Page 3 CaseStudiesinTelehealthAdoptionCenturaHealthatHomeHomeTelehealthastheStandardofCare

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Exhibit 1. Centura Health at Home Integrated Telehealth Program

• Remote monitoring of patients by registered nurses and augmented with 24/7 clinical call center and telehealth services

• Patients identiied for and introduced to the program during a hospital admission or upon enrollment in CHAH
• “Real-time” patient education, lifestyle management, and medication adjustments

Who is eligible? Who is not eligible?
• Patients who have any of the following: • Active substance abusers
° chronic disease (e.g., congestive heart failure, chronic • Unsafe home environment
obstructive pulmonary disease, hypertension, diabetes)
° fall risk factors • Pest control problems
° age 80 or older • Patients with documented violence/aggression
° two or more hospitalizations in past six months • Patients with advanced dementia, unless they have a

° two or more emergency room visits in past six months competent caregiver
° taking ive or more medications • Patients with low functional vision, unless they have a
° documented history of nonadherence to prescribed regimen competent caregiver
° any other indicator that they may return to the hospital in 30
days or less
• For telephonic telehealth-only program: patient does not qualify
for Medicare homebound beneit
• Patients covered by Medicare, Medicare Advantage plans, and
Medicaid

Source: Centura Health at Home.

Initially, CHAH sought to enroll at least 200 daily measurement of patient indicators, including
patients eligible for home care, and to increase the vital signs, weight, and behavioral health, with remote
number of patients served in the program by a mini- monitoring of data conducted by RNs. The clinical call
mum of 200 per year. Of CHAH’s Medicare patients, center–based program, which has been in existence
70 percent require home care. One-third of these for more than 20 years, broadens the traditional clini-
patients are using telehealth and this proportion is con- cal call center’s capabilities to now include telehealth
tinuously growing. On average, a home care nurse can assistance and coordination of care for patients utiliz-
see five to seven patients a day during in-person home ing remote patient monitoring, while also generat-
visits, whereas a telehealth nurse can monitor 60 to 70 ing a telephonic telehealth-only treatment group that
patients a day. The increase in the monitoring casel- extends the reach of care to patient populations not
oad managed by telehealth nurses has been gradual as meeting the Medicare home health benefit. Integrating
Centura has refined processes, developed the skills of the clinical call center with the telehealth program has
monitoring nurses, and transitioned to a new monitor- also allowed CHAH to adapt the traditional clinical
ing platform. The number of patients a telehealth nurse call center’s business marketing model to a clinical
can manage in a day is expected to continue to increase business model to support a more robust telehealth
to close to 100 patients in the future. program.
The telehealth component of the program Patients were recruited in the Denver Metro
uses remote patient monitoring technology for the area at two Centura Hospitals, St. Anthony’s Central