FORT LAUDERDALE, Fla. – Dr. Steven Gerst loves talking about how technology is revolutionizing the delivery of health care and is well-versed in remote patient monitoring systems. He is a managing partner of the networking company Telemetrix Systems and is Dean Emeritus of the Masters of Science Program in Applied Health Informatics at Bryan University.
HHTN: What are some of the challenges preventing home care agencies from adopting remote patient monitoring?
Gerst: The most important challenges include connectivity to the EMR with real-time, actionable data; making sure the equipment is 510K FDA-certified, of diagnostic quality and simple to use; avoiding “alert fatigue” for the physician, provider and caregiver; and making sure the patient does not have to pay for the system.
HHTN: What is the ideal remote patient monitoring system?
Gerst: The ideal RPM system offers a dual-band Bluetooth communication to a wireless hub in the home, which then transmits via dual or triband systems over HIPPA-compliant secure lines to protect patient information and prevent hacking and unauthorized access to EMR data. As the technology improves, the standard is moving from 3G/4G
broadband wireless technology to 5G narrowband to extend medical device battery life.
HHTN: What will impact the delivery of remote patient monitoring this year?
Gerst: The next major changes in home health care will be driven by the Medicare Access and CHIP Reauthorization Act and how remote patient monitoring/telemedicine will be leveraged in the home as the U.S. health system moves from volume-based Medicare reimbursement to value-based. As hospitals take on more risk, they will utilize new technology to shift care from expensive in-patient settings to more cost-effective home care settings using telemedicine and remote patient monitoring for patients with qualifying chronic conditions.