Enhancing the Home Telehealth Program with Call Center Activities

Project Summary

Augment the current telehealth continuum at Centura Health at Home by merging 24/7/365 call center activities with telehealth. Also broaden telehealth program from home-care eligible patients to other services.

Technology

24/7/365 clinical call center linked with telehealth monitors (inLife by American Telecare) and video conferencing system (American Telecare Lifeview).

Targeted Locations

Denver, Colorado

Collaborators

Internal collaboration with iPN, an internal physicians group at Centura.

12-Month Goals

• Decrease the rate of recidivism of 30 day readmissions by 2% at two hospitals at Centura Health – St. Anthony’s Central and Porter Adventist Hospital.
• Increase the quality of life for patients.
• Increase the numbers of patients served in the telehealth program by a minimum of 200 per year.

Older Adult Population

1st year: 180 CHAH patients in Denver, CO with Diabetes, COPD, or CHF.
5th year: 3,000 older adults.

Setting/Provider Type

Senior living communities

Measurable Outcomes

Medical Service use (e.g., Hospital admissions/readmissions, days in hospital, ED visits); costs of medical care and extrapolation of savings to the system via reduced readmission rates; clinical measures (e.g., falls, blood pressure, confusion, etc) and quality of life defined by the kind of chronic conditions; and patient behaviors (e.g., medication adherence, patient safety, self-monitoring) having to do with self-care.

Replication, Dissemination Plan

As part of Centura Health, the largest health care system in the state of Colorado, CHAH is well positioned to expand technology use to Centura Health’s sponsors: Catholic Health Initiatives and Adventist Health Services; the seven senior living communities at CHAH, which have over 10,000 older adult members; the Colorado Center for Nursing Excellence; Colorado Health Outcomes / University of Colorado; the Health Passport Program, which has 10,000 older adult members; and the Integrated Physician Network (iPN), which in turn is heavily linked to the Patient Centered Medical Home (PCMH).

Sustainability Plan

Sustainability is addressed via projected outcomes in that, if project goals are achieved, the financial impact combined with new regulations on re-hospitalization will allow for continued use of this program and adoption to other communities.

Funding Request

$100,000

Matching Funds

$88,100