Table 1.

Overview of the objectives for each visit at each timepoint.

Months and telehealth visit number		Techniques used and topics covered
1-2
	1	Teach patient how to use app, home BPa, and glucometer
	2	Review technology with patient, troubleshoot any issues
3-4
	3	Using MIb, discuss current control of hypertension and barriers to optimal control
	4	Educate on importance of hypertension control and implement strategies to improve self-monitoring and management
5-6
	5	Using MI, discuss current control of DMc and barriers to optimal control
	6	Educate on importance of DM control and implement strategies to improve self-monitoring and management
7-8
	7	Using MI, discuss current control of anemia and barriers to optimal control
	8	Educate on importance of anemia control and implement strategies to improve management
9-10
	9	Using MI, discuss adherence to immunosuppression and barriers to optimal adherence
	10	Educate on importance of medication adherence and implement strategies to optimize adherence
11-12
	11	Educate importance of staying active and implement strategies to improve staying active and exercising
	12	Educate importance of smart dietary choices and implement strategies to choose wisely
13-14
	13	Review current hypertension control and using MI, identify barriers to optimal control
	14	Implement additional strategies to improve hypertension control
15-16
	15	Review current DM control and using MI, identify barriers to optimal control
	16	Implement additional strategies to improve DM control
17-18
	17	Review current anemia control and using MI, identify barriers to optimal control
	18	Implement additional strategies to improve anemia control
19-20
	19	Review medication adherence and implement strategies to improve if not optimal
21-22
	20	Discuss any ongoing issues with patient precluding optimal management of comorbidities and adherence
23-24
	21	Study close-out session. Conduct surveys and implement plan for continued engagement

^aBP: blood pressure.

^bMI: motivational interviewing.

^cDM: diabetes mellitus.