Remote Patient Monitoring (RPM)

In order to provide devices to patients in the community who are enrolling in your telehealth program a condition driven "Device Protocol" has been developed for your review and approval.  

The purpose of the protocol is to guide the Enrollment staff, TV kit Install staff and Management Service Organization (MSO) staff with the pre-visit preparations related to ordering and delivering equipment and devices needed for the patient to participate in the Telehealth program.  The patient will receive a TV kit, Personal Emergency Response device and a BP cuff.  

For Compliance purposes the RPM devices may not be activated until after the initial face to face visit with the physician where medical necessity and devices to be activated is noted in the plan for the patient.  

Documentation in clinical record:  (refer to Clinical Note/Plan Section)

☐ Medical necessity confirmed based on today's clinical assessment and plan of care, recommend RPM/CCM services. Patient verifies understanding of RPM/CCM services and may withdraw at any time. Services to begin after today’s visit. The Comprehensive Care plan will be established/updated at activation and at follow-up visits following the plan of care.   Changes and additions may be made to the devices per physician recommendations.

Please refer to the "Device Selection Protocol". 

As part of the practice set up, the physician will have the opportunity to review the standard best practice vital sign parameters for approval and programming in the monitoring system. Individualized parameters may be established as directed by the physician.  The High/Low Measures Threshold Alerts are established & configured in the monitoring system.​ Those Alerts are received by 1bios Care Team​ who will attempt to triage by doing the following:

• Attempt to contact patient and confirm their status. ​

• Determine if any medications were taken (if applicable)​

• Determine if there were any reasons thay may have caused the high/low measure (e.g. exercise, large meal, etc)​

• Check for any other symptoms that may indicate a problem (Zone Tools)​

• Request patient to retest while on the phone ​

• Upon retest follow these protocols:​

• If retest results in normal range, document in 1bios Team chart notes and do not escalate.​

• If retest results continue to be out of range, escalate to provider assigned escalation target.​

• If patient is critical at any point, seek EMS support and call practice immediately.​

• If unable to reach, escalate to provider assigned escalation target. ​

• Please note that RPM is not a 24 Hour/7 Day service. Triage is done during regular working hours.​

Please refer to the "Guide to Understanding Alerts and Notifications for additional information".