Shifting chronic care management from hospital to home
Shifting care management for patients with chronic conditions from hospital to home may alleviate workload. By supporting chronically ill patients with connected devices, remote monitoring and customized clinical pathways to detect deterioration, care providers can intervene earlier, reduce costs and reduce readmissions. This can keep chronic oncology, cardiology and pulmonary patients out of the hospital during subsequent phases of treatment. All too often, patients with chronic conditions are not well managed. A study found that up to 71% of moderate-to-severe COPD patients from a Medicare population did not receive maintenance pharmacotherapy.19 Not surprisingly, patients whose COPD is unstable (frequent or severe exacerbations, faster decline in pulmonary function) can be more challenging and costly to manage, and they often end up back in the hospital.20
Philips Integrated COPD Care Initiative can help better manage the care of patients with COPD. In fact, this initiative resulted in an 80% reduction in acute 30-day readmissions and a >70% reduction in total all-cause acute care events by initiative end – driving a savings to the hospital of $1.3 million and $4.4 million, respectively.21 For veterans, who have an increased prevalence of COPD, these types of connected solutions can be a lifeline.22
Remote care management is beneficial to health systems during pandemics, when staff is shorthanded and reintroducing patients with comorbidities into a hospital could worsen health outcomes. From a centralized and remote vantage point, care providers can triage patients by using automated acuity, guideline-based scores and predictive analytics. Care providers can even connect with patients using two-way live video, providing insight into patients’ living environments for more accurate assessment.
It has been observed that approximately 18% of veterans (more than 1 million people) have obstructive sleep apnea. While these veterans need treatment, a recent assessment concluded that most VA sleep programs are understaffed and have lengthy wait times for appointments. Philips structured a patient adherence management solution to help patients stay with therapy. This solution utilizes telemonitoring of therapy device adherence data and a call center with sleep coaches and respiratory therapists. PAP adherence at 3 months improved by 25% using cloud-based sleep coaches versus standard care.23
Advising colleagues from afar
When care providers need expertise for a patient case, or an extra set of eyes, remote peer-to-peer consultation solutions can bring real time expertise from off-site locations and distribute workloads among care providers. Across a variety of specialties, colleagues are remotely supporting each other, bringing expertise where and when it’s needed. Tele-radiology, virtual tumor boards, tele-ultrasound and remote emergency care collaboration help healthcare providers consult with each other for improved patient care.
Remote peer-to-peer consultations can hasten diagnoses when EMS personnel or care teams in the battlefield need to make quick decisions. In these situations, the on-site care worker needs to capture large amounts of rapidly changing data, like ECGs and vital signs, and transmit it in real time to another care provider. That professional can then provide a diagnosis and clinical decision support as well as transport instructions back to the site. Data from multiple patients can be securely viewed via a web browser on scene, during transport or when preparing to receive the patient on handover.24,25
Outsourcing and collaborating to build a stronger system together
Taking advantage of innovative business models and outsourcing is another powerful method for extending capacity and reducing operational burdens. As-a-service, fee-per-study and outcome-based models are becoming more common, alleviating staffing shortages and reducing financial burdens. Philips managed services allow hospital teams, for example, to outsource some of their IT management, enabling them to focus their efforts on patient care.
When you work alongside our collaborative teams, we can help pinpoint areas for improvement and create results that matter to your organizational goals. Our approach starts with listening to and learning from you, working together to identify the root cause of the challenges you are facing. Our aim is always to recommend clinical, operational and technical solutions tailored to your needs because, as we all know, healthcare transformation is not one-size-fits-all. We take a holistic and longer-sighted approach to our relationship with you, looking for innovative, future-proof ways we can help your teams now and over time.