • Lack of insurance reimbursement • Elderly patients inability to use technology (Stokowski, 2008) (Shore, 2006)

  14. Ethical and legal issues • Multi-state licensure for nurses • Strict documentation to negate negligence • Patient privacy and confidentiality (McGonigle & Mastrian, 2009)

  15. Nursing informatics competencies • Fluency of hardware and software use • Client and fellow healthcare professional education • Evaluation of patient satisfaction • Recommendations for equipment improvement (McGonigle & Mastrian, 2009)

  16. Functions & responsibilities of the informatics nurse • Identify patients who would benefit • Monitor data acquired from patients • Triage patients • Relay information to physicians • Follow-up on physician orders (McGonigle & Mastrian, 2009)

  17. Summary of remote patient monitoring • Decreases cost of healthcare • May aide in healthcare worker shortage • Improves outcomes in chronic illness • Decreases adverse results in surgical patients • Provides patient safety and security • Provides family peace of mind

  18. References McGonigle, D., & Mastrian, K.(2009). Nursing Informatics and the Foundation of Knowledge. Sudbury, MA: Jones & Bartlett. Shore, J.(2006). A Dose of Telemedicine Saves Lives, Cuts Costs. Network World, 23(7), 53. Smith, B. (2010). Remote Patient Monitoring. Retrieved September 18, 2010, from http://www.nerac.com/nerac_insights.php?category=articles. Staggers, N (2003). Human Factors; Imperative Concepts for Information Systems in Critical Care. AACN Critical Issues, 14 (3), 310-319. Stokowski, L. (2008). Healthcare Anywhere: The Pledge of Telehealth. Retrieved March 23, 2010, from http://www.medscape.com/viewarticle/581800_print Telehealth (2010, August). Wikipedia, The Free Encyclopedia. Retrieved September 16, 2010 from http://en.wikipedia.org/wiki/Telehealth http://www.hommed.com/Products http://www.healthcare.philips.com/mainproducts/teleheath

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