The Remote Patient Monitoring Project – California and Connecticut

Project Summary

Implement an evidence-based model of RPM for older adults across different systems of care including a community clinic model of care and Program of All-Inclusive Care for the Elderly (PACE) setting (AltaMed) as well as expand the initial site of the model (Stamford). The project will also establish and expand a new healthcare para-professional “Telehealth Technician” training program.

Technology

Honeywell HomMed

Targeted Locations

East Los Angeles/Boyle Heights, California; Stamford, Connecticut

Collaborators

Sacred Heart University, Norwalk Community College, Charter Oaks Communities.

12-Month Goals

• Promote and increase self-management habits, healthy behaviors, and improve health outcomes among seniors diagnosed with at least one chronic condition.
• Enable independent living and the ability of older adults to age-in-place by reducing the incidence of older adults moving to more intensive, high-cost care settings and/ or use of emergency departments, or hospital services.
• Promote the expansion of a “Telehealth Technician” training program in CA and on a national level.

Older Adult Population

1st year: 150 (75 CT, 75 CA from PACE and a Federally Qualified Health Center (FQHC) community clinic) low income older adults with congestive heart failure, COPD, diabetes, or hypertension.
5th year: 1000's of older adults.

Setting/Provider Type

PACE program, community clinic, and senior housing facilities.

Measurable Outcomes

Measurable outcomes include: (1) 75% of participants will report improved self-management habits/ preventive care behaviors; (2) 75% will report a sense of satisfaction, confidence, and control around ability to self-manage condition; (3) 75% will present improved health readings; (4) Reduction of long-term care institutionalizations or reduced intentions to institutionalize/ reduced sense of need for long-term care institutionalizations by at least 10% in comparison to local averages; (5) Reduction by at least 2% of average hospital bed days, ED visits, or hospital admissions in comparison to local averages.

Replication, Dissemination Plan

Plans are underway to expand the program to a third site in Pontiac, MI. Capable of expanding to other PACE, community clinic programs, and senior housing facilities.

Sustainability Plan

Initial continued program support from a growing interest of funders including the California Endowment and the US Department of Commerce as well as other potential funding sources.

Funding Request

$100,000

Matching Funds

$655,330