My employer has 300 patients on Telehealth. We have 4 staff that monitor clients from an office location with field staff making actual home visit>> monitoring is 7 days a week. Staff contact field RN when beyond set parameters for same day visit or call physician for updated orders (depending on situation), tons of phone education and documentation and care coordination. Our agency screens all patients with CHF, Exac COPD, uncontrolled HTN, unstable cardiac conditions,, multiple hospitalizations with many med changes for telehealth as way of decreasing rehospitalization rate... averaging 5-6 percent for those enrolled in Telehealth.
Patients must meet admit criteria: landline phone, turn off call waiting, clean space in home to setup equipment, patient has cognitive ability to use equipment etc.
KYW TV 3 featured a Philly area Telehealth program: http://philadelphia.cbslocal.com/vid...clipId=9218055
PM me if more info desired.