Tag Archives: TriageLogic

Remote Patient Monitoring: A Worthwhile Investment


TriageLogic

By Dr. Ravi Raheja

Remote patient monitoring is part of a new era of medical technology. In the wake of the COVID-19 pandemic, remote services and technology have been extremely valuable to patients, doctors, and healthcare organizations. Remote patient care typically means helping patients over the phone. Remote patient monitoring (RPM) takes care one step further and helps doctors collect and evaluate data from patients who use an electronic medical device.

As we move forward, the value of remote patient monitoring will continue to evolve for healthcare. Click To Tweet

RPM is starting to gain traction by the medical field because it improves patient care. Many of these devices can capture data not observed by the patient. As a result, providers can monitor important vitals and intervene before a patient even presents a concerning symptom. This cuts down on both morbidity and mortality while saving costs and decreasing Emergency Room (ED) visits. A recent article in the Center for Technology and Aging asserts that the healthcare industry “could reduce its costs by nearly 200 billion dollars during the next twenty-five years if remote monitoring tools were used routinely in cases of congestive heart failure, diabetes, chronic obstructive pulmonary disease (COPD), and chronic wounds or skin ulcers.”

There are many questions for providers and hospitals to ask themselves as innovative technology continues to become available. Technology is an investment, and changes to existing systems require effort. Is remote patient monitoring worth it, and will it soon be the standard of care for chronically ill patients? What are some requirements to consider while setting up an RPM program?

Which Patients Benefit Most from RPM?

According to the CDC, six in ten Americans have a chronic condition such as heart disease, lung disease, or diabetes. Four in ten have two or more chronic conditions. These chronic patients help make up more than eighty five percent of the 3.5 trillion dollars in healthcare costs across the nation annually and are responsible for eighty percent of all hospital admissions. It costs 3.5 times more money to treat chronically ill patients than those without these conditions, and they make up many of the leading causes of death in Americans.

RPM is especially effective for these types of patients. Continuous management of chronic conditions is burdensome in traditional office or clinic settings. Patients bring in notebooks or phone apps filled with notes, self-assessments, and symptoms. The onus is on the patient, and the reliability of that data falls into the hands of individuals, which can result in inconsistent or partially inaccurate information. RPM takes this burden from patients and relies on accurate, consistent technology. It also allows providers to measure additional important vitals and to receive the information daily.

Chronic health patients have been on the rise. We need solutions to help treat these patients in an effective and economical way. RPM addresses these needs.

How RPM Helps Manage Chronic Care Costs

A study published by the National institute of Health in 2016 by doctors Usha Sambamoorthi, Xi Tan, and Arijita Deb states that “The presence of MCC [multiple chronic conditions] has profound healthcare utilization and cost implications for public and private insurance payers, individuals, and families.”

These conditions require detailed, comprehensive care that can prove challenging. RPM allows for nurses and doctors to have access to health information of a patient in real time, and makes it possible for clinicians to issue health orders that can curb unnecessary emergency department visits by reacting to changes seen from a patient’s monitoring device.

It also gives doctors more access to their patients and creates opportunity for early education in patient behavior and an overview of patient participation in their treatment plan. Doctors can get a look into a patient’s activity and use nurses for check-ins to encourage the patient to comply with health orders. It gives doctors the power to give quality care outside of clinical settings and increases health outcomes. RPM gives doctors the information they need on a timely basis, which allows for swift intervention for high-risk patients.

Benefits to Providers

One concern for doctors when implementing RPM is the possibility of an increased workload, with doctors having to monitor patients regularly even when the patient is not receiving direct care. Doctor burnout is common, and its alleviation has its own value. An Ernst and Young’s 2018 survey on digital health showed that almost sixty five percent of physicians believe that “technology that captures consumer-generated data will reduce the burden on doctors and nurses specifically.”

However, there are solutions for providers to cut down on their work while providing better patient care through RPM. First, most monitoring devices have their technology programmed to inform the provider when there are anomalies or potential patient problems. Second, doctors can also use an outside remote nurse service to monitor the data coming from the devices. An efficient RPM company who provides this service can improve patient care while decreasing the workload on the physicians.

Industry Willingness to Implement RPM

According to a Spyglass Consulting Group report in 2019, at least 88 percent of healthcare organizations have an interest in investing in some form of remote patient monitoring technology to pivot to value-based care. Eighty-nine percent of practices surveyed in Spyglass’s report say that they are actively drafting strategies to get patients to take an active, continuous role in managing their chronic health issues. RPM as a prong to this strategy gives a continuous link between patient and doctor, and it supports these kinds of initiatives.

Health insurance companies have shown an interest as well. In 2019 the Centers for Medicare & Medicaid Services proposed several amendments designed to increase remote patient monitoring programs by improving reimbursements. Some of these amendments include reimbursements for RPM setup and patient education, which is a big incentive to providers who are thinking of implementing this technology. Revisions to who may monitor these devices have also occurred. This allows registered nurses (RNs) or medical assistants to do the bulk of the monitoring, freeing up physicians and nurse practitioners.

Conclusion

Remote patient monitoring offers a way for practices, hospitals, and health insurance companies to lower their costs, deliver continuous quality care, and alleviate doctor workloads. As we move forward, the value of remote patient monitoring will continue to evolve for healthcare organizations and implemented into care plans for the chronically ill.

TriageLogic

Dr. Ravi Raheja is the medical director at TriageLogic, a leader in telehealth technology and services. If you have any questions on how to implement remote monitoring for your patients, contact TriageLogic at info@triagelogic.com.

TriageLogic Announces Free 30-Day Trial of Telephone Triage Software

TriageLogic® announces a free thirty-day trial of their telephone triage software, MyTriageChecklistTM, for medical organizations. This software is web-based, and it includes triage protocols developed by Dr. Schmitt and Dr. Thompson for pediatric and adult patients respectively. The software ensures that nurses triage patients safely and document the call when speaking to them on the phone.

For the first time, TriageLogic is giving organizations thirty free days to use the software and experience its benefits, which include saving time, ensuring appropriate patient care advice and documentation, and increasing patient and nurse satisfaction. The software allows doctors to know their patients are receiving the most appropriate disposition every time they call. TriageLogic also includes free training by its experienced call center nurse manager, Rose Moon, RN.

Once organizations sign up for a free trial, they have instant access to the software. It’s created to be user-friendly, and TriageLogic provides additional resources to make it easy for nurses to learn the software and tips on how to select the right protocols. This includes free live training, as well as courses on telephone nurse triage in the free learning center.

TriageLogic

MyTriageChecklist is an easy to use, secure, effective solution that can help your practice adapt to major health events, such as COVID-19. Sign up for their free thirty-day trial or contact them for more information.

Vendor Spotlight On TriageLogic


TriageLogic

Adapting to the Demands of Healthcare with High-quality Solutions for Nurse Triage and Remote Patient Care

In 2006 by Charu Raheja, Ph.D., founded TriageLogic with the purpose of using modern nurse telehealth technology and medical expertise to improve access to healthcare. Their goal is to ensure everyone receives the same standard of care regardless of where they live. Ravi Raheja, MD, serves as the medical director and COO, overseeing all nursing and technology operations in the company to ensure patients receive the highest level of care.

Over the last thirteen years, TriageLogic has stayed true to its mission and continues to provide innovative nurse telehealth technology and mobile applications. TriageLogic also operates one of the largest URAC-accredited healthcare call centers in the United States. As healthcare has evolved, TriageLogic has continued to adapt and release new product lines to meet the changing needs of the industry.

The year 2020 has challenged our healthcare system, causing many medical professionals to work around the clock to implement emergency remote support solutions for patients. TriageLogic has been proud to assist with the COVID-19 pandemic by quickly adapting and creating easy-to-implement solutions for hospitals, medical organizations, and health centers to use for patient care during the COVID-19 crisis.

The following lists some of the solutions available for clients:

Nurse Triage On Call

TriageLogic maintains one of the most sophisticated URAC accredited nurse triage systems in the United States. Their call center software allows clients to customize orders after nurses evaluate the symptoms presented by patients. Nurses can share handouts with patients on behalf of doctors, and MDs can communicate securely with nurses using HIPAA-compliant texting. The company quickly ramped up its services and software implementation as it observed a call volume increase by as much as 35 percent due to COVID-19.

Customized Coronavirus-Trained Hotline and Patient Triage System

These hotlines include a combination of online systems and a remote call center telephony with triage protocols. By partnering with physicians, TriageLogic helps millions of concerned callers, evaluate their symptoms, and coordinate testing for thousands of patients.

Remote Call Center with a Phone System for Doctors and Nurses

TriageLogic can set up nurses and doctors to work remotely, including connecting all staff to a call center-grade, HIPAA-compliant phone system. This system allows organizations to keep their clinical staff at home and coordinate as a team as if they were in the office. From front desk staff to nurses and doctors, the entire team stays together while working remotely, including scheduling visits and conducting telehealth visits. Using secure phone lines keeps patient information confidential.

Nurse Triage Software with Up-To-Date Protocols (including COVID-19)

MyTriageChecklist is a fast-to-train, web-enabled software from TriageLogic that provides continuity in patient care and education. It takes less than an hour to implement, does not store any sensitive patient information, and offers an easy-to-use interface to ensure nurses ask and consistently document all relevant questions related to patient symptoms.

It also includes triage protocols written by Dr. Schmitt and Dr. Thompson, which are updated in real-time. For example, COVID-19 protocols receive regular updates as information becomes available.

Remote Patient Monitoring (RPM)

As monitoring technologies continue to gain traction, the healthcare industry views RPM as a way to help control the cost of care for those with chronic diseases such as congestive heart failure, COPD, asthma, and diabetes.

However, the amount of data that’s generated by monitoring technologies is vast. TriageLogic has partnered with several device companies to create a full end-to-end monitoring system. The system makes it easy for doctors to monitor their chronically ill patients without adding administrative or clinical burden to their staff. TriageLogic can also create specific protocols for nurses to use based on devices and patient conditions.

Reporting Portal

Finally, all TriageLogic solutions come with a robust reporting portal to provide in-depth analytics on the outcomes from patient interaction. TriageLogic aims to stay ahead of the demands of healthcare and create ready-made and easy to implement solutions to continue helping providers give the best possible care to their patients.

TriageLogic is a URAC accredited, physician-led provider of high-quality telehealth services, nurse triage, triage education, and software for telephone medicine. Their comprehensive triage solution includes integrated mobile access and two-way video capability. The TriageLogic group serves over 7,000 physicians and covers over 18 million lives nationwide.

Protocols Updated to Cover Coronavirus


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To address Coronavirus concerns, Doctors Schmitt and Thompson have updated their Clinical Content protocols. The coronavirus protocols include appropriate questions to screen patients who may be at risk as well as dispositions based on symptoms and exposure. The protocols also contain pertinent information from a public health reporting perspective to help prevent the spread of the virus. 

The coronavirus protocols include appropriate questions to screen patients who may be at risk as well as dispositions based on symptoms and exposure. Click To Tweet

Coronavirus is a respiratory disease caused by a new strain of coronavirus, first detected in China, has now been diagnosed throughout most of the world. The virus is named SARS-CoV-2, and the disease it causes has been named coronavirus disease 2019, abbreviated COVID-19. On January 30, 2020, the International Health Regulations Emergency Committee of the World Health Organization declared the outbreak a public health emergency of international concern. 

At this time, there is no vaccine to protect against COVID-19 and no medications approved to treat it. According to the CDC, nonpharmaceutical interventions are the most important response strategy. As the virus outbreak continues to evolve, TriageLogic will provide its clients with the latest information to allow for the best-possible patient care. 

TriageLogic

Contact TriageLogic if you have questions about their protocols or if you would like their triage nurses to be available to answer your patient phone calls. To learn more about COVID-19, see information from the World Health Organization

TriageLogic Implements Emergency COVID-19 Hotlines and Remote Care Solutions


TriageLogic

TriageLogic announced easy-to-implement solutions that hospitals, medical organizations, and health centers can use for patient care during the COVID-19 crisis. As the healthcare sector adapts to the coronavirus pandemic, many medical professionals work around the clock to implement emergency support solutions for patients who present worrying symptoms, as well as those who need help understanding the guidelines for care. 

A COVID19 hotline is available 24/7 to screen patient questions, provide information, and follow scripts on behalf of specific practices and medical groups. Click To Tweet

The following solutions have minimal implementation time requirements:

  • A Coronavirus-trained hotline is available 24/7 to screen patient questions, provide information, and follow scripts on behalf of specific practices and medical groups. With a significant increase in patient calls, the ability to discern which ones require additional medical attention and which are only seeking advice is paramount to a functional office staff. 
  • Nurse triage software with Covid-19 protocols, through MyTriageChecklist, is a fast-to-train, web-enabled software that provides continuity in patient care and education. It takes less than an hour to implement, does not store any sensitive patient information, and offers an easy-to-use interface to ensure nurses consistently ask and document all relevant questions related to patient symptoms. 
  • Remote call center with phone system can enable your certified nurses to work at any location connected to a call center-grade, HIPAA-compliant phone system. This allows an organization to keep their clinical staff at home and coordinate as a team to remotely evaluate patients.

“We are working around the clock to help our current clients as well as other health centers put processes in place to help patients and concerned callers. We are also working with remote monitoring companies to have a process in place to help patients at risk, or after a hospitalization at their homes,” said TriageLogic’s Ravi Raheja, MD.

TriageLogic

TriageLogic offers easy to implement solutions for healthcare organizations to address the COVID-19 crisis. This includes setting up information hotlines, giving nurses the tools to evaluate patients over the phone, and helping set up remote call center phone systems. Visit www.triagelogic.com for more information or email info@triagelogic.com.

Implementing Virtual Call Centers with Telehealth Systems to Address COVID-19


TriageLogic

TriageLogic announced a quick-to-deploy and easy-to-use telehealth system with a virtual call center that hospitals, medical organizations, and health centers can use for patient care during the COVID-19 crisis.

As health organizations adapt to the coronavirus pandemic, they look for a system they can deploy quickly for staff and nurses to work remotely to set up doctor visits, answer patient questions, evaluate their symptoms, and determine who needs further evaluation by a doctor. Team members can communicate with their physicians and set up two-way video visits using secure, HIPAA-compliant texting options that do not require the use of a mobile app. This allows the remote hospital associates to set up and coordinate telehealth visits for doctors instead of in-person visits.

Nurses can also be included in the solution by having COVID-19 and other medical protocols available in a web-based system. The information from the phone call can be exported to the hospital’s EMR system or be integrated with Salesforce.

TriageLogic was able to set up a telehealth system within a couple of days for our nurses and doctors to work remotely and continue their medical visits. Click To Tweet

TriageLogic can deploy the following solutions related to sending staff home:

  • Cloud-based HIPAA compliant call center telephony system for coordination of remote staff
  • Phone system to connect remote workers with queueing and full contact center capability
  • COVID-19 nurse triage protocols for use with existing EMR or CRM such as Salesforce
  • Web-based triage software with COVID-19 and other protocols
  • Coordination of telemedicine visits between non-clinical, nurses, and doctors in client EMR
  • TriageLogic assists in recommending efficient workflow and implementation of two-way video visits

Additional solutions such as a fully staffed COVID-19 hotline and remote patient monitoring are also available. “TriageLogic was able to set up a telehealth system within a couple of days for our nurses and doctors to work remotely and continue their medical visits,” said Melinda, director of PPM business operations for a large children’s hospital.

TriageLogic

Visit www.TriageLogic.com or email info@triagelogic.com for more information.

Emergency Medical and Continuity Remote Care Solutions to Address the Coronavirus Outbreak


TriageLogic

By Ravi K. Raheja, MD

The Covid-19 pandemic continues to change nearly all parts of our lives and businesses. As a result of this national emergency, medical professionals, hospitals, and organizations are working around the clock to implement emergency support solutions for patients presenting worrying symptoms as well as those who need help understanding the guidelines for care.  

This article focuses on emergency solutions that providers can implement quickly in this time of crisis.

Set-up a Virtual Doctor Office

We understand that virtual visits are going to be necessary to save time and decrease in-person patient contact. However, medical practices must consider how to create a system that allows medical visits to continue as if they were in the office. 

Here are some things to consider:

Doctors can evaluate patients over the phone and prescribe. Many practices already have the technology to see patients virtually, and there are several platforms available that healthcare providers, who do not yet have the technology, can implement quickly. When selecting a technology, choose a vendor that can provide HIPAA-safe calls, record information as needed, and make it easy to access without a mobile application.

Medical practices must consider how to create a system that allows medical visits to continue as if they were in the office.  Click To Tweet

Nurses play a vital role in helping contain the epidemic and alleviate the calls that go to the doctors. Nurses need to use triage protocols (including COVID-19 protocols) to evaluate and determine which patients require a consultation with a doctor. The protocols experience regular updates, written by doctors, as the latest information becomes available. These protocols are available for free from TriageLogic.

Software System

Look for a company that can quickly implement a virtual office that allows front desk, nurses, and doctors to continue working and operating remotely as if they were in an office. Vendors that have a record of working with doctors can implement these solutions quickly and affordably.

TriageLogic

Ravi K. Raheja, MD is the COO and medical director of the TriageLogic Group. Founded in 2005, TriageLogic is a URAC accredited, physician-led provider of high-quality telehealth services, nurse triage, triage education, and software for telephone medicine. Their comprehensive triage solution includes integrated mobile access and two-way video capability. For more information visit www.triagelogic.com and www.continuwell.com or email support@triagelogic.com

Good Clinical Documentation and the Telephone Triage Nurse


TriageLogic

By Heather Jarvis

When it comes to documenting triage calls, there’s always a fine balance between effective communications and liability risk. Nurses want to—and need to—effectively communicate information and directions to patients and those who may see their notes after the call. However, triage nurses must also cover themselves when it comes to liability.

So, what elements make good call documentation? Here are three tips to make sure your calls are well documented.

There’s always a fine balance between effective communications and liability risk. Click To Tweet

1. Make Your Communication Clear

Read your notes out loud and ask yourself, would this make sense to anyone else who reads it? Have I used the appropriate words? Does it have a definitive beginning and end?

2. Make Your Communication Concise

Think about what your narrative will look like to others. This applies not only to the next caregiver but six months or a year later when your instructions may face review. Are your communications direct and to the point?

3. Make Your Communication Credible

Use appropriate terminology, punctuation, and abbreviations. Make sure that others would view your documentation as written by someone who is knowledgeable. Always stick to the facts. Avoid jargon or slang. If a patient says she has a tummy ache, put that information in quotes so it’s known these were the patient’s words. Nurse triage documentation is not the place for personal views.

Conclusion

It’s important to remember that a nurse is judged by a reasonable standard: what a reasonable nurse would have done under the same or similar circumstances.

Every nurse wants to provide the best care, perfect care. But perfect care is not what the law requires. The law requires that a triage nurse provide reasonable care. Clear, concise, and credible documentation is always a best practice.

TriageLogic

Heather Jarvis is the communications and client engagement specialist at Triage Logic.

TriageLogic Offers Remote Patient Monitoring

TriageLogic announced it will apply its thirteen years of industry-leading phone triage experience in the emerging remote patient monitoring (RPM) market. As monitoring technologies continue to gain traction, the healthcare industry views RPM as a tool to help control the cost of care for those with chronic diseases such as congestive heart failure, COPD, asthma, and diabetes.

TriageLogic announced it will apply its thirteen years of industry-leading phone triage experience in the emerging remote patient monitoring (RPM) market. Click To Tweet

Monitoring devices collect large amounts of patient data—blood pressure, blood sugar, blood oxygen levels, heart rate, and more. Each device has its own data algorithm that flags abnormal conditions. Results from these devices are typically displayed on dashboards provided by the device company. A physician or their staff that’s monitoring multiple patients with multiple conditions would need to spend a significant amount of time reviewing every dashboard regularly. This is time taken away from face-to-face patient care.

“Digital health technology is sophisticated and has tremendous potential to help patients better manage their health,” said Ravi Raheja, M.D., TriageLogic medical director and CTO. “However, the amount of data that’s generated is vast. A medically trained professional must review the information and evaluate it in the context of the individual to determine the appropriate action. We have the history, experience, and trained nursing staff to review this data,” said Raheja.

TriageLogic is working with physicians and device companies to bridge the gap that exists between the mountains of data generated by health technology devices and the decisions that need to be made in support of better health.

All monitoring takes place behind the scenes and is seamless to patients. A patient simply uses their device as directed by their physician. TriageLogic’s registered nurses evaluate any alerts or deviations registered by the devices. The patient then receives a call from a TriageLogic nurse who will provide instructions for follow-up care. On January 1, 2020, the Centers for Medicare and Medicaid Services approved reimbursement for some virtual care monitoring, opening the door for more patients to request RPM.

“Most physicians don’t have the time or resources to monitor dashboards for multiple devices,” said Raheja. “TriageLogic’s resources allow physicians to do what they’re best at—spend quality face-to-face time with those who truly need medical intervention. We work closely with each physician group to ensure we understand their preferences and custom care -plans for patients with chronic disease.”

TriageLogic

TriageLogic is a technology-based service provider of remote patient monitoring services and quality telehealth solutions, including comprehensive after-hours call center services and innovative online systems for use in institutional and private practice settings. TriageLogic provides patient call solutions for more than 9,000 physicians and helps manage the care of more than eighteen million individuals.

How Triage Nurses Can Help Patients with Mental Health Conditions


TriageLogic

By Ravi K. Raheja

Telephone triage nurses have a more important role than ever before. Nearly one in five U.S. adults lives with a mental illness (44.7 million in 2016), which is why many adults with mental illnesses go untreated (60 percent according to a report from USA Today). This article addresses the growing concerns for mental health awareness and education.

Telephone triage nurses are often the first point of contact for those struggling with a mental illness and can help a patient recognize the need for intervention. So, what can telephone triage nurses do to help?

Provide Accurate and Timely Triage

Telephone triage nurses are often the first point of contact for a patient with mental health symptoms and as a result, nurses should be patient, flexible, and have great communication and listening skills. The nurse must combine both clinical judgment and emotional connections to assess the patient’s situation to identify possible mental health issues. The telephone triage nurse’s role is to obtain the most accurate medical history and assessment to rule out medical symptoms that require immediate attention.

Remove Biases That Can Impact the Triage Process

Good telephone triage nurses always remove any biases and stereotypes. Having preconceived notions and distinctive sets of thinking can lead to error in the treatment of patients.

Assess the Environment

The Emergency Nurses Association recommends treating patient agitation as if it’s “the chest pain of behavioral emergencies.” Key phrases such as “I understand” can help place a patient at ease and give them the space to talk to the nurse. Throughout the call, the nurse should assess the patient’s environment and resources available to determine the most appropriate care plan.

Manage Uncertainty

Not all patients will be able to accurately describe their condition, history, medical conditions, or other pertinent information. It is up to the nurse to decipher this uncertainty.

  • Assess the situation: How is the patient presenting? Is his or her speech coherent? Are they answering questions appropriately? Hallucinating? Delusional? Rambling?
  • Address the whole patient: One common occurrence within mental health care is “diagnostic overshadowing.” This happens when the focus on a patient’s mental health diagnosis overshadows their physical health needs.
  • Be an advocate: Triage nurses are the first to communicate with, provide support to, and manage patients with psychiatric or mental health issues. Acting as a patient’s initial advocate can be life-changing for that patient

In Conclusion

Triage nurses always have the callers’ safety in mind. They combine both clinical judgment and emotional connections to assess the patient’s situation and to identify possible mental health issues. Nurses need to know the local emergency assistance numbers in case they need to reach out for more assistance. Just talking about their problems for a length of time can help a great deal for many callers who might be suffering from a mental illness.

TriageLogic

Ravi K. Raheja, MD is the COO and medical director of the TriageLogic Group. Founded in 2005, TriageLogic is a URAC accredited, physician-led provider of high-quality telehealth services, nurse triage, triage education, and software for telephone medicine. Their comprehensive triage solution includes integrated mobile access and two-way video capability. The TriageLogic group serves over 7,000 physicians and covers over 18 million lives nationwide. For more information visit www.triagelogic.com and www.continuwell.com.