Telehealth Tool Shows 50% Reduction in Cardiovascular Hospital Readmissions

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Cardiac Solutions, a physician-owned practice specializing in personalized treatment plans, used RevUp Remote Patient Monitoring and Chronic Care Management to achieve these cardiovascular readmission rates.

Cardiac Solutions, a physician-owned practice specializing in personalized treatment plans, showed a 50% reduction in hospital cardiovascular readmission rates when using RevUp Remote Patient Monitoring and Chronic Care Management in their program, according to a press release from MD Revolution.1

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The monitoring and management program resulted in record patient enrollment, vitals collected, and patient adherence, according to the case study authors. It also showed a record number of low patient escalations back to providers.2 The programs were curated for the practice’s patient populations and clinical goals and included care and digital applications for patient education, medical adherence, continuity of care, and early interventions. RevUp, MD Revolution’s remote care management service, included advanced analytics for the practice, according to the case study.2

3 Key Takeaways

  1. Implementation of RevUp Remote Patient Monitoring and Chronic Care Management by Cardiac Solutions led to a remarkable 50% decrease in hospital cardiovascular readmission rates.
  2. The study highlights the substantial clinical impact of Medicare's chronic care and remote patient monitoring programs, with only 10 enrolled patients needed to prevent a single hospital readmission.
  3. This approach not only benefits patients by keeping them out of the hospital but also contributes to improved outcomes and cost savings for insurance providers and hospitals.

“The significant reductions in hospitalizations at 30 days and extending to 1 year are a powerful statement to the effectiveness of Medicare’s chronic care and remote patient monitoring programs,” Samir Damani, MD, co-founder of MD Revolution, said in the press release. “The clinical impact is remarkable given that only 10 people have to be enrolled in the program to prevent a single hospital readmission. This is almost an order of magnitude greater in clinical impact than what is seen from common therapies, such as statins used in millions of [individuals] in the prevention of coronary heart disease.”1

According to an article published in Circulation, in a study of heart failure hospital readmissions, investigators found that 18.2% of the individuals in the study were readmitted to the hospital within 30 days and 31.2% were readmitted within 90 days.3

The practice conducted a study including 26,689 patients, with 1037 individuals who were enrolled in care before their first admission occurred or within 30 days of first admission.2 The study investigators conducted analysis of data to identify any patterns, trends, and insight regarding patient readmission and RevUp, according to the case study authors. The percent change of readmission was evaluated among those who were enrolled in the monitor and management programs and those who were not.2

At study initiation, the practice achieved a 7% for 30-day readmission rate for those using RevUp compared to 15% for those who were not enrolled.1 Furthermore, the study results also showed that patients using RevUp for 1 year achieved a 19% readmission rate compared to 30% of patients not enrolled. According to MD Revolution, the average cost of a cardiac remission is approximately $15,000 per patient, so the remote care monitoring has the potential to not only save money for patients, but health care systems.1

“Population health management is important to us, and MD Revolution’s RevUp engagement technology and care team made a clear difference in the health of our patients.” Christine Onstott, director of Operations, Cardiac Solutions, said in the press release. “Our goal was to reach patients with chronic conditions and provide them with quality care in between their already scheduled in-office visits with cardiologists. Keeping a patient out of the hospital is good for the patient, insurance providers, and hospitals.”1

References

  1. Study Results: MD Revolution and Cardiac Solutions Achieve 50% Reduction in 30-Day Cardiovascular Readmissions Using RevUp Remote Care Management. News release. MD Revolution. February 6, 2024. Accessed February 8, 2024. https://mdrevolution.com/study-results-md-revolution-and-cardiac-solutions-achieve-50-reduction-in-30-day-cardiovascular-readmissions-using-revup-remote-care-management/
  2. MD Revolution. How Cardiac Solutions took already low readmission rates and found a new path to further reduce by 50%. Accessed February 8, 2024. https://mdrevolution.com/wp-content/uploads/2024/01/Case-Study_MD-Revolution-and-Cardiac-Solutions.pdf
  3. Khan MS, Sreenivasan J, Lateef N, et al. Trends in 30- and 90-Day Readmission Rates for Heart Failure. Circ Heart Fail. 2021;14(4):e008335. doi:10.1161/CIRCHEARTFAILURE.121.008335
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