5. Telehealth and Care Coordination Goals
• Access to enhanced care coordination and post d/c remote
monitoring for high-risk high-cost CVD and pulmonary patients
• Expand and improve the quality of health information available to
health care providers, patients and their families
• Reduce health care expenditures by reducing 30-day readmissions,
bed days and ER visits
• Improve clinical outcomes
• Improve the patient’s perception of care and patient’s quality of life.
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6. Inclusion Guidelines
• CVD and Pulmonary Disease patients who experience
frequent:
– hospitalizations
– ER visits
– less than 30 day readmissions and
– require daily monitoring, health assessment and
education.
• Patient Activation Measurement score of Level 1 or 2
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11. Evaluation
• Financial data
• Hospitalizations
– Number of hospitalizations
– Patient bed days
– Total charges for Hospitalization
• Emergency Department
– Number ED visits
– Total charges for ED
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