Our Remote Therapeutic Monitoring Solution is only available for organizations with Enterprise subscriptions using HEP. To turn this feature on or upgrade your organization's subscription, please contact your Customer Success Manager or request a demo.
Step 1: Patient identified as RTM eligible and appropriate.
When RTM is enabled for an organization, users will see a new "Enable RTM for this episode" checkbox when creating a new patient episode from the patient profile or from the HEP builder. This checkbox should be marked for each patient that is participating in RTM.
If a patient is no longer participating in RTM after they were enrolled, users can navigate to the patient profile, click "Edit Episode" and uncheck the box to disable RTM. Note that the ability to turn off monitoring is disabled one week after the episode begins.
After enabling RTM for a patient, an additional control panel will display to provide users with available patient feedback options. These options offer additional engagement opportunities for the patient, providing clinicians with more feedback about their exercise programs. Users can allow patients to message their provider from the app or patient portal and prompt patients to report pain or difficulty when logging difficulty by checking each of these boxes.
Users can also check a box to log the onboarding activity. If a therapist chooses to log onboarding at this time, the system will launch a Log Onboarding modal upon saving the episode details, making it easy to log RTM onboarding minutes.
Step 2: Clinician logs review of adherence in MedBridge activity log.
Once a clinician has enabled RTM for a patient episode, an RTM-enabled chip will display within the episode details panel on the patient profile. Additionally, a new action button will be available called “RTM Activity.”
This button will enable your team to log the clinical interactions that occur for the RTM episode. The purpose of this feature is to provide full transparency into the actions taken with this patient when tallying the total time spent monitoring the patient. Users will need to review this data when it comes time to bill against these codes, either after the threshold is met for days of data transfer from the patient to MedBridge or at the end of the month.
A clinician will review the adherence for an RTM patient from the patient's profile page. Within the patient profile, therapists will see an "Overall Episode of Care Adherence" graph. This graph represents how well a patient is adhering to their prescribed program based on the subjective inputs they have entered from the app or the patient profile.
Details pertaining to the patient's adherence or direct feedback can be found by clicking on the “View Details” page. On this adherence page, the clinician can see all of the exercises performed or skipped by the patient and any direct feedback provided on the exercises. The patient may have the opportunity to indicate pain ratings, reasons for skipping, and ease or difficulty of the exercise performed, as well as send messages or ask questions about a specific exercise if these features have been enabled.
After the clinician clicks on the “RTM Activity” button, a drawer will open displaying any RTM activity manually logged by a clinician. A new activity can be logged by clicking on the “Log New” button.
To log a new activity, the clinician must enter the provider (defaulted to current user), an interaction type (phone call, video call, monitoring time, or onboarded patient), date (defaults to today’s date with an ability to select any date from when the RTM checkbox was enabled forward), and duration (in minutes).
Upon entering all the fields, the clinician may click “Log Activity,” and the interaction will be added to the Logged Activity Table.
A report of this activity can be pulled for reporting purposes at any time. For more information about this process, please view this article.