The IRPC staff such as physicians, NPs, PAs and MAs will coordinate with their qualified patients at home to provide RPM, CCM & BHI services. Based on each patient’s daily monitoring reports, they will coordinate with their PCP and Specialist if they need immediate treatment
REMOTE PATIENT MONITORING (RPM):
Remote patient monitoring (RPM) is technological system to enable monitoring of patients outside of conventional clinical settings, such as in the home or in a remote area, which may increase access to care and decrease healthcare delivery costs.
Incorporating RPM in chronic-disease management may significantly improve an individual’s quality of life by allowing patients to maintain independence, prevent complications, and to minimize personal costs. RPM facilitates these goals by delivering care through telecommunications. This form of patient monitoring can be particularly important when patients are managing complex self-care processes such as chronic pain, diabetes, hypertension, heart problem, COPD/asthma, renal problem etc. Key features of RPM enable early detection of deterioration; thereby reducing emergency department visits, hospitalizations, and the duration of hospital stays.
Monitoring programs can collect a wide range of health data from the point of care, such as vital signs, weight, blood pressure, blood sugar, blood oxygen levels, heart rate, and electrocardiograms.
Monitoring programs can also help keep people healthy, allow older and disabled individuals to live at home longer and avoid having to move into skilled nursing facilities. RPM can also serve to reduce the number of hospitalizations, readmissions, and lengths of stay in hospitals—all of which help improve quality of life and contain costs.
IRPC will provide free monitors to all Medicare and Private Insurance patients who have the medical necessity.
CHRONIC CARE MANAGEMENT
Chronic care management encompasses the oversight and education activities conducted by health care professionals to help patients with chronic diseases and health conditions such as diabetes, high blood pressure, systemic lupus erythematosus, multiple sclerosis, and sleep apnea learn to understand their condition and live successfully with it.
Services include interactions with patients by telephone or secure email to review medical records and test results or provide self-management education and support. Services also include interactions with the patient’s other healthcare providers to exchange health information, as well as management of care transitions and coordination of home- and community-based services.
Chronic Care Management programs, when administered correctly, combine three key elements to help patients manage their long-term health concerns.
Between visits care