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Remote Patient Monitoring

REMOTE PATIENT MONITORING 8

RemotePatient Monitoring

RemotePatient Monitoring

Clarke,M., Schluter, P., Reinhold, B., &amp Reinhold, B. (2015). Designingrobust and reliable timestamps for remote patient monitoring.&nbspIEEEJournal of Biomedical &amp Health Informatics,&nbsp19(5),1718. doi:10.1109/JBHI.2014.2343632

Clarkeand associates’ article looks into the needs and operating settingsof platforms of monitoring patients remotely. They define a contextthat provides reliable and strong timestamp management in platformsof monitoring patients remotely. The context offers greaterdependability of correct timestamps, especially when environments ofoperations permit as well as support report capabilities oftimestamps. The authors’ analysis of the platform suggests that itsupports such devices as simple clocks utilized in platforms ofmonitoring. The researchers assert that reliable and durabletimestamps are important for the remote patient monitoring becauseplatforms of monitoring of patients remotely are run on environmentsthat make it hard to synchronize with reliable sources of time. Thus,the researcher’s platform evaluation confirmed the framework’svalidity in non-ideal environments of operations.

Freedberg,N. A., &amp Feldman, A. (2014). Remote monitoring of patients withImplantable Cardioverter Defibrillators (ICD): A cute gimmick or anessential tool for clinical excellence? Journalof Cardiovascular Electrophysiology,&nbsp25(7),771-773. doi:10.1111/jce.12415

Freedberg andFeldman’s article reviewed various articles to establish thebenefits of monitoring patients with ICDs remotely. Their reviewestablished a number of advantages associated with remote monitoring.For example, remote monitoring saves cost and time for both healthorganizations and patients through reducing routine appointments,especially when there is no needed action. It also identifiesproblems with Implantable Cardioverter Defibrillators earlier enoughsuch as lead malfunction, battery depletion, as well as inappropriatesensing. Remote monitoring enables early identification of clinicalissues, which must be tackled in a timely manner, for example,supraventricular, ventricular, as well as atrial arrhythmias, whichmay result in unfitting ICD therapy.

Inglis,S. C., Conway, A., Cleland, J. G., &amp Clark, R. A. (2015). Is agea factor in the success or failure of remote monitoring in heartfailure? Telemonitoring and structured telephone support in elderlyheart failure patients. EuropeanJournal Of Cardiovascular Nursing: Journal Of The Working Group OnCardiovascular Nursing Of The European Society Of Cardiology,14(3), 248-255. doi:10.1177/1474515114530611

Iglisand associates conducted sub-evaluation of a formerly published largeCochrane meta-analysis of permtinent randomized regulated trials inorder to establish whether the telephone support was effective inpatients with heart failure. The authors’ target sample populationmean age was 70 and above. Although there was a systematicpredisposition during the recruitment of participants who wereyounger than the average age, the study established that olderindividuals benefitted from telemonitoring and telephone support aswell. The results of the study correlated with main study. Theauthors posit that more research ought to be done to confirm theseobservational results. The also posit that age discrimination mightnot be suitable when recruiting participants.

Ladapo,J. A., Turakhia, M. P., Ryan, M. P., Mollenkopf, S. A., &ampReynolds, M. R. (2016). Health care utilization and expendituresassociated with remote monitoring in patients with ImplantableCardiac Devices.&nbspAmericanJournal of Cardiology,&nbsp117(9),1455-1462. doi:10.1016/j.amjcard.2016.02.015

Ladapoet al. used databases from Medicare and Truvan Health MarketScan tocompare expenditures and use of health care correlated with in-officemonitoring and remote monitoring in patients with ICD, CRT-D, or PPM.Their study established that patients with ICD that were remotemonitored experienced reduce emergency visits leading in discharge.They also correlated remote monitoring with reduced health careexpenses in office visitations amid patients that had PPMs andreduced total outpatient and inpatient expenses in patients thatICDs. Thus, the researchers concluded that remote monitoring islinked to decreases in healthcare use and expenses in comparison toexclusive in-office health care.

Pustozerov,E., &amp Yuldashev, Z. (2014). A remote monitoring system fordiabetes patients.&nbspBiomedicalEngineering,&nbsp48(2),74-77. doi:10.1007/s10527-014-9422-5

Pustozeroveand Yuldashev discuss an approach for monitoring patients withdiabetes remotely. Their approach considers the carbohydratemetabolism dependence on physical exercise, insulin therapy, and foodintake. They suggest a mobile system of monitoring along with anotherone for processing the results of remote monitoring. The researcher’ssystem utilizes an algorithm for correction of glucose metabolism aswell as gathering of recommendations for the maintenance ofsufficient health state. The authors’ method aims to increase theeffectiveness of monitoring the state of the diabetic patientsthrough measuring the carbohydrate metabolism dynamics in patients.The researchers concluded that prognosis of hyper-hypoglycemia indiabetic patients can be applied in remote patient monitoringsystems.

Terry,K. (2015). Fulfilling the promise of remote patient monitoring: howto move the technology from the realm of a great idea to a placewhere physicians can use it to help patients.&nbspMedicalEconomics,(17), 36.

Terry’sarticle discusses remote patient monitoring suggesting it has thecapacity to improve patient outcomes. The author looks into the homeand mobile remote monitoring. He also discusses how remote monitoringis being used. He suggests that it is mostly used for high costchronic illnesses. According to the author, healthcare organizationscover the cost of remote monitoring to decrease readmissions, whichcan lead to Medicare penalties. Terry identifies a major challengeassociated with monitoring patients remotely is screening of data.The researcher suggests that monitoring of patients remotely can onlybe useful when the healthcare sector meets the needs of thephysicians and establishes the best practices for remote monitoring.

References

Clarke,M., Schluter, P., Reinhold, B., &amp Reinhold, B. (2015). Designingrobust and reliable timestamps for remote patient monitoring.&nbspIEEEJournal Of Biomedical &amp Health Informatics,&nbsp19(5),1718. doi:10.1109/JBHI.2014.2343632

http://web.a.ebscohost.com.goodwin.idm.oclc.org/ehost/detail/detail?sid=7d9c7a11-699d-40e5-94ea-8da7ea8b3c47%40sessionmgr4009&ampvid=0&amphid=4209&ampbdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=25095271&ampdb=mnh

Freedberg,N. A., &amp Feldman, A. (2014). Remote monitoring of patients withImplantable Cardioverter Defibrillators (ICD): A cute gimmick or anessential tool for clinical excellence? Journalof Cardiovascular Electrophysiology,&nbsp25(7),771-773. doi:10.1111/jce.12415

http://web.a.ebscohost.com.goodwin.idm.oclc.org/ehost/detail/detail?sid=ba481139-4d16-4048-b04f-a0c3a1ffd16d%40sessionmgr4006&ampvid=0&amphid=4209&ampbdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=24654708&ampdb=mnh

Ladapo,J. A., Turakhia, M. P., Ryan, M. P., Mollenkopf, S. A., &ampReynolds, M. R. (2016). Health care utilization and expendituresassociated with remote monitoring in patients with ImplantableCardiac Devices.&nbspAmericanJournal Of Cardiology,&nbsp117(9),1455-1462. doi:10.1016/j.amjcard.2016.02.015

http://web.a.ebscohost.com.goodwin.idm.oclc.org/ehost/detail/detail?sid=46d52642-c3bc-40c3-8e7b-507dc5e34eb8%40sessionmgr4009&ampvid=0&amphid=4209&ampbdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=26996767&ampdb=mnh

Inglis,S. C., Conway, A., Cleland, J. G., &amp Clark, R. A. (2015). Is agea factor in the success or failure of remote monitoring in heartfailure? Telemonitoring and structured telephone support in elderlyheart failure patients. EuropeanJournal Of Cardiovascular Nursing: Journal Of The Working Group OnCardiovascular Nursing Of The European Society Of Cardiology,14(3), 248-255. doi:10.1177/1474515114530611

http://web.a.ebscohost.com.goodwin.idm.oclc.org/ehost/detail/detail?sid=a7a10906-f1b3-4412-87d7-48790e3faf54%40sessionmgr4009&ampvid=0&amphid=4209&ampbdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=mnh&ampAN=24681423

Pustozerov,E., &amp Yuldashev, Z. (2014). A remote monitoring system fordiabetes patients.&nbspBiomedicalEngineering,&nbsp48(2),74-77. doi:10.1007/s10527-014-9422-5

http://web.a.ebscohost.com.goodwin.idm.oclc.org/ehost/detail/detail?sid=b99d8da7-4ff7-4449-925e-8b104ac37553%40sessionmgr4008&ampvid=0&amphid=4209&ampbdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=25073357&ampdb=mnh

Terry,K. (2015). Fulfilling the promise of remote patient monitoring.MedicalEconomics,92(17), 36.

http://web.a.ebscohost.com.goodwin.idm.oclc.org/ehost/detail/detail?sid=4a211e4d-6f7f-40a7-9bed-0c32fa6476c8%40sessionmgr4009&ampvid=0&amphid=4209&ampbdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=26619680&ampdb=mnh