LifeStream: A Telehealth Platform that Could Transform Remote Care

Advancements in technology, legislation, and consumer behaviors over the last decade have set the stage for a new virtual healthcare model to emerge. Telehealth helps make it possible to provide a new level of care outside of traditional settings – keeping patients out of the hospital and in their own homes.

Provider organizations may now be looking to implement telehealth programs that increase efficiency, improve care coordination, reduce costs and result in better healthcare outcomes. Honeywell is addressing these needs by bringing remote patient monitoring solutions to the next level with integrated video visits as part of the latest LifeStream release.

Clinicians can now initiate and manage video visits directly from their LifeStream dashboard. Not only does this streamline clinical workflows but video communication helps reinforce and evaluate patient adherence to care plans. Clinicians can view visual indicators/symptoms of deteriorating health, evaluate medications and speak with family members and caretakers through video interaction. In addition, face-to-face conversations can often provide comfort and encouragement for patients, reducing feelings of isolation felt by chronically ill patients.

With the Resideo telehealth platform, software updates, troubleshooting and customer service come from the same source – Resideo – simplifying the overall user experience.

The LifeStream solution is also easily deployed, allowing clinicians to connect to large patient populations over long distances without placing a burden on organizational resources and IT staff. Most importantly, patients are empowered to work with their caregiver to achieve desirable clinical results.

Resideo Life Care Solutions is driving innovation with its video-based telehealth solutions designed to improve the quality of patients’ lives and reduce the overall cost of healthcare.

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Expanding a Telehealth Program to Serve More Patients

THE NEED

MultiCare is looking to reduce costs by offering high quality care in a more efficient manner as virtual visits will take the place of in home appointments. In fact, with this model in place, MultiCare expects to enable home health case managers to double their average case load, moving from 30 to about 70 patients. In addition, MultiCare is looking to improve care outcomes by offering patients the opportunity for clinicians and patients to routinely collaborate on clinical care issues by providing telemonitoring to interact with patients on a very personal level.

THE SOLUTION

To meet the needs of a large number of patients, MultiCare is offering a two-tiered telehealth program. “Tier one will be a full-blown program. These patients will have the telehealth monitor with all the peripheral devices in the home. They will get all of the intensive interventions that we can provide. We expect about 300 to 350 of the 500 patients will be enrolled in this tier one program,” said Kelly Gariando, RN, telehealth specialist at MultiCare

Instead of conducting telehealth sessions without any specific purpose, specific disease management questions are integrated at specific points in the telehealth process. For example, there are specific points in the care process when the telehealth nurses will ask cancer patients about pain control or diabetic patients about sugar levels.
To ensure that patients continue to adhere to their medication regimens, medication management is purposefully integrated into the telehealth nurses’ workflow. For example, the telehealth nurses focus on medication management on Tuesdays by asking a series of specific questions about the patients’ medication compliance. On Wednesdays, the nurses follow up to make sure the patients took action on any gaps that were identified the previous day. And, on Thursdays, the nurses work with the patients to ensure that they are prepared to stay in compliance with the medications over the weekend

THE RESULT

Now in its third year of using video technology the program is showing positive results in reducing 30-day readmission rates for both heart failure and COPD. For heart failure, the 30-day RPM readmission rates have never exceeded 5.1%, which compares favorably with national CHF 30-day readmission rates of 25%. In addition, when compared to all of MultiCare’s heart failure patients, the RPM patients experienced 30-day readmission rates of 3% and 4% compared to 22.38% and 18.70% respectively for the two reporting periods (2016 and January – June, 2017).

For COPD patients participating in the RPM program 30-day readmission rates have decreased steadily since the program was implemented – 10.7% in 2015, 6.0% in 2016, and 4.0% January-July, 2017. These readmission rates also compare favorably with national COPD hospital readmission rates of 20.2%.

Patient satisfaction is another area where hospital organizations can demonstrate improvements in care delivery which can also impact reimbursement levels. For all but one question, 93-97% of patients answered positively with an agree or strongly agree response. The highest rated questions (agree or strongly agree) were for reliability and ease of use of the equipment (97%) and whether the patient would use the equipment in the future (96%).

The impact of MultiCare’s RMD program has already resulted in improved patient care, enabling patients to stay in their homes and has increased the efficiency of care delivery by reducing the high cost of rehospitalization.

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