Update

Becky and Jessica have been drafting out a guide for inventory management.  Specifically, like the status given equipment in its different return state and what happens when the equipment leaves Mosaic’s possession along with where equipment is in the inventory workflow.  The inventory management workflow will be placed into Mosaic’s workflow in the coming weeks to increase their oversight and insight into controlling the inventory 

Current enrollment is around 70 patients.  There is more equipment out than what we are receiving readings for so Aimee is going to follow-up to determine whether or not these patients graduated the program.  There has also been some conversation surrounding reading compliance to determine if there may be a better way to motivate the patients.

Lots of continued discussion surrounding changed to program delivery once integration has occurred.  Such items include whether or not data collection will change.  There has been additional conversations regarding the benefits and efficiency of having RCCHC patients use of Remote Monitoring Kiosk to take vitals at time of clinic check-in.  Initially the RCCHC would implement this process then perhaps send a kiosk to Mosaic for use if it proves sustainable and efficient.  Target would be spring 2016.

Challenges

There are still ongoing challenges regarding resource and workload management.  There will be another per diem nurse joining the team in September.  After OCHIN interface is fully integrated, Aimee will be working on refining the resource needs list.

Successes

Aimee has been making visits to the two newest sites, Redmond and Madras, based partly on feedback provided during an informal team interview.  We have a newly trained RNCC in Redmond who is fully onboard and excited about the program. We have a .3 employee who is assisting with the equipment cleaning and reset.  This is a great benefit.

Building and testing OCHIN interface is progressing.  We are looking to enroll active patient information into the system for testing purposes on or about 8/17/15.

Opportunities

Andy Eck is continuing to pursue opportunities available to expand the program.  Specifically targeting the St. Charles Medical system.  Andy has provided items to the executive for consideration and will be following-up once we have a better handle on the training manual, ideal life interface, etc.

While both Prineville and Madras demographics reflect similar percentages of patients aged 60-69, Redmond's data reflects the highest percentage in the 50-59 age range.  

All three site demographics reflect the ethnic diversity of the patients support by each clinic.  Notably the Non-Hispanic/White population is the majority in all three; however, Madras' patient population is largely Spanish speaking in nature.

Update

As of June 18, we had 78 active participants with a total of 90 units in the field.  We will be looking into the discrepancies.  We are still looking into the Glucometer enabler issue presented previously. the Glucometers are less cumbersome for the patients and may be more efficient than enablers due to the communication issues presented. Due to these factors, it is likely data collection will be more consistent if supported by the Glucometers.  Currently we are also working on completing drafts of procedure manuals focusing on the remote RN support.  This would provide a guide for any nurse to step into the support function with ease as well as provide information for other locations that are interested in starting a similar program. 

Successes

Andy Eck is still working closely with St. Charles Medical System to explore expansion of the program.  Networking through this channel and the recent regional meetings has made state level agencies more aware of what is happening in their own "back yard", so to speak.  Wonderful awareness!

Challenges

OCHIN interface still in process; completion target dates have come an gone.  Resources at our end are needed to support testing, yet as of June 18 there is no definite test date confirmed. We still don't have a committed resource to back-up our Regional RN, Aimee Priest.  While we did finish training a per diem nurse, this resource may not be sufficient to cover all needs.  

Challenges

Glucometer enablers are not transmitting as of 5/21/2015; troubleshooting by customer service was attempted.  However, the only truly effective resolution was providing new glucometer.

Successes

80 patients enrolled in the program as of 6/4/2015 and referrals are increasing!  Andy is meeting with ancillary Service Director for medical clinics to determine whether or not the RPM program can be expanded in year three to St. Charles Medical.  

Thanks to  Aimee, all non-compliant patients and their providers have been contacted.  The patients have either come into compliance (actively participating) or the equipment has been recovered.

Celebrations!!

New per diem nurse has been trained by Aimee; this will assist with workload overflow and vacation coverage. 

The Prineville clinic sits in Crook county, population as of 2013 is 20,815. The town of Prineville has a population of 9,223.  

The Madras clinic sits in Jefferson County, population as of 2013 is 21,145.  The town of Madras has a population of 6,363.

The Redmond clinic sits in Deschutes county, population as of 2013 is 165,954.  The city of Redmond has a population of 27,427.