9 Remote Monitoring Technologies Enhance Telephonic Care Management

From home sensors that monitor daily motion and sleep abnormalities, to video visits using teleconferencing, Humana is doing its best to ensure that the frail elderly can remain at home as long as possible.

When integrated with a telephonic care management program, these remote monitoring technologies have helped Humana to avert medical emergencies and preventable hospitalizations among individuals with serious medical and functional challenges, says Gail Miller, vice president of telephonic clinical operations in Humana's care management organization, Humana Cares/SeniorBridge. The pilots are part of a continuum of care aimed at improving health outcomes, increasing satisfaction and reducing overall healthcare costs with a more holistic approach.

Most Americans are living longer, and suffering fewer deaths from acute illness, Miller said in a recent Healthcare Intelligence Network webinar, Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination Results. But they are also developing more chronic illnesses and functional limitations, which are often the costliest to manage.

Gail Miller

Despite their growing frailty, however, nine out of 10 Americans prefer to age at home, she continues. To help them live independently and age gracefully at home, Humana, which has over 30 years experience in the Medicare program, and over two and a half million Medicare advantage members, launched the Humana Chronic Care Program (HCCP). Targeting the members most in need, or the sickest 20 percent, which drive 75 percent of the company’s costs, the company implemented a series of nine healthcare remote monitoring pilots for individuals with congestive heart failure (CHF) and diabetes as well those with medication adherence problems. The pilots also target those with functional challenges that make activities of daily living (ADL) challenging.

“There is a clear need to look beyond disease and address functional limitations,” Miller says.

One of the pilots includes strategically placed home-based sensors that monitor ADL levels of those with functional impairment. Algorithms detect abnormalities in the patients’ activities, i.e. erratic sleeping behaviors or toileting patterns that can signal infections, which then generate alerts for recommended interventions.

Video visits include two way audio-video communications so that care managers can interact with their sickest members as an adjunct to home visits. Members are given tablets to use for face-to-face contact with their care manager, or to go over any educational materials their care managers or physician provides them.

Ranging from passive to active monitoring, all of the technologies are senior-friendly, and designed to help members manage their conditions, reduce hospitalizations and improve the patient/member experience, Miller says.

A mobile Personal Emergency Response System (PERS), for those that live alone or have limited caregiver support, has been the most popular, Miller says. Members are mailed a cellular device that can be activated manually by a button, or automatically via an accelerometer. Once turned on, the PERS device connects the member to clinically trained emergency support. Many patients have asked if they could extend their use of this particular device once the pilot was over, Miller says.

In case you missed this webinar, you still have a chance to watch this highly-rated program.

Register to view the conference today or order your training DVD or CD:
http://store.hin.com/product.asp?itemid=4835

You can "attend" this program right in your office and learn Humana's new approaches to identify the most impactable individuals early, developing a remote monitoring strategy, how Humana’s Chronic and Complex Care Management Program has evolved, details on each of Humana's nine remote monitoring pilots, from the program objective and scope to the technology implemented and partners selected.

It’s so convenient! Invite your staff members to watch the conference. We will send you a DVD or CD-ROM of the conference proceedings or a link to our web site with a username and password. You can log in and view the program right from your computer — any time of the day or night, whenever convenient for you and your colleagues — and benefit from the archived recording of the conference, including the Q&A period.

You'll get to listen to the question and answer session to hear recommendations for building technology into the operational stream; details on the assessment tools that Humana uses to measure functional limitations and activities of daily living; coordinating care for members who are functionally challenged; the role of the primary care physician in the remote monitoring pilots; addressing medication therapy management; using claims history as a predictor of a potentially high-risk patients; caregiver engagement; and the criteria that Humana uses to determine if a technology is senior-friendly.

To register for the on-demand re-broadcast, download an .MP3 file or order the training DVD or CD-ROM of Integrating Mobile Health Remote Patient Monitoring with Telephonic Care Management for Improved Care Coordination Results, please visit:
http://store.hin.com/product.asp?itemid=4835

I hope you find it useful.

Cordially,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network

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