TABLE 1.
Considerations When Adopting a Remote Monitoring Program Into Practice
| Domain | Ways Monitoring Systems May Vary | Additional Considerations |
|---|---|---|
| Data type | ||
| Objective data | Direct count (eg, respiratory rate) | Ability for information to be trended over time |
| Device collection based (eg, scale-measured wt) | Accuracy and precision of objective values measured at home | |
| Subjective data (constructs): | Patient-reported outcome measures (eg, asthma control measures; depression or anxiety scores) | Availability of validated instrument for subjective constructs can be scored with a value that can be trended over time |
| Diary entries (eg, nutrition) | ||
| Data collection and processes | ||
| Passive (automatic) | Device measures, collects, and displays data directly (eg, activity watch) | Frequency of data collection relative to anticipated changes in patient’s condition and/or needs |
| Device collect and transfers data for display (eg, Bluetooth-enabled scale for wt) | Convenience of data collection within patient and family routine | |
| Active (manual) | Device only measures data (eg, digital wt scale) | Adherence of patient and family to data entry |
| Device measures and enters but does not display | Literacy with technology and numeracy by patient and family | |
| Privacy and other data protection standards (eg, dual factor authentication) | ||
| Device characteristics | ||
| Hardware | Data measurement tool (eg, glucose monitor, pulse oximeter) | Reliability, precision, and cost of device and software |
| Attachments (eg, strips, adhesive sensor) | Integration of data measurement with display software | |
| Data entry or display device, if applicable (eg, tablet) | Option for abnormal data alarm management in software | |
| Software | Platforms or apps for the data collection, entry, transfer, display, and action | Integration of software with electronic health record or other apps |
| Connection of device and software with cellular data or Wi-Fi | ||
| User roles | ||
| Patient and family | Role(s) in training, collection, entry, transfer, interpretation, and action | Clearly defined roles and responsibilities of each user type |
| Providers | Role(s) in training, transfer, interpretation, and action | Education and training in use and roles |
| Health system | Role in setting agreements with third-party vendors on health data privacy and security | Data accessibility (ie, viewing rights), including for adolescent patients |
| Integration of RPM care into existing workflows |