Local physicians admit their patients and manage their care throughout the hospital stay
SCENARIO:
Lochness Regional Hospital is a 77-bednot-for-profit, rural,acute care hospital.
Local physicians admit their patients and manage their care throughout the hospital stay.The hospital does not use hospitalists to provide medical care for inpatients.
Lochness Regional Hospital has its own Home Health agency. Any of the patients discharged from the hospital may receive care from it if needed. The patient’s physician writes the orders for the patient to have home health services.
The electronic health record is Fusion, which includes a patient portal.
There is an 8-member board of directors. The hospital has a CEO, COO, CFO, CNO, and a CIO. There is a director for the home health agency. The hospital has a 3 person IT department that successfully implemented the EHR a few years ago.
In the past year, the hospital reported:
- 30-day readmission rate: 19% (higher than national average of 14%)
Top Conditions for Readmission: Heart Failure (HF) and Chronic Obstructive Pulmonary Disease (COPD)
In a recent meeting to improve the fiscal bottom line, the Hospital Board charged the CEO and Hospital Administration to reduce hospital readmission for Chronic Heart Failure (CHF or HF) or
Chronic Obstructive Pulmonary Disease (COPD).
The CIO learned about Remote Patient Monitoring (RPM) to reduce 30-day readmissions at a conference he attended. He is considering RPM as a possible solution but needs more information. The CIO asks you to prepare a report that answers the following questions:
What is the Problem? Why is it a problem?
What is Remote Patient Monitoring (RPM)?
Has RPM been implemented in the United States?
Locate an article that supports or doesn’t support utilizing RPM to address the problem.
Should Lochness Regional Hospital move towards implementing RPM? Are there adequate resources or are additional resources needed?
Answer preview to Local physicians admit their patients and manage their care throughout the hospital stay
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