Operations and Implementation
Remote monitoring provides a convenient option to promote care at home while maintaining a connection between patient and provider to address ongoing medical issues. Remote monitoring programs support both short- and long-term health management goals for primary and specialty care. The ability to capture digital health information in near real time increases the capacity for early intervention and rapid response.
Mayo Clinic is an integrated group practice spanning 5 states and with over 5 million outpatient visits annually. Patient care provided at Mayo Clinic is supported by medical education and research. In early 2015, remote monitoring existed in isolated projects within the institution; these services were fragmented and not standardized nor scalable. Additionally, the services were narrowly focused on specific conditions using hybrid systems directed by specific clinical subspecialties. Most of these services lacked interfaces, or a secure technology infrastructure that would support integration and interoperability.
The Center for Connected Care has created a standardized, scalable remote monitoring program that can be ordered by the patient's Mayo Clinic provider through the EHR. The fact that all physicians are employed by the enterprise and the team-based approach to care, further supports the scalability of the program. This presentation will outline the steps that were taken to design and implement this program.
Market research and benchmarking was completed including a comprehensive literature review and site visits to facilities with existing remote monitoring programs. Multiple peer reviewed studies have shown a reduction in the cost of healthcare utilization among patients with chronic conditions.
A multidisciplinary team was created to develop and support the program. Remote monitoring equipment vendors were evaluated through a request for information process and one vendor was selected to provide the technology and aid in the development of the program.
The Mayo Clinic vision for the remote monitoring is a centralized monitoring model to support its population health practice. This model has helped to control costs and ensure scalability of the program. An important step in creating a centralized monitoring model was program adoption by the clinical practice. A robust patient intake process was created with clinician input to streamline processes that leveraged the capabilities of the EHR. In addition, subject matter experts from the specialty practices were leveraged to develop the clinical components of the program. The future goal for the program is to expand from chronic care management into other market segments.
The program is evolving, metrics have been identified and reports created which are being closely monitored, informing program decisions. Specific metrics are: patient adherence, healthcare utilization, and patient and provider satisfaction. A 32% reduction in hospitalizations has been reported and a decrease in the number of face to face outpatient visits has been observed. Analysis of the return on investment for this program was shared with the Center for Connected Care leadership. The program will expand as condition specific workflows and education plans are created with key clinical practice stakeholders. Referral sources for identifying these patients are being defined and expanded.
Mayo Clinic - Center for Connected Care
As an Operations Manager at Mayo Clinic, Dana Lundgren manages the remote patient monitoring service within the Center for Connected Care, the home for Mayo Clinic’s work in telemedicine. Dana has 14 years of nursing and management experience in Emergency, Obstetrics, and Medical/Surgical nursing including managing a 32-bed emergency department at Mayo Clinic Health System. She earned her Bachelor of Science in Nursing from the University of Wisconsin Oshkosh as well as a Bachelor’s degree in Biomedical Biology from the University of Wisconsin-La Crosse. She is currently working on a Master of Healthcare Administration from Bellevue University in Nebraska.
Lorraine Uthke has 18 years of Mayo Clinic experience in clinical practice management, quality improvement and finance. As an Operations Administrator in the Center for Connected Care, Lorraine manages the team developing remote patient monitoring services. These services bring Mayo Clinic care and expertise to patients who are “there and everywhere.” Lorraine holds the rank of Assistant Professor of Health Care Systems Engineering at the Mayo Clinic College of Medicine.
Prior to her work at Mayo, Lorraine attended the University of Minnesota where she earned her Bachelor of Science degree from the College of Pharmacy, a Master of Science degree from the Graduate School, and an MBA degree from the Carlson School of Management. Lorraine is a Fellow in the American College of Healthcare Executives (ACHE).
Monday, April 24
10:15 AM – 11:15 AM
Mayo Clinic Center for Connected Care