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Case Studies in Telehealth Adoption
January 2013
Centura Health at Home: Home
Telehealth as the Standard of Care
Andrew Broderick And VAlerie Steinmetz
The mission of The Commonwealth Abstract: Building on its success using telehealth to reduce preventable readmissions
Fund is to promote a high performance with home-based Medicare beneficiaries, Centura Health at Home (CHAH)—the home
health care system. The Fund carries care unit of Centura Health—augmented its program by integrating its existing service
out this mandate by supporting
independent research on health care with a clinical call center staffed by registered nurses who provide telephonic telehealth
issues and making grants to improve services. Results from the year-long program demonstrated successful outcomes in terms
health care practice and policy. Support of reducing 30-day rehospitalizations, increasing patients’ quality of life, improving
for this research was provided by patients’ self-management skills and education, and reducing the frequency of home vis-
The Commonwealth Fund. The views its from registered nurses. Centura’s experience indicates that restructuring home service
presented here are those of the authors coordination and educating clinical call center nurses on chronic disease management are
and not necessarily those of The
Commonwealth Fund or its directors, key to a successful program. The successful integration of the two programs has led to the
oficers, or staff. The Center for establishment of telehealth as the standard of care at CHAH.
Technology and Aging, a program of the
Public Health Institute, provided grant
funding to Centura Health at Home for
the intervention discussed in this case
study. Centura Health at Home was one OVERVIEW
of ive recipients for grant funding in the
Remote Patient Monitoring Diffusion Across the country, the average 30-day rehospitalization rate for Medicare ben-
Grants Program. eficiaries with chronic conditions is 20 percent. At Centura Health, the average
rate is 19 percent, of which approximately 90 percent are unplanned and prevent-
For more information about this study, able. Centura Health has been working to reduce its 19 percent rate of readmis-
please contact: sions, particularly among older adults struggling with chronic conditions. Centura
Andrew Broderick, M.A., M.B.A. Health at Home (CHAH)—the organization’s home care unit—has demonstrated
Codirector, Center for Innovation
and Technology in Public Health the ability of telehealth to significantly reduce readmission rates for home care–
Public Health Institute based Medicare beneficiaries to 6 percent.
abroderick@phi.org
Building on its success with telehealth, CHAH recently completed a one-
year program to further decrease 30-day rehospitalization rates and increase qual-
To learn more about new publications ity of life among older adults by expanding its telehealth services. The project
when they become available, visit the was funded by the Center for Technology and Aging as one of five grant projects
Fund's website and register to receive in the Remote Patient Monitoring Diffusion Grants program. CHAH integrated
1
Fund email alerts.
Commonwealth Fund pub. 1655 two independent, successful home health service programs, a clinical call cen-
Vol. 2 ter staffed by registered nurses (RNs) and a remote patient monitoring (RPM)
