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How do you balance the benefits and limitations of remote monitoring data for clinical decision making?

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Remote monitoring data can provide valuable insights for clinical decision making, especially for chronic conditions, post-discharge care, and telehealth services. However, remote monitoring data also has some limitations and challenges that need to be balanced with the benefits. In this article, you will learn how to use remote monitoring data effectively and ethically, while avoiding common pitfalls and risks.

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1 Define remote monitoring data

Remote monitoring data refers to any health-related information that is collected and transmitted by devices or sensors outside of a clinical setting, such as wearable trackers, smartwatches, glucometers, blood pressure monitors, or smartphones. Remote monitoring data can include vital signs, activity levels, symptoms, medication adherence, mood, and patient-reported outcomes. Remote monitoring data can help clinicians monitor patients' conditions, identify trends, provide feedback, and intervene when necessary.

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Hillary Lin, MD

Stanford MD & Founder, Healthtech Startups, Longevity
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Anything that represents valuable information about a person's health and can be reported to a physician is remote monitoring data. This can be as simple as a journal of blood pressure readings to something as sophisticated as video monitoring of medication intake (such as in a medication adherence program).

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2 Understand the benefits of remote monitoring data

Remote monitoring data can bring a number of benefits to clinical decision making, such as improving patient engagement and empowering them to track their own health, as well as enhancing patient-provider communication and collaboration. This data can also reduce costs and improve outcomes by preventing hospitalizations, readmissions, and complications. Moreover, remote monitoring data can support evidence-based practice and quality improvement by providing data-driven insights and feedback loops.

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Vasu Appalaneni, MD, MBA, FASGE

EVP of Clinical Innovation at One GI | AI & Med Tech | Board of Directors | M&A | WBL
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Remote monitoring data is helpful to complete obtaining the history and data from the patient. Often patients have difficulty explaining their dietary patterns, activity level, sleep cycles etc. Remote monitoring data will enable to get this information, as it is being collected with minimum effort from the patient and can be presented to the patients physician at their check up. This may include vitals, activity level, diet, caloric balance etc.

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3 Recognize the limitations of remote monitoring data

When using remote monitoring data, there are some limitations and challenges that need to be considered, such as data quality and reliability, data interpretation and integration, data security and privacy, and data ethics and consent. Remote monitoring data may vary in accuracy, validity, completeness, and consistency depending on the device, patient, environment, and transmission method. Additionally, it may require additional context, analysis, and synthesis to make sense of it and to incorporate it into the existing clinical data and workflows. Furthermore, remote monitoring data may pose risks of unauthorized access, misuse or breach if it is stored or transmitted through unsecured or third-party platforms or devices. Lastly, ethical and legal issues of informed consent, data ownership, data sharing, data use and data protection may arise if the remote monitoring data involves sensitive or personal information.

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John Whyte

Chief Medical Officer at WebMD
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Remote monitoring is only going to get better. What we need to be doing is figure out how we used all the unstructured data from wearables -- and soon to be "nearables" - that really impact health. How do we incorporate all the data from our smart jewelry that is continuous in nature. Right now we are limited as to the timecourse of the data and the interoperability. We need to solve those limitations and the real value of remote patient monitoring will be actualized!

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4 Follow best practices for remote monitoring data

To make the most of remote monitoring data for clinical decision making, you should adhere to certain best practices. This includes selecting appropriate and reliable devices and sensors that suit the patient's needs, preferences, and capabilities. Additionally, protocols and policies for data collection, transmission, storage, access, and use should be established. It is important to educate yourself and your patients on how to use the devices and sensors, interpret the data, and troubleshoot any issues that may arise. Furthermore, communication and collaboration with patients and other providers on goals, expectations, and responsibilities of remote monitoring data is essential. Regularly review and evaluate the data critically to adjust your clinical decisions and interventions accordingly. Lastly, data security and privacy of your patients should be safeguarded with their informed consent and agreement for data sharing and use.

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5 Learn from others' experiences with remote monitoring data

To improve your skills and knowledge on how to use remote monitoring data for clinical decision making, you can read relevant literature and research on the effectiveness, challenges, and best practices of remote monitoring data for different conditions, populations, and settings. You can also participate in online or offline communities and networks of clinicians who use remote monitoring data for their practice, exchanging tips, insights, and feedback. Additionally, seek mentorship or guidance from experts or peers who have more experience or expertise in using remote monitoring data for clinical decision making. Finally, explore case studies or examples of successful or unsuccessful applications of remote monitoring data for clinical decision making to identify the lessons learned and the areas for improvement.

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6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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How do you balance the benefits and limitations of remote monitoring data for clinical decision making?

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1 Define remote monitoring data

2 Understand the benefits of remote monitoring data

3 Recognize the limitations of remote monitoring data

4 Follow best practices for remote monitoring data

5 Learn from others' experiences with remote monitoring data

6 Here’s what else to consider

Working with Physicians

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How do you balance the benefits and limitations of remote monitoring data for clinical decision making?

1

2

3

4

5

6

1 Define remote monitoring data

2 Understand the benefits of remote monitoring data

3 Recognize the limitations of remote monitoring data

4 Follow best practices for remote monitoring data

5 Learn from others' experiences with remote monitoring data

6 Here’s what else to consider

Working with Physicians

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