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Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study

BACKGROUND: Improving the management of patients with complex chronic disease is a substantial undertaking with the simultaneous goals of improving patient outcomes and controlling costs. Reducing avoidable hospitalization for such patients is a step toward both objectives. Some of the deterioration...

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Autores principales: Kohn, Martin Steven, Haggard, Jeffrey, Kreindler, Jack, Birkeland, Kade, Kedan, Ilan, Zimmer, Raymond, Khandwalla, Raj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379016/
https://www.ncbi.nlm.nih.gov/pubmed/28320688
http://dx.doi.org/10.2196/resprot.5744
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author Kohn, Martin Steven
Haggard, Jeffrey
Kreindler, Jack
Birkeland, Kade
Kedan, Ilan
Zimmer, Raymond
Khandwalla, Raj
author_facet Kohn, Martin Steven
Haggard, Jeffrey
Kreindler, Jack
Birkeland, Kade
Kedan, Ilan
Zimmer, Raymond
Khandwalla, Raj
author_sort Kohn, Martin Steven
collection PubMed
description BACKGROUND: Improving the management of patients with complex chronic disease is a substantial undertaking with the simultaneous goals of improving patient outcomes and controlling costs. Reducing avoidable hospitalization for such patients is a step toward both objectives. Some of the deterioration experienced in chronic disease patients occurs outside the view of their clinicians, and before the patient becomes overtly symptomatic. Home monitoring has been used for more than 20 years to detect deterioration earlier so that the patients could be treated before they became ill enough to require hospitalization. Patient participation is an important requirement for successful home monitoring. There has been some concern that patients would be unwilling or unable to engage in a program that collected multiple measurements. The Cedars-Sinai Cardiology Center provides a high-touch, intense management program for patients with congestive heart failure (CHF). A group of their patients were chosen to join a complex, multidevice home monitoring system to see whether such patients would find value in the additional effort. OBJECTIVE: The objective of our study was to determine whether patients already actively engaged in a high-touch intensive management program for CHF would take on the additional burden of a complex home monitoring effort. METHODS: A total of 20 patients from the Cedars-Sinai group were enrolled in a monitoring program utilizing 5 different devices. Anonymous surveys were collected from the patients to assess their satisfaction with the program. RESULTS: In total, 90% (18/20) completed the program, and 61% (11/20) submitted the survey. Among the 18 patients, overall compliance with the requested measurements was 70%. It was found that 73% (8/11) felt better about their health as a result of the program, whereas another 73% (8/11) believed that the care team now had a better picture of their health. CONCLUSIONS: Substantial patient compliance and satisfaction can be achieved in a sophisticated home monitoring program.
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spelling pubmed-53790162017-04-10 Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study Kohn, Martin Steven Haggard, Jeffrey Kreindler, Jack Birkeland, Kade Kedan, Ilan Zimmer, Raymond Khandwalla, Raj JMIR Res Protoc Original Paper BACKGROUND: Improving the management of patients with complex chronic disease is a substantial undertaking with the simultaneous goals of improving patient outcomes and controlling costs. Reducing avoidable hospitalization for such patients is a step toward both objectives. Some of the deterioration experienced in chronic disease patients occurs outside the view of their clinicians, and before the patient becomes overtly symptomatic. Home monitoring has been used for more than 20 years to detect deterioration earlier so that the patients could be treated before they became ill enough to require hospitalization. Patient participation is an important requirement for successful home monitoring. There has been some concern that patients would be unwilling or unable to engage in a program that collected multiple measurements. The Cedars-Sinai Cardiology Center provides a high-touch, intense management program for patients with congestive heart failure (CHF). A group of their patients were chosen to join a complex, multidevice home monitoring system to see whether such patients would find value in the additional effort. OBJECTIVE: The objective of our study was to determine whether patients already actively engaged in a high-touch intensive management program for CHF would take on the additional burden of a complex home monitoring effort. METHODS: A total of 20 patients from the Cedars-Sinai group were enrolled in a monitoring program utilizing 5 different devices. Anonymous surveys were collected from the patients to assess their satisfaction with the program. RESULTS: In total, 90% (18/20) completed the program, and 61% (11/20) submitted the survey. Among the 18 patients, overall compliance with the requested measurements was 70%. It was found that 73% (8/11) felt better about their health as a result of the program, whereas another 73% (8/11) believed that the care team now had a better picture of their health. CONCLUSIONS: Substantial patient compliance and satisfaction can be achieved in a sophisticated home monitoring program. JMIR Publications 2017-03-20 /pmc/articles/PMC5379016/ /pubmed/28320688 http://dx.doi.org/10.2196/resprot.5744 Text en ©Martin Steven Kohn, Jeffrey Haggard, Jack Kreindler, Kade Birkeland, Ilan Kedan, Raymond Zimmer, Raj Khandwalla. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 20.03.2017. https://creativecommons.org/licenses/by/2.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/ (https://creativecommons.org/licenses/by/2.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Kohn, Martin Steven
Haggard, Jeffrey
Kreindler, Jack
Birkeland, Kade
Kedan, Ilan
Zimmer, Raymond
Khandwalla, Raj
Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study
title Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study
title_full Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study
title_fullStr Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study
title_full_unstemmed Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study
title_short Implementation of a Home Monitoring System for Heart Failure Patients: A Feasibility Study
title_sort implementation of a home monitoring system for heart failure patients: a feasibility study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5379016/
https://www.ncbi.nlm.nih.gov/pubmed/28320688
http://dx.doi.org/10.2196/resprot.5744
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