Bringing care home: how telemonitoring can expand population health management beyond the hospital.

With emerging technology, patients are able to access the health care system from settings such as their homes, long-term care facilities, and schools. Telemonitoring allows care teams to oversee patients' clinical data captured and transmitted by specialized devices, with minimal involvement or manual effort, on a near real-time basis. This review was undertaken to provide insight into the capacity of telemonitoring technology to improve population health. Despite the potential of telemonitoring, evidence for its clinical, economic, and patient-reported benefits is inconclusive. Much of the outcome variation seen in the literature may be due to the heterogeneity of the interventions' characteristics, with some telemonitoring programs more effectively integrating into standard practice, targeting patients, and utilizing technology. A particular challenge is the ability to comprehensively leverage data to improve health outcomes. To accomplish this, the mass data collected by the devices must be aggregated with data from other clinical systems and used to develop predictive algorithms that can be embedded across the continuum of care. Innovations such as the Healthe Intent cloud-based platform can support a population health strategy by integrating telemonitoring and electronic health record data.

Framework for effective population health management solutions.

As the cost of health care continues to rise, it has become imperative for care organizations to move from a volume-based system of care to one of value-based care. In order to make this shift, health care organizations must have the ability to manage entire populations as well as manage care at the individual level. To proactively manage populations and individuals within these populations, organizations must be able to know, identify and predict what will happen within a population, engage patients and providers to take action and manage outcomes to improve health and care. During this session, attendees will explore the technology needed to enable organizations to more easily facilitate consumer engagement, care management and coordination, provider network management and data acquisition.