Skip to main content

Main menu

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Current Issue
  • Content
    • Current Issue
    • Early Access
    • Multimedia
    • Podcast
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • Plain Language Summaries
    • Calls for Papers
  • Info for
    • Authors
    • Reviewers
    • Job Seekers
    • Media
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • Podcast
    • E-mail Alerts
    • Journal Club
    • RSS
    • Annals Forum (Archive)
  • Contact
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
Meeting ReportHealthcare informatics

Lessons from a Remote Patient Monitoring Program Implementation Among Community Clinics

Rose Gunn, Shelby Watkins, Rachel Gold and David Boston
The Annals of Family Medicine November 2023, 21 (Supplement 3) 5148; DOI: https://doi.org/10.1370/afm.22.s1.5148
Rose Gunn
MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Shelby Watkins
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rachel Gold
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
David Boston
MD, MS, FACC
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

Context Many patients at community-based health centers experience chronic conditions and face barriers in accessing technologies that can help with the management of these conditions. Remote patient monitoring (RPM) is an effective telehealth method for supporting chronic condition management, but little prior research has assessed how community clinics can implement RPM among their patients.

Objective Using lessons learned from evaluation of an RPM program in three communitybased health centers, we describe the EHR tools and implementation strategies subsequently developed to better support future RPM programs in the same clinic network.

Study Design and Analysis Mixed methods explanatory sequential evaluation. Qualitative data included semi-structured interviews, analyzed thematically using an implementation framework. Quantitative data were extracted from the clinics’ shared EHR and analyzed descriptively.

Setting Three community-based health care organizations from the multi-state OCHIN network.

Population Studied Health center staff and patients at clinics participating in the RPM program.

Intervention/Instrument RPM program tools and implementation strategies.

Outcome Measures RPM implementation and health impact.

Results The three participating health centers implemented the RPM programs in different ways, and only one distributed sufficient devices for outcome measure assessment. Though associated health outcomes were promising when RPM devises were fully utilized, the RPM program faced barriers to adoption including a lack of EHR tools to support device orders and reporting, difficulties with device integration, and a lack of training and educational materials for diverse different patient populations. Evaluation findings were leveraged to address these barriers in future RPM programs by developing and refining related EHR tools and program implementation supports.

Conclusions The experiences of three community-based health organizations indicate that while RPM technology holds promise for addressing their patients’ chronic disease management needs, successful and equitable RPM implementation requires substantial investment in implementation support and the development of EHR tools to support the use of RPM. The new EHR tools and implementation support developed in the processes described here will be evaluated in a future prospective assessment.

  • © 2023 Annals of Family Medicine, Inc.
Previous
Back to top

In this issue

The Annals of Family Medicine: 21 (Supplement 3)
The Annals of Family Medicine: 21 (Supplement 3)
Vol. 21, Issue Supplement 3
1 Nov 2023
  • Table of Contents
  • Index by author
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Lessons from a Remote Patient Monitoring Program Implementation Among Community Clinics
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
13 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Lessons from a Remote Patient Monitoring Program Implementation Among Community Clinics
Rose Gunn, Shelby Watkins, Rachel Gold, David Boston
The Annals of Family Medicine Nov 2023, 21 (Supplement 3) 5148; DOI: 10.1370/afm.22.s1.5148

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
Lessons from a Remote Patient Monitoring Program Implementation Among Community Clinics
Rose Gunn, Shelby Watkins, Rachel Gold, David Boston
The Annals of Family Medicine Nov 2023, 21 (Supplement 3) 5148; DOI: 10.1370/afm.22.s1.5148
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • The bot will answer you now: Using AI to assist patient-physician communication and implications for physician inbox workload
  • Research as a Change Catalyst: The Impact of EHR InBasket Spring Cleaning and Compassion Team Practice on Reducing Burnout
  • Clinical integration of digital PROMs in primary healthcare for chronic diseases management - a systematic review
Show more Healthcare informatics

Similar Articles

Content

  • Current Issue
  • Past Issues
  • Early Access
  • Plain-Language Summaries
  • Multimedia
  • Podcast
  • Articles by Type
  • Articles by Subject
  • Supplements
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Job Seekers
  • Media

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2025 Annals of Family Medicine