Flagstaff rolls out CHF monitoring program

By Chris Gullo
07:34 am
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zephyr bioharnessNorthern Arizona's Flagstaff Medical Center (FMC) announced this week a collaboration with Qualcomm, Verizon, the NIH, and Zephyr Technology on a remote monitoring program for some of its patients with congestive heart failure (CHF). The collaboration, called Care Beyond Walls and Wires, will use technology from each of the companies. The NIH is acting as an adviser.

Flagstaff's program will equip 50 CHF patients with home monitoring kits. The patients chosen will be those who are recently discharged from FMC after treatment for a cardiac condition and who have a high risk for readmission. The hospital expects many of the project's participants will be selected from Arizona's underserved and rural communities or on nearby Native American Reservations.

The program participants cite statistics from the US federal government to cite the problem they are attempting to address: Between 25 and 50 percent of CHF patients are re-hospitalized within three to six months of a hospital discharge. Reasons for rehospitalization include failure to take medications as prescribed, failure to follow a dietary plan, not knowing the early signs of CHF and a lack of planned follow-up with a healthcare provider post-discharge.

Each home monitoring kit includes a Motorola Droid X2 smartphone from Verizon, which will feature an app used to upload their health data to FMC via a secure Internet portal; a blood pressure cuff, oxygen and pulse monitor, and weight scale.

The specifics of some of the companies' offerings are up for speculation. Qualcomm is donating "wireless devices," according to a press release (perhaps the recently announced 2net?), and some kits will include an "advanced Zephyr health-monitoring system" (possibly the BioHarness) to measure other vital signs including breathing rate, skin temperature, activity and posture. The NIH is assisting FMC with planning and evaluation for the project. Information will be sent to care providers daily for three to six months during the study.

"This project launches a model of care that transcends traditional medicine, using state-of-the-art technology to care for patients beyond the walls of the hospital," stated William Bradel, Flagstaff Medical Center president and CEO, in a press release. "Working with these technology companies and national health agencies will extend FMC's reach into outlying areas where healthcare is most needed."

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Read the press release below.

PRESS RELEASE -- Flagstaff Medical Center (FMC) has enrolled its first patient into a ground breaking new program, Care Beyond Walls and Wires, an initiative that will extend the care of patients beyond the walls of the hospital or physician's office. In collaboration with Qualcomm Incorporated, through its Wireless Reach(TM) initiative, Zephyr Technology, Verizon Wireless, and the National Institutes of Health (NIH), Care Beyond Walls and Wires uses advanced 3G wireless technology and health-monitoring devices to enhance the care of patients with congestive heart failure (CHF) or other related conditions.

"This project launches a model of care that transcends traditional medicine, using state-of-the-art technology to care for patients beyond the walls of the hospital," said William Bradel, Flagstaff Medical Center president and CEO. "Working with these technology companies and national health agencies will extend FMC's reach into outlying areas where healthcare is most needed."

Qualcomm is lending its expertise and donating wireless devices to FMC in support of the project. Zephyr is providing advanced health-monitoring systems to patients and Verizon Wireless is providing 3G-enabled Motorola Droid X2 smart phones. The NIH is assisting FMC with project planning and evaluation.

Care Beyond Walls and Wires uses wireless broadband tools, such as smart phones and 3G technology, to allow in-home daily monitoring of patients with CHF. These tools will collect and transfer critical data, such as weight, blood pressure, activity and other important health indicators, to nurses at FMC who are following patients enrolled in the program. Information will be sent daily for three to six months after the patient's discharge from the hospital. This daily exchange of information enables health care providers and patients to work together to manage CHF. With the technology, health care professionals can detect a decline in a patient's health status early and intervene immediately, helping to reduce unnecessary travel, physician office visits, costs and readmission to a hospital.

According to the Federal government, 25 to 50 percent of CHF patients are rehospitalized within three to six months of a hospital discharge. The primary reasons for rehospitalization include patients not taking medications as prescribed, failure to follow a dietary plan, not knowing the early signs of CHF and lack of planned follow-up with a healthcare provider after leaving the hospital. Each of these factors can be addressed on a daily basis through Care Beyond Walls and Wires.

Fifty patients discharged from FMC following an admission for CHF or related cardiac condition and who are at high risk for readmission will be invited to participate in the project. It is anticipated that many of the project participants will live in underserved and rural communities or on nearby Native American Reservations. Project participants will be provided in-home monitoring equipment, mobile phones and training. Some patients also will receive home visits from outreach staff.

The far-reaching wireless capabilities of this program are especially important to the Native American population living in outlying areas where landline phones may not be available. Some have limited access to electricity and running water and finding transportation to see a physician on a regular basis can be challenging.

"Our mission is to transform the health of the communities we serve," Bradel said. "This program will dramatically extend the delivery of healthcare by giving our CHF patients the tools to stay connected to a nurse at FMC, regardless of how close they are to the hospital."

FMC is Northern Arizona's only regional referral center, caring for more than 85,000 patients each year. Since 1936, FMC, a non-profit subsidiary of Northern Arizona Healthcare, has provided high-quality healthcare services to the residents and visitors of Northern Arizona.

To learn more about programs and services offered at Flagstaff Medical Center, visit FlagstaffMedicalCenter.com or call 928 779-3366.

Qualcomm is a registered trademark of Qualcomm Incorporated. Wireless Reach is a trademark of Qualcomm Incorporated. All other trademarks are the property of their respective owners.

Additional information:

Each monitoring kit includes: 3G-enabled Motorola Droid X2 smart phone, provided by Verizon Wireless, with a mobile application that allows patients to rapidly record and send information to FMC via a secure Internet portal; an oxygen and pulse monitor; blood pressure cuff; and weight scale. Additional items in the kit may include an advanced Zephyr health-monitoring system to measure other vital signs such as breathing rate, skin temperature, activity and posture.

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