Truman Medical Centers (TMC) and Cerner have teamed-up to launch disease management programs supported by advanced remote patient monitoring technology. Through the initiative, TMC clinicians are working to proactively engage patients in their health and improve outcomes for groups of individuals with high-risk chronic conditions.
The system is powered by Algorithms configured in Cerner's HealtheIntent population health management platform that can identify select groups of TMC's patient population with conditions like diabetes and chronic heart failure who could benefit from enhanced health monitoring. These patients are given remote patient monitoring kits with medical devices that are connected to their individual electronic health records.
"Diabetes and chronic heart failure are not only common, life-threatening and costly diseases, they are also extremely preventable," said Mitzi Cardenas, senior vice president and chief strategy and information officer, TMC. "Our goal is to encourage participants to more actively manage their care and provide our care teams with the tools and opportunities to intervene with treatment, ultimately working to positively impact health conditions and prevent readmissions."
HealtheIntent aggregates and analyzes participant health information and sends automated alerts of concerning data patterns in near real-time to help TMC care teams proactively intervene with essential treatment plans.
After six to nine months, participants' health metrics will be assessed to determine if their health outcomes have improved. TMC and Cerner will use the results of the pilot to inform the expansion of similar remote patient monitoring programs at TMC and across the healthcare industry.
"While providers deliver care in traditional health care settings, health crises or situations typically occur outside of this setting, like their home, workplace or in the community," said Ryan Hamilton, senior vice president of population health, Cerner. "We're proud to use our technology to engage in proactive care management and provide the solutions and support that participants need to manage their health."