PMD35 Remote Patient Monitoring in ACUTE Medical Conditions;CAN Digital Health Solutions Reduce Clinician Workload and Ease the Pressure on Healthcare Providers during the COVID Crisis?

Objectives: Digital remote patient monitoring (RPM) can add value to virtual wards;this has become more apparent in the context of the COVID-19 pandemic Healthcare providers are overwhelmed resulting in clinical teams spread more thinly We aim to assess the impact of the introduction of an app-based RPM (Huma Therapeutics) on a clinician\u0027s workload in the context of a COVID-19 specific virtual ward Methods: A prospective feasibility study was carried out over one month where clinician workload was monitored, and full time equivalents (FTE) savings equated An NHS hospital repurposed a telephone-based respiratory virtual ward for COVID-19 Amber status (NHS definition) COVID-19 patients were monitored for 14 days post-discharge to help identify deteriorating patients earlier A smartphone-based app was introduced to monitor data points submitted by the patients with telephone calls used for communication Results: 56 patients were enrolled in the app-based virtual ward Digital RPM reduced the number of phone calls from a median total of 10 to 4 over monitoring period There was no change in the mean duration of phone calls (8 5minutes), and no reports of readmissions or mortality This equates to a mean saving of 47 60 working hours This translates to 3 30 fewer FTEs (raw phone call data), resulting in 1 1 fewer FTEs required to monitor 100 patients when adjusted for time spent reviewing app data Individual clinicians were averaging 10 9 minutes per day Conclusions: Smartphone-based RPM technologies may offer tangible reductions in clinician workload at a time of severe service strain In this small pilot, we demonstrate the economic and operational impact digital RPM technology can have in improving working efficiency and reducing operational costs Whilst this particular RPM solution was deployed for the COVID-19 pandemic, it may set a precedent for wider utilisation of digital RPM solutions in other clinical scenarios where increased care delivery efficiency is sought