Lifetime Vitality Virtual Services
Patient Journey
Mr. Nadel
76 Years old
Community Resident
DX: CHF, HTN, DMII, Asthma, Hx of COVID
RPM Service Length 9/2/22- Current
“Dr. Raza was a lifesaver, literally…. I was so afraid when I saw his blood sugar so low, can’t thank you enough.”
-Mrs. Nadel
Alert Triggered Low Blood Sugar
- Recent DC home from Rehab
- Medications given as prescribed on discharge orders
- Within 4 days starting on RPM
- 40mg/dl overnight
- Severe hypoglycemic symptoms
Care Team Interventions
- Advised to hold on evening diabetic meds
- Blood sugar jumped to 400 mg/dl at dinner triggering alert
- Physician contacting patient, further adjustment of Diabetic medication dosage
Clinical Outcome
- Stable blood sugar readings for 60 days
- Safe range 70 – 200mg/dl
- Avoided re-hospitalization
- Safely titrated medications remotely
- Decreased stress on patient and wife by providing virtual care (hardship for patient to exit the home)
Patient Journey
Mrs. Handley
64 Years old
Community Resident
DX: Chronic Pain, Depression, IBS, FM, HTN, MCI, Anxiety, Bi-polar
Services RPM, CCM, BHI
“I feel like a million bucks!”
–Mrs. Handley
Referral for Virtual Services from PCP office
- Patient verbalizing to the doctor bouts of severe depression
- Patient withdrawing from social activities
- Stopped performing leisure activities i.e. writing poetry
Care Team Interventions
- Weekly calls with assigned Care Coordinator
- Establishing trust and patient centered care plan
- Collaboratively facilitated patient goals and interventions
Clinical Outcome
- Restored patient’s confidence
- Patient returned to writing poetry and shared with care coordinator
- Patient returned to social activities she enjoys – went to the casino
- Patient won money and got her hair done
Patient Journey
Mr. Wolf
68 Years old
Community Resident
DX: OA, CHF, DMII, HTN, Obesity, Learning Disability
Services RPM, CCM, BHI
“Thank you for helping get me more involved in my own healthcare.”
-Mr. Wolf
Remote Monitoring Services
- Patient received and trained on equipment
- Patient initially using equipment
- Patient became inconsistent with taking readings on equipment
Care Team Interventions
- Care team contacted patient daily about compliance readings
- Educated patient on importance of daily readings to help our ability to adequately monitor his health conditions
Clinical Outcome
- Patient is taking daily readings
- Calls our Care team when he forgets to take a reading
- Patient grateful for care team communication and involvement in his healthcare
Patient Journey
Mrs. Welsh
88 Years old
Community Resident
DX: COVID, CKD, UTI, HTN
Services RPM
“Thank you, I am an old lady and I never get this much attention, I LOVE IT.”
-Mrs. Welsh
Remote Monitoring Services
- Patient triggering alert for low blood pressure 110/49 mmHg
- Patient chose not to take her daily Aspirin thinking it was for her HTN
- Patient has history of DVT
Care Team Interventions
- Care team contacted patient did medication and medical history review
- Identified patient is not on HTN medication, and she withheld Aspirin for 2 days
- Educated patient on indication for Aspirin use with her history of DVT
- Care team contacted patient PCP to advise for timely follow up
Clinical Outcome
- PCP office alerted of patient’s low blood pressure readings
- Initiated PCP reach out to patient to address patients’ medication and medical needs
- Identified medication change that could have resulted in major medical episode