VITAL SIGNS VIA BROADBAND: - Broadband Illinois

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-10-diabetics. 34 These tasks can all be accomplished on a regularly scheduled basis without the needfor in-person care. 35Heart patients are also important beneficiaries of telemedicine capabilities. Congestiveheart failure (CHF) and coronary artery disease (CAD) account for a large and increasingproportion of health care expenditures. 36 Regular measurement of weight, blood pressure, heartrate, and blood oxygen saturation is critical for providing effective care for these patients. 37 Bycollecting information on a regular basis, medical teams can get a more complete picture of aheart patient’s health and spot dangerous trends such as weight gain due to fluid retention. 38 Thisinformation enables physicians to make more informed, timely decisions about furtherinterventions, hospitalizations, and other more aggressive courses of treatment. 39 Studies showthat heart patients receiving telemedicine care at home experience lower mortality rates and theduration of hospital admissions is reduced. 40Chronic obstructive pulmonary disease (COPD) sufferers form another key patientgroup that can benefit from telemedicine. COPD is a group of conditions involving decreasedlung function such as bronchitis or emphysema. Although the symptoms of COPD are a constantfeature of patients’ lives, these symptoms can worsen at times, calling for temporary medical34. Hebert et al. at 789.35. Pennsylvania Homecare Association at 2 (comparing improvements in hospitalization rates andemergency care visits for diabetes patients receiving telehomecare). See also Dansky et al. 227-31.36. Remington at 9.37. John G. F. Cleland, Amala A. Louis, Alan S. Rigby, Uwe Janssens & Aggie H. M. M. Balk, NoninvasiveHome Telemonitoring for Patients With Heart Failure at High Risk of Recurrent Admission and Death: The Trans-European Network–Home-Care Management System (TEN-HMS) Study, 45 J. AMER. COLL. CARDIOLOGY 1654(2005).38. American Heart Association, Warning Signs to Watch For,http://www.americanheart.org/presenter.jhtml?identifier=1614.39. Pennsylvania Homecare Association at 2 (comparing improvements due to telehomecare inhospitalization rates and emergency care visits for coronary artery disease and congestive heart failure patients).40. Cleland et al. at 1661.
-11-intervention or even hospitalization (“exacerbations”). 41 Regular monitoring of lung functionand other indicators has been shown to improve COPD patient outcomes and reduce costs, byallowing nurse case coordinators to intervene at earlier stages of exacerbations with inhalers orantibiotics, as necessary, and as a result avoiding some hospitalizations. 42 Telemonitoring canalso reduce the frequency of exacerbations in some cases, when interventions are designed tohelp patients stay on their medication regimes and to make lifestyle changes. 43 Telemonitoringalso allows for earlier diagnosis of ancillary conditions such as pneumonia.Many other patients with chronic conditions may benefit from telemedicine, includingAIDS, arthritis, and asthma patients. 44 All of these conditions need the care coordination thattelemedicine facilitates. Regular video visits or electronic messages can help with medicationcompliance and help caregivers learn about, deal with, and prevent exacerbations. 45 Being ableto substitute video visits for in-person visits also lets patients avoid difficult and potentiallypainful travel.Patients with temporary conditions that require home care or monitoring are alsoexcellent candidates for telemedicine. Women with high-risk pregnancies can benefit fromtelemonitoring; one study found that using remote monitoring technology to track fetal heartrates reduced subsequent in-patient time and the number of necessary clinic visits. 46 Homebound41. Jaap C.A. Trappenburg, Anouk Niesink, Gerdien H.de Weert-van Oene, Hans van der Zeijden, Renée vanSnippenburg, Albert Peters, Jan-Willem J. Lammers & Augustinus J.P. Schrijvers, Effects of Telemonitoring inPatients with Chronic Obstructive Pulmonary Disease, 14 TELEMED. J. E-HEALTH 138 (2008).42. Id. at 138.43. Id. at 144.44. Susan L. Dimmick, Carole Mustaleski, Samuel G. Burgiss & Teresa Welsh, A Case Study of Benefits &Potential Savings in Rural Home Telemedicine, 18 HOME HEALTHCARE NURSE 124 (2000), at 127. See alsoNeuberger et al. at 12.45. Dimmick et al. at 130. See also Ren-Long Jan, Jiu-Yao Wang, Mei-Chih Huang, Shin-Mu Tseng, Huey-Jen Su & Li-Fan Liu, An Internet-Based Interactive Telemonitoring System for Improving Childhood AsthmaOutcomes in Taiwan, 13 TELEMED. J. E-HEALTH 257 (2007).46. A. Dawson, D. Cohen, C. Candelier, G. Jones, J. Sanders, A. Thompson, C. Arnall & E. Coles,Domiciliary midwifery support in high-risk pregnancy incorporating telephonic fetal heart rate monitoring: a healthtechnology randomized assessment, 5 J TELEMED. TELECARE 220 (1999).
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Page 5 and 6: -3-insurers are capturing many of t
Page 7 and 8: -5-I. OVERVIEWA. The Health Care Op
Page 9 and 10: -7-after the illness has materializ
Page 11: -9-B. Key Patient Groups Benefiting
Page 15 and 16: -13-eating nutritious diets and sta
Page 17 and 18: -15-change that increases the publi
Page 19 and 20: -17-D. Making the Case for Telemedi
Page 21 and 22: -19-medicine or has suffered a pote
Page 23 and 24: -21-into hospital computers at nigh
Page 25 and 26: -23-Telemedicine would be more effe
Page 27 and 28: -25-have only a 9 percent adoption
Page 29 and 30: -27-For example, all these sensors
Page 31 and 32: -29-strategy has been focused on id
Page 33 and 34: -31-Bronx. Telemonitoring is felt t
Page 35 and 36: -33-condition questionnaires built
Page 37 and 38: -35-discharged to a higher level of
Page 39 and 40: -37-health care might also need occ
Page 41 and 42: -39-techniques, telemonitoring keep
Page 43 and 44: -41-TABLE 3: STUDIES MEASURING CHAN
Page 45 and 46: -43-telemedicine promotes outpatien
Page 47 and 48: -45-TABLE 5: POTENTIAL ANNUAL SAVIN
Page 49 and 50: -47-average, the studies above show
Page 51 and 52: -49-Conservatively, I assume that a
Page 53 and 54: -51-technologies have been employed
Page 55 and 56: -53-reduce the need for additional
Page 57 and 58: -55-TABLE 9: ESTIMATED NUMBER OF PA
Page 59 and 60: -57-attention among private insurer
Page 61 and 62: -59-example, an additional 1/25 th
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-61-GLOSSARY OF TERMSMonitoringAlso
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