The Promise of Remote Patient Monitoring: Lessons Learned during the COVID-19 Surge in New York City

Paul N. Casale, Medha Vyavahare, Shauna Coyne, Ian Kronish, Peter Greenwald, Siqin Ye, Emme Deland, Peter M. Fleischut

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The coronavirus pandemic catalyzed a digital health transformation, placing renewed focus on using remote monitoring technologies to care for patients outside of hospitals. At NewYork-Presbyterian, the authors expanded remote monitoring infrastructure and developed a COVID-19 Hypoxia Monitoring program - a critical means through which discharged COVID-19 patients were followed and assessed, enabling the organization to maximize inpatient capacity at a time of acute bed shortage. The pandemic tested existing remote monitoring efforts, revealing numerous operating challenges including device management, centralized escalation protocols, and health equity concerns. The continuation of these programs required addressing these concerns while expanding monitoring efforts in ambulatory and transitions of care settings. Building on these experiences, this article offers insights and strategies for implementing remote monitoring programs at scale and improving the sustainability of these efforts. As virtual care becomes a patient expectation, the authors hope hospitals recognize the promise that remote monitoring holds in reenvisioning health care delivery.

Original languageEnglish
Pages (from-to)139-144
Number of pages6
JournalAmerican Journal of Medical Quality
Volume36
Issue number3
DOIs
StatePublished - 1 May 2021
Externally publishedYes

Keywords

  • COVID-19
  • care delivery
  • digital health
  • remote monitoring

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