Remote Monitoring Improves Care of Patients with Diabetes

Journal of Managed Care Medicine

A1c Reduced by 1.8 Points, 81% Showed Significant Sustained Improvement

Partner
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New York City Health and Hospitals Corporation (NYC HHC) provides medical, mental health and substance abuse services through its 11 acute care hospitals, five nursing facilities, six large diagnostic and treatment centers and more than 70 community-based clinics.

HHC health and Home Care also provides in-home services for New Yorkers. HHC serves 1.4 million New York City residents every year, of which more than 475,000 are uninsured.

Strategy

Improve Care of Patients
With Diabetes

HHC and AMC Health collaborated on the HouseCalls Telehealth Program that uses remote monitoring in patients’ homes to track blood glucose, weight, blood pressure and diabetes self-management parameters.

Data was sent to AMC Health’s secure web portal, with clinical decision support tools that provide customized alerts for each patient, trending analytics and population-wide benchmarking.

Outcomes

Reduced A1c by 1.8 Pts
By 3.3 Pts Among Program Grads

Of the nearly 800 patients monitored, 81% had significant and sustained improvement in glycemic control with glycated hemoglobin reduced by an average of 1.8 percentage points, and. program graduates down 3.3.

66% of study patients who also had hypertension had diastolic BP reduced by 5mm Hg, representing 21% reduced risk of stroke. For some patients, ED use declined by 47%, and hospital admissions dropped 38%

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