The Remote Monitoring of Patients with Congestive Heart Failure:The Organizational Impact

S. Mancin, G. Pelizzon, C. Saccavini, C. Dario

The Veneto Region Social-Health plan quoted that it is necessary to pay more attention on the area of chronicity and there is, therefore, the need to define a new models of care characterized by a integration of health and social care. Following this the Veneto Region carried out a unique platform where the telecare and telehealth services are integrated. With this platform the clinical data and social needs of chronic patients are monitored directly from their home. During RENEWING HEALTH European project, for the patients affected by Congestive Heart Failure (CHF) a Randomized Controlled Trial is been performed in order to assess if the provided service improves the clinical and economical outcome in the favor of the group of patients followed with the telemedicine services. The telecare and telehealth services are provided in a unique platform to monitor CHF patients. The patients are equipped at home with emergency button and portable devices for real time detection of emergencies and for measure their clinical data in agreement with plan of their clinicians. Clinical data are transmitted from patient’s home to eHealth regional centre and managed by trained operators. The operators detect the alarm and inform the clinicians when it is necessary. The telecare service monitor the patients for 24/7 real time detection of emergency situations at the patient’s home and makes scheduled control calls to monitor the patient’s life conditions and quality of life. The distress call is addressed directly to the Regional Centre, where operators manage the situation calling the patient or his caregiver. Doctors’ reactions on such calls had been evaluated in the paper.is addressed directly to the Regional Centre, where operators manage the situation calling the patient or his caregiver. Doctors’ reactions on such calls had been evaluated in the paper.

: telemonitoring, organization, technological efficiency, chronic diseases, reaction time