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ICUs Can Improve Survival, Speed Discharges Using Telehealth

ICUs can boost patient survival rates and speed ICU and hospital discharge rates if they use tele-ICU technologies, a study published  in CHEST Journal concludes, according to a report in iHealthBeat.

The study involved researching the impact of tele-ICU technologies in 56 ICUs that were part of 32 hospitals and 19 health systems, tracking them over a five-year period, according to iHealthBeat. The project, which was led by Craig Lilly, director of UMass Memorial Medical Center’s eICU Program, involved more than 110,000 patients.

The hospitals involved in the study used the Phillips Healthcare eICU technology, a comprehensive set-up which included bidirectional audio and video equipment, population management tools and real-time and retrospective reporting tools.

The study looked at how ICU doctors created treatments based on best practices, and responded to patient alerts and alarms, iHealthBeat notes.

Researchers found that patients who received care in hospitals using telemedicine were 26 percent more likely to survive in the ICU than patients in units that didn’t use tele-ICU technologies. It also found that patients were 16 percent more likely to survive their hospitalization than their counterparts who didn’t receive tele-ICU services.

What’s more, researchers found that patients in ICUs using telemedicine saw 20 percent faster discharges in the ICU and 15 percent faster hospital discharges.

This research strongly suggests that tele-ICU is maturing, and should be taken seriously as part of a hospital’s treatment arsenal.  In fact, your hospital might want to take a look at a new set of best practices created by the New England Healthcare Institute designed to make tele-ICU more scalable and accessible to hospitals.

Ultimately, the ideal is to connect telemedicine — and other remote sources of data — to hospital EMRs, allowing a new level of collaboration between far-flung clinicians. But in the mean time, it seems that tele-ICU can offer great benefits even if it creates a data silo for the time being.

December 10, 2013 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies.

Remote Patient Monitoring Going Mainstream

This week I read a piece of news which suggests to me that we’re seeing a turning point in the use of remote monitoring technology to manage patients.  It looks like AT&T is taking a major public position in support of remote monitoring via the cloud, via a partnership with a  hot new startup that just raised funding, according to a report in mobihealthews.

According to the mobile health news publication, cloud-based patient monitoring company Intuitive Health just got a $3.4 million investment in what appears to be the company’s first public round of investment.

Intuitive, which completed a pilot with health system Texas Health Resources and AT&T last year, offers cloud-based remote monitoring software which can interface with any device.

The pilot involved monitoring CHF patients remotely for 90 days using wireless pulse oximeters, blood pressure cuffs and weight scales, plus tablets and apps feeding the data to the  patients’ EMR records. During the pilot, THR reduced hospital readmissions for chronic heart failure patients by 27 percent, mobihealthnews reports.

According to a press release from AT&T, Intuitive’s software has since become a key component in the telecom giant’s own SaaS patient monitoring product.

Remote monitoring has been a hot topic of discussion and an emerging approach for several years, but hasn’t found an established place in day-to-day care for most institutions.  With AT&T and Intuitive offering a device-agnostic model, however, I believe they will give a boost to the use of remote monitoring generally.

Personally, I’ve been cheering for remote monitoring to succeed for some time; after all, given how mobile-device-oriented people are anyway, it just makes sense to leverage those capabilities to improve their health.  I hope this represents a turning point for this type of technology and that we see news of more successful pilots this year.

January 31, 2013 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies.