Page 6 CaseStudiesinTelehealthAdoptionCenturaHealthatHomeHomeTelehealthastheStandardofCare

6 the commonweAlth Fund

of life increased for patients receiving home telehealth subsequent Center for Technology and Aging grant-
care, averaging a 4.8 point increase in both the physical ees. In reviewing surveys about older adults' percep-
and mental health components (Exhibit 3). While these tions and beliefs about health technology, several
results were not statistically significant overall, specific key points were addressed, such as privacy concerns,
components of the quality-of-life survey demonstrated time of use, involvement in one’s health care (patient
statistically significant changes in all ages and sexes: self-management), and quality of care (Exhibit 4).
For the CHAH population all together, results were as follows:
physical functioning, role limitation due to physical The survey was created on a five-point Likert scale
 DM 34 patients/0 readmissions for DM = 0%
problems, social functioning, and role limitation due to taken from the Coleman Care Transitions Survey that
 CHF 87 patients/7 readmissions for CHF = 8.05%
5
emotional problems. There were statistically significant was developed and tested for use with older adults.
 COPD 67 patients/3 readmissions for COPD/SOB/Dyspnea = 4.48%

improvements for 45-to-54-year-olds, 65-to-74-year- Satisfaction scores were not assessed for statistical sig-
The population of patients included 200 older adults eligible for homecare and who agreed to
olds, and individuals 75 and older. nificance; rather they were viewed in aggregate form
participate in the study. Patients who were not eligible for homecare, who refused to participate, whose
Patient satisfaction and self-management was only for Centura’s own knowledge, as opposed to indi-
physician did not order telehealth were not measured as part of the study. Consequently, our project
measures outcomes associated with a subset of the homecare population, which provides a more
measured with the Centura telehealth patient satisfac- vidual patients’ pre- and post-study. Exhibit 3 shows
accurate reflection of the impact of telehealth on older adult populations.
tion tool, which was developed specifically for this the monthly patient satisfaction and self-management

(2) In terms of Quality of Life, CHAH utilized the FS-36 QOL survey for entire study population, which
project and has received a large uptake of use from scores of all patients using telehealth.
included measures for clinical and mental domains. Results showed increases in QOL overall; and in
evaluating male versus female, the survey showed a much greater increase in QOL for female
participants, especially in mental domain. The following graphs show results for different categories:
Exhibit 3. Quality of Life SF-36 Results:
Centura Health at Home Remote Patient Monitoring
Quality of Life: Total
QM SF-36 Scores for Study Population

60

50

40
Pre
Score 30 Post

Variance
20

10

0
PCS MCS PF RP BP GH VT SF RE MH
Dimension

Code key:
PCS = Physical Component Summary GH = General health
MCS = Mental Component Summary VT = Vitality
PF = Physical Functioning SF = Social Functioning
RP = Role-Physical RE = Role-Emotional
BP = Bodily Pain MH = Mental Health

Remote Patient Monitoring Diffusion Grants Program
Centura Health at Home Final Report – 2