Telemed service from Granite VNA helps keep people, especially elderly patients, out of the hospital
David Brooks
Keeping patients out of the hospital requires knowing what puts them in the hospital in the first place. It’s not always obvious.
“One of the reasons why people get re-hospitalized … is not taking their medications properly,” said Tammi Mozier, vice president of education for the Granite Visiting Nurse Association.
The 126-year-old organization helps some 1,300 people throughout the greater Concord and Lakes regions stay in their homes as they deal with a variety of issues. It has recently rolled out a “telemed” program through Ibis Health, a Massachusetts medical company serving patients on Medicare.
Ibis provides a computer tablet and, if needed, items such as blood-pressure cuffs, scales or a pulse oximeter that home patients can use to monitor themselves. The data is then sent to the company, where physicians and nurses can spot changes and either talk with the patient or alert Granite VNA, which might send out a visiting nurse.
The system doesn’t replace in-person visits, Mozier said; it lets them be more useful.
“By monitoring vital signs and having that data, recognizing small changes, that will facilitate intervention — having someone reach out to the patient, saying, ‘Hey, your blood pressure is up, tell me about the last 24 hours, what did you eat, what has been happening,’” she said. “It’s not waiting until the small problems become a big one.”
Just as important as daily health data, however, can be daily reminders, especially for patients who are dealing with emotional or mental vulnerabilities. A large part of Granite VNA’s clients are elderly.
“The reminder includes pictures of the pills they’re taking. It helps them be more consistent with their medications, which is very important,” said Mozier.
Granite VNA has run telemed systems on its own. Mozier said they looked at alternatives and chose Ibis Health after it became licensed to operate in New Hampshire.