How to Implement Cardiac Patient Engagement & Remote Monitoring

WHITEPAPER PREVIEW

Chapter one: Why Cardiac Patient Engagement & Remote Patient Monitoring?

The healthcare journey can be a confusing and overwhelming process for cardiac patients. Patients are learning complex instructions, managing anxiety, and dealing with stress – often for the first time. Research suggests that over 30% of patients undergoing cardiac procedures or chronic care journeys surgery can experience anxiety. 1

Providers often feel as if they are sending patients into a blackhole, especially after discharge. Although providers hope for patients to have a straightforward recovery, the reality is that:

• 30-day mortality rate for over 774,000 coronary artery bypass surgeries was 2.3%, and was 3.4% for over 109,000 isolated valve surgeries. 2
• 30-day cardiac surgical readmissions have been observed as high as 12.3%. 3

These challenges have increased as a result of the COVID-19 pandemic; moving forward, hospitals are looking at remote monitoring solutions to decrease the procedure backlog and discharge patients sooner - all while considering patient safety. It is estimated that heart surgeries in the United States decreased by 53% as a result of pandemic-related factors. 4

Cardiac Patient Engagement and Remote Monitoring represents a scalable way for providers to stay connected with cardiac patients pre- and post-discharge, thereby increasing confidence for earlier discharge and improving patient safety. Many hospitals and health systems have successfully implemented Cardiac Patient Engagement and Remote Monitoring, including:

• Baystate Health: ↓ 0.9 days Length of Stay (LOS), ↓72% 30-day readmissions, ↓60% SNF use 5
• St. Francis Hospital: ↓45% 30-day readmissions during COVID-19 6
• Prairie Heart Institute: ↓ 1.0 days LOS, ↓45% 30-day readmissions, ↓64% SNF use 7

In this white paper, we will walk you through the nuts and bolts of implementing a Cardiac PatientEngagement and Remote Monitoring program to achieve similar results to the organizations above.

1 Carneiro, A.F., Mathias, L.A., Junior, A.R., et al. (2009). Evaluation of preoperative anxiety and depression in patients undergoing invasive cardiac procedures. Revbras anestiol, 59(4):431-8. https://doi.org/10.1016/j.athoracsur.2013.10.040

2 Mazzeffi M, Zivot J, Buchman T, Halkos M. In-hospital mortality after cardiac surgery: patient characteristics, timing, and association with postoperative length of intensive care unit and hospital stay. Ann Thorac Surg, 97(4):1220-5. https://doi.org/10.1016/j.athoracsur.2013.10.040

3 Trooboff, S., Magnus, P., Ross, C., Chaisson, K., Kramer, R., & Helm, R. et al. (2019). A multi‐center analysis of readmission after cardiac surgery: Experience of The Northern New England Cardiovascular Disease Study Group. Journal Of Cardiac Surgery, 34(8), 655-662. https://doi.org/10.1111/jocs.14086

4 Linda, S. (2021). The Big Number: During pandemic, heart surgeries plummeted by 53 percent. Retrieved 7 July 2021, from https://www.washingtonpost.com/health/the-big-number-during-pandemic-heart-surgeries-plummeted-by-53-percent/2021/02/05/35d13f4e-6703-11eb-8468-21bc48f07fe5_story.html

5 Sardana, A. (2020). Implementing a Patient Engagement Platform For Cardiac Enhanced Recovery After Surgery. [Case study]. https://seamless.md/wp-content/uploads/2020/01/Seamless-MD-Baystate-case-study.pdf

6 Gomez, R., & Sardana, A. (2020, September 28). St. Francis Hospital Keeps Cardiac Patients Safe During COVID-19 with SeamlessMD, Cuts Readmission Rate by 45% [Press release]. https://www.einpresswire.com/article/527206715/st-francis-hospital-keeps-cardiac-patients-safe-during-covid-19-with-seamlessmd-cutsreadmission-rate-by-45

7 Sardana, A. (2020). Leveraging Patient Engagement Technology to Deliver a Virtual Cardiac Surgical Home. [Case study]. https://seamless.md/wp-content/uploads/2020/01/Prairie-case-study-updated.pdf

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