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		Maximizing VA Remote Patient Monitoring During the COVID-19 Response
							| Telehealth and Medicine Today
			</title>

	
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<meta name="DC.Creator.PersonalName" content="Catherine  Buck"/>
<meta name="DC.Creator.PersonalName" content="Rita Kobb"/>
<meta name="DC.Creator.PersonalName" content="Ron Sandreth"/>
<meta name="DC.Creator.PersonalName" content="Lisa Alexander"/>
<meta name="DC.Creator.PersonalName" content="Sherron Olliff"/>
<meta name="DC.Creator.PersonalName" content="Carla Anderson"/>
<meta name="DC.Creator.PersonalName" content="Carol Westfall"/>
<meta name="DC.Creator.PersonalName" content="Laurie Graaff"/>
<meta name="DC.Creator.PersonalName" content="Joseph Giovannucci"/>
<meta name="DC.Creator.PersonalName" content="Aszur Rollins"/>
<meta name="DC.Date.created" scheme="ISO8601" content="2021-07-30"/>
<meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2021-05-26"/>
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<meta name="DC.Description" xml:lang="en" content="Abstract
&amp;nbsp;Objective: The Veterans Health Administration has one of the largest remote patient monitoring programs in the United States and is supported by an enterprise-wide infrastructure for providers, clinicians, staff, Veterans, and caregivers. The COVID-19 pandemic, however, presented new challenges: a sudden need to provide large-scale remote monitoring for a new disease that did not yet have a disease management protocol. VHA needed to be ready within weeks to provide this daily monitoring for hundreds — even thousands — of Veterans.
&amp;nbsp;Methods: The U.S. Department of Veterans Affairs Office of Connected Care already had a comprehensive infrastructure in place for its Remote Patient Monitoring – Home Telehealth (RPM – HT) program. Connected Care activated and built on this infrastructure to support providers, clinicians, and staff in their efforts to rapidly bring RPM – HT to Veterans across the nation when they had COVID-19 symptoms or exposure. To do this, Connected Care activated an emergency management plan, rapidly developed a new COVID-19-specific disease management protocol, added weekend monitoring, and procured critically needed monitoring supplies, such as thermometers and pulse oximeters. Connected Care’s strong foundation allowed for innovation and flexibility, such as the training of non-RPM – HT staff in RPM – HT processes, RPM – HT enrollment within acute care settings, and new strategic partnerships.
Outcomes: More than 23,500 Veterans were enrolled for COVID-19-related monitoring from March 2020 to May 2021. At points in December 2020 and January 2021, the number of Veterans being monitored in a single day topped 2,000. Even with this rapid buildup, patient satisfaction levels remained at about 90% in numerous categories. In addition, the percentage of Veterans admitted to VA facilities while on COVID-19-related home monitoring has been extremely low, at 4%, a potential indicator that the monitoring system has been helpful in enabling Veterans who did have the virus to convalesce at home. Further study is needed to determine the impact RPM – HT enrollment for COVID-19 care had on the need for inpatient care.
Conclusion: The Office of Connected Care’s established, enterprise-wide RPM – HT business, clinical, and technical infrastructure enabled VHA to enter the COVID-19 public health emergency well-positioned for the rapid deployment and growth of at-home and mobile monitoring. As the COVID-19 emergency made at-home management of Veterans increasingly important, the national RPM – HT program successfully adapted its practices to meet Veteran, caregiver, and staff needs."/>
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<meta name="DC.Rights" content="Copyright (c) 2021 Catherine  Buck, Rita Kobb, Ron Sandreth, Lisa Alexander, Sherron Olliff, Carla Anderson, Carol Westfall, Laurie Graaff, Joseph Giovannucci, Aszur Rollins"/>
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<meta name="citation_author" content="Rita Kobb"/>
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<meta name="citation_author" content="Ron Sandreth"/>
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<meta name="citation_author" content="Lisa Alexander"/>
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<meta name="citation_author" content="Sherron Olliff"/>
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<meta name="citation_author" content="Carla Anderson"/>
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<meta name="citation_author" content="Laurie Graaff"/>
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<meta name="citation_author" content="Joseph Giovannucci"/>
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<meta name="citation_author" content="Aszur Rollins"/>
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<meta name="citation_title" content="Maximizing VA Remote Patient Monitoring During the COVID-19 Response"/>
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<meta name="citation_keywords" xml:lang="en" content="Home Telehealth"/>
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		Maximizing VA Remote Patient Monitoring During the COVID-19 Response
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					<h2 class="pkp_screen_reader">Authors</h2>
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											<li>
							<span class="name">
								Catherine  Buck
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
											<li>
							<span class="name">
								Rita Kobb
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															<span class="affiliation">
									U.S. Department of Veterans Affairs
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									<a href="https://orcid.org/0000-0003-0616-739X" target="_blank">
										https://orcid.org/0000-0003-0616-739X
									</a>
								</span>
													</li>
											<li>
							<span class="name">
								Ron Sandreth
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
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							<span class="name">
								Lisa Alexander
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
											<li>
							<span class="name">
								Sherron Olliff
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
											<li>
							<span class="name">
								Carla Anderson
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
											<li>
							<span class="name">
								Carol Westfall
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
											<li>
							<span class="name">
								Laurie Graaff
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
											<li>
							<span class="name">
								Joseph Giovannucci
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
											<li>
							<span class="name">
								Aszur Rollins
							</span>
															<span class="affiliation">
									U.S. Department of Veterans Affairs
																	</span>
																				</li>
										</ul>
				</section>
			
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														DOI:
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							<a href="https://doi.org/10.30953/tmt.v6.281">
								https://doi.org/10.30953/tmt.v6.281
							</a>
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									<section class="item keywords">
				<h2 class="label">
										Keywords:
				</h2>
				<span class="value">
											COVID-19, 											Remote Patient Monitoring, 											Home Telehealth, 											Telehealth, 											Department of Veterans Affairs, 											VA									</span>
			</section>
			
										<section class="item abstract">
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					<p><strong>Abstract</strong></p>
<p> <strong>Objective</strong>: The Veterans Health Administration has one of the largest remote patient monitoring programs in the United States and is supported by an enterprise-wide infrastructure for providers, clinicians, staff, Veterans, and caregivers. The COVID-19 pandemic, however, presented new challenges: a sudden need to provide large-scale remote monitoring for a new disease that did not yet have a disease management protocol. VHA needed to be ready within weeks to provide this daily monitoring for hundreds — even thousands — of Veterans.</p>
<p> <strong>Methods</strong>: The U.S. Department of Veterans Affairs Office of Connected Care already had a comprehensive infrastructure in place for its Remote Patient Monitoring – Home Telehealth (RPM – HT) program. Connected Care activated and built on this infrastructure to support providers, clinicians, and staff in their efforts to rapidly bring RPM – HT to Veterans across the nation when they had COVID-19 symptoms or exposure. To do this, Connected Care activated an emergency management plan, rapidly developed a new COVID-19-specific disease management protocol, added weekend monitoring, and procured critically needed monitoring supplies, such as thermometers and pulse oximeters. Connected Care’s strong foundation allowed for innovation and flexibility, such as the training of non-RPM – HT staff in RPM – HT processes, RPM – HT enrollment within acute care settings, and new strategic partnerships.</p>
<p><strong>Outcomes: </strong>More than 23,500 Veterans were enrolled for COVID-19-related monitoring from March 2020 to May 2021. At points in December 2020 and January 2021, the number of Veterans being monitored in a single day topped 2,000. Even with this rapid buildup, patient satisfaction levels remained at about 90% in numerous categories. In addition, the percentage of Veterans admitted to VA facilities while on COVID-19-related home monitoring has been extremely low, at 4%, a potential indicator that the monitoring system has been helpful in enabling Veterans who did have the virus to convalesce at home. Further study is needed to determine the impact RPM – HT enrollment for COVID-19 care had on the need for inpatient care.</p>
<p><strong>Conclusion:</strong> The Office of Connected Care’s established, enterprise-wide RPM – HT business, clinical, and technical infrastructure enabled VHA to enter the COVID-19 public health emergency well-positioned for the rapid deployment and growth of at-home and mobile monitoring. As the COVID-19 emergency made at-home management of Veterans increasingly important, the national RPM – HT program successfully adapted its practices to meet Veteran, caregiver, and staff needs.</p>
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																			<span>2021-07-30</span>
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																										<p>Copyright (c) 2021 Catherine  Buck, Rita Kobb, Ron Sandreth, Lisa Alexander, Sherron Olliff, Carla Anderson, Carol Westfall, Laurie Graaff, Joseph Giovannucci, Aszur Rollins</p>
														<a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/"><img alt="Creative Commons License" src="//i.creativecommons.org/l/by-nc/4.0/88x31.png" /></a><p>This work is licensed under a <a rel="license" href="https://creativecommons.org/licenses/by-nc/4.0/">Creative Commons Attribution-NonCommercial 4.0 International License</a>.</p>
																<p>Authors retain copyright of their work, with first publication rights granted to  <em>Telehealth and Medicine Today (TMT).</em></p>
<p><em>TMT is published under a <a href="http://creativecommons.org/licenses/by-nc/4.0/" rel="license">Creative Commons Attribution-NonCommercial 4.0 International License</a>. </em></p>
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