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Application of Mobile and Wearable Technology in Data Collection for Ophthalmology
Published in Ching-Yu Cheng, Tien Yin Wong, Ophthalmic Epidemiology, 2022
Ashwin Venkatesh, Pradeep Ramulu
Remote monitoring of patients has expanded the capacity and ease with which clinicians manage and monitor the wellbeing of their patients. Moreover, in the setting of pandemics, where patients may not want to present to the clinic for evaluation and testing, this may become the only available method for monitoring patients. These systems involve the use of digital technologies by patients (or research study participants) to collect, in their native environment, data on behaviors relevant to health. These data are then, via direct download or a cloud-based system, electronically transmitted to the healthcare providers/research team members for assessment. Some devices (such as implanted biosensors or wearable technology) may be automated to record and transmit health data in real time, without any action from the patient. Other technologies may require patients to input their own health data through a secure interface, such as devices or applications that record serial images, log physiologic parameters, or remotely fill out questionnaires. When such systems are employed by patients, and the information is put in their hands, they become empowered to make independent assessments of their own wellbeing, gain additional health information, and ultimately make better-informed healthcare decisions. When researchers use these systems, they gain access to behavioral information and longer-term parameters that cannot be accessed in the clinical setting.
Smart IoT Techniques to Improve Pandemic Outreach
Published in Ram Shringar Raw, Vishal Jain, Sanjoy Das, Meenakshi Sharma, Pandemic Detection and Analysis Through Smart Computing Technologies, 2022
Point-of-care monitoring is another important activity for pandemic response. When we look at COVID-19 results, the lack of readily available test kits for COVID-19 has made us feel at the tip of the iceberg. If test kits were more readily available, the unregulated dissemination of COVID-19 virus in New York City could be reduced. In rural, emerging areas of the world, which lack qualified staff and fitted health facilities, cost-effective, and easy to install diagnostic devices may also contribute to an uncontrollable spread.
Telehealth Comes of Age
Published in Tom Lawry, Hacking Healthcare, 2022
The Centers for Medicare and Medicaid Services (CMS) defines telehealth as:The use of telecommunications and information technology to provide access to health assessment, diagnosis, intervention, consultation, supervision, and information across distance. Telehealth includes such technologies as telephones, facsimile machines, electronic mail systems, and remote patient monitoring devices, which are used to collect and transmit data for monitoring and interpretation.5
Cost savings through continuous vital sign monitoring in the medical-surgical unit
Published in Journal of Medical Economics, 2023
John W. Beard, Antra Sethi, Weiqi Jiao, Hayden W. Hyatt, Halit O. Yapici, Mary Erslon, Frank J. Overdyk
Recent innovations in wireless, wearable technologies have increased monitoring parameter sensitivity and specificity that is likely to improve patient well-being and increase the potential for downstream cost-savings. One such wireless, wearable continuous monitoring system, PortraitTM Mobile, (GE HealthCare, Chicago, IL) was demonstrated to have high sensitivity for respiratory rate and significantly fewer artifacts than capnography; the reported accuracy of this device was also higher than currently available devices33. Advancements in device sensitivity and specificity will also increase the ability to detect adverse events and decrease false alarms that contribute to alarm fatigue57. Modern technologies such as PortraitTM Mobile further address alarm fatigue by enabling configuration of alarm level and time delay thresholds tailored to the baseline values for individual patients or for specific medical-surgical units. These advancements in monitoring capabilities will further supplement the patient monitoring provided by clinicians and patients themselves, and successful monitoring will still require the insights of the clinicians providing care for their patients. A majority of patients report feeling safer with continuous monitoring during hospitalization58, and interviews with nursing staff have indicated the importance of maintaining frequent nurse-patient interactions55.
Remote Patient Monitoring: The New Frontier in Telemedicine
Published in Oncology Issues, 2022
Ksenia Gorbenko, Alaina Kessler, Mark Liu, Melanie Besculides, Carol Kisswany, Madhu Mazumdar, Cardinale B. Smith
A particular type of telemedicine, remote patient monitoring, represents the next frontier in technological innovation in virtual longitudinal patient care. Remote patient monitoring involves the transmission of health data, such as vital signs, from patients’ homes to healthcare providers via wearable devices, a mobile app, and/or home hub (where the cancer care team can see inputted patient data and track trends). Studies have shown promising results for remote patient monitoring, with a recent meta-analysis demonstrating a reduction in hospitalizations.18 However, most of these studies neither included patients with cancer nor evaluated the implementation of remote patient monitoring among vulnerable patient populations, and widespread implementation of this technology has been limited. A recent prospective observational study showed the benefits of an interdisciplinary remote patient monitoring program for patients with cancer diagnosed with COVID-19. Remote patient monitoring was associated with a 78 percent relative risk reduction in hospital admissions.19 As such, the expansion of telemedicine utilizing remote patient monitoring is promising for patients with hematological malignancies who are at an increased risk of hospitalization.
Remote Home Monitoring of Patients with Cancer During the COVID-19 Pandemic
Published in Oncology Issues, 2022
Mary Steimer, Jessica Leabo, Hongkun Wang, David Heyer, Nancy Bowles, Laura Matthews, Timothy L. Cannon, Raymund Cuevo, William B. Ershler, Danielle Shafer, Sekwon Jang, Angela Pennisi, Amjaad Al-Hussain, Kirby Farrell, John F. Deeken
The Department of Health and Human Services has defined remote patient monitoring as “the use of connected electronic tools to record personal health and medical data in one location for review by a provider in another location, usually at a different time.”6,7 The aim of remote patient monitoring is to improve the care of patients through digitally transmitted health data, which can be accomplished by early detection of disease symptoms. Data suggest that remote patient monitoring can maximize patient care and treatment effectiveness in multiple areas of healthcare specialties.8,9 Recognizing the increased impact and potential for increased morbidity and mortality posed by the novel SARS-CoV-2 virus to our oncology patient population, our institution implemented a remote patient monitoring program for patients who were either persons under investigation or COVID-19-positive with mild or no symptoms.