Disease management is more than monitoring vital signs. St. Anthony's Home Care telemonitor program:
- uses evidence-based interventions and coordinated communication programs for patients with chronic illnesses including:
- heart failure
- generic monitoring
- enhances communication between the patient and their health care providers
- educates and empowers patients to understand the disease process and improve self-care in a proactive manner
- focuses on health coaching and behavior modification facilitated by home health nurse
- provides the right care at the right time for the patient
Patient Admission Criteria
The patient needs to meet the following Home Care criteria:
- The patient is home-bound to be eligible for most insurance. The patient is considered home-bound when there is a normal inability to leave home and, therefore, leaving home requires a considerable taxing effort.
- The patient has a skilled need.
- The patient has a physician’s order.
- The patient is able to take care of self or have available caregiver.
Patient and/or caregiver needs to:
- be able to hear, answer and communicate clearly on the telephone and understand directions
- have an accessible telephone line and have adequate space for safe set-up of equipment
- have manual dexterity and be physically and cognitively able to learn or have a caregiver who is able to assist patient in monitoring vital signs.
(Vitals monitored include: blood pressure, heart rate, weight and pulse oximeter.)
- have a willingness to learn and consents to the program