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A previous GHP study, published in the journal Medical Care in
Results of the new study, led by
A total of 541 members were included in the final evaluation. These patients were all GHP Medicare Advantage plan members, who were at least 65 years old with confirmed heart failure, and who maintained their plan membership for the 70-month study period. They had a high prevalence of comorbid conditions (most commonly hypertension and coronary artery disease) and incurred a significant cost of care (average per-patient-per-month cost of
The members in the sample group experienced significant reductions in their probability of hospital admissions, as well as 30-day and 90-day readmissions in a given month. The study showed that the odds of a patient being admitted to the hospital in any given month were 23 percent lower during the months when they were enrolled in the telemonitoring program; their odds of 30-day and 90-day readmissions were reduced 44 percent and 38 percent respectively.
One of the key elements of GHP's successful case management program is timely and appropriate member follow up. Case managers routinely call each member to assess weight changes and ask specific questions about their symptoms.
"Evidence that points to the significant value of remote patient monitoring in enhancing population health management efforts continues to mount. We are thrilled that a second Geisinger study quantifies this benefit for patients diagnosed with heart failure," said
Enrollment in the telemonitoring program was voluntary. To participate in the program, the participant needed a landline or cellular phone service to enable transmission of weight measurements via the Bluetooth-enabled scale and for the IVR calls. The IVR solution included a list of questions specifically designed to detect changes in physical condition indicating exacerbation, such as shortness of breath, swelling, appetite and prescription medication management. This information was then used by case managers to identify patients who were trending toward an acute event so they could work with the member and his/her healthcare team to create the appropriate intervention before a more significant healthcare issue occurred.
"According to research from the
The complete study is available for review at: Population Health Management - Geisinger Health Plan Heart Failure Study
1 Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, et al. Heart disease and stroke statistics—2013 update: a report from the
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