Patricia Adam (United States of America)
University of Minnesota Medical School Department of Family Medicine and Community HealthAuthor Of 1 Presentation
REMOTE PATIENT MONITORING FOR COVID-19: IMPACT ON HEALTHCARE UTILIZATION
Abstract
Abstract Body
Background and Purpose: In March 2020, MHealth Fairview System (12 hospitals and 60 clinics) deployed a remote patient monitoring (RPM) technology to increase access to care for patients with COVID-19 and reduce strain on in-person services. University of Minnesota Medical School faculty, residents and students served as the team monitoring patients and delivering care. We studied the effect of this RPM solution on health care utilization by patients with presumptive COVID-19.
Methods: We conducted a retrospective study comparing health care utilization by patients enrolled in the RPM program (n=4435) and those who declined enrollment (n=2742). Primary outcomes were ER visits, hospital and ICU admissions, and death. We used logistic regression to adjust for known risk factors of COVID-19 severity.
Results: Adjusted for COVID-19 risk factors, there was a significant decrease in the risk of death for the group enrolled in the RPM: aOR:0.50 (95%CI:0.30,0.83). There were no significant associations between enrollment and the other primary outcomes. Increasing number of interactions with the RPM was associated with fewer hospital admissions: aOR:0.92 (95%CI:0.88,0.95).
Conclusions: The COVID-19 pandemic strained health care systems and led to dramatic shifts in health care systems delivery in an attempt to alleviate this strain. The RPM was associated with reductions in hospitalization, ICU admissions and most notably in death. More research is needed to determine if these technologies provide added benefit to traditional health care systems.
Presenter of 1 Presentation
REMOTE PATIENT MONITORING FOR COVID-19: IMPACT ON HEALTHCARE UTILIZATION
Abstract
Abstract Body
Background and Purpose: In March 2020, MHealth Fairview System (12 hospitals and 60 clinics) deployed a remote patient monitoring (RPM) technology to increase access to care for patients with COVID-19 and reduce strain on in-person services. University of Minnesota Medical School faculty, residents and students served as the team monitoring patients and delivering care. We studied the effect of this RPM solution on health care utilization by patients with presumptive COVID-19.
Methods: We conducted a retrospective study comparing health care utilization by patients enrolled in the RPM program (n=4435) and those who declined enrollment (n=2742). Primary outcomes were ER visits, hospital and ICU admissions, and death. We used logistic regression to adjust for known risk factors of COVID-19 severity.
Results: Adjusted for COVID-19 risk factors, there was a significant decrease in the risk of death for the group enrolled in the RPM: aOR:0.50 (95%CI:0.30,0.83). There were no significant associations between enrollment and the other primary outcomes. Increasing number of interactions with the RPM was associated with fewer hospital admissions: aOR:0.92 (95%CI:0.88,0.95).
Conclusions: The COVID-19 pandemic strained health care systems and led to dramatic shifts in health care systems delivery in an attempt to alleviate this strain. The RPM was associated with reductions in hospitalization, ICU admissions and most notably in death. More research is needed to determine if these technologies provide added benefit to traditional health care systems.