Routes to diagnosis of heart failure: observational study using linked data in England Objective Timely diagnosis and management of heart failure (HF) is critical, but identification of patients with suspected HF can be challenging, especially in primary care. We describe the journey of people with HF in primary care from presentation through to diagnosis and initial [...]
The mortality risk of deferring optimal medical therapy in heart failure: a systematic comparison against norms for surgical consent and patient information leaflets Aims: The prescription of optimal medical therapy for heart failure is often delayed despite compelling evidence of a reduction in mortality. We calculated the absolute risk resulting from delayed prescription of therapy. For [...]
Remote management of heart failure using implantable electronic devices Aims: Remote management of heart failure using implantable electronic devices (REM-HF) aimed to assess the clinical and cost-effectiveness of remote monitoring (RM) of heart failure in patients with cardiac implanted electronic devices (CIEDs). Methods and results: Between 29 September 2011 and 31 March 2014, we randomly assigned 1650 [...]
Remote Monitoring of Patients With Heart Failure: An Overview of Systematic Reviews Background Many systematic reviews exist on the use of remote patient monitoring (RPM) interventions to improve clinical outcomes and psychological well-being of patients with heart failure. However, research is broadly distributed from simple telephone-based to complex technology-based interventions. The scope and focus of [...]
Telemonitoring Reduced Costs and Inpatient Visitation Rates for Patients with Advanced Cardiovascular Disease: A Matched Cohort Study Telemonitoring Reduced Costs and in-Patient Visitation Rates for Patients with Advanced Cardiovascularddisease Introduction: Reducing the cost of care of patients with cardiovascular disease is an important target for integrated health systems. Managing these patients is difficult and costly, with [...]
Does telemedicine improve treatment outcomes for diabetes? A meta-analysis of results from 55 randomized controlled trials Aims: To assess the overall effect of telemedicine on diabetes management and to identify features of telemedicine interventions that are associated with better diabetes management outcomes. Methods: Hedges's g was estimated as the summary measure of mean difference in HbA1c between [...]
This past week was big for telemedicine in public programs. Both telehealth and remote patient monitoring (RPM) are proven tools in the commercial marketplace, but reimbursement restrictions have made adoption in Medicare and Medicaid pretty close to non-existent. It is still essential to pass legislation to fix outdated legal barriers in these programs. However, the [...]
Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition -- Heart Failure (BEAT-HF) Randomized Clinical Trial Importance: It remains unclear whether telemonitoring approaches provide benefits for patients with heart failure (HF) after hospitalization. Objective: To evaluate the effectiveness of a care transition intervention using remote patient monitoring in [...]
February 3, 2016 | Krista Drobac, Executive Director of the Alliance for Connected Care Today represents the first real chance we have had to change Medicare payment policy for telehealth and remote patient monitoring. While the commercial market adopts these tools at a rapid rate, there is virtually no access for seniors in Medicare. This [...]
Sustained efficacy of pulmonary artery pressure to guide adjustment of chronic heart failure therapy: complete follow-up results from the CHAMPION randomised trial Background: In the CHAMPION trial, significant reductions in admissions to hospital for heart failure were seen after 6 months of pulmonary artery pressure guided management compared with usual care. We examine the extended efficacy [...]