Modivcare and Michigan Center for Rural Health Partner to Extend Care Access by Introducing Remote Patient Monitoring in Rural Hospitals
Modivcare and the Michigan Center for Rural Health have completed an 18-month Remote Patient Monitoring (RPM) pilot program across three rural Michigan hospitals. The program, targeting patients with hypertension, diabetes, and congestive heart failure, achieved a 48.72% enrollment rate from 117 eligible patients. Notable outcomes include doubling the number of patients with controlled blood pressure (39% to 78%) and significant reductions in blood pressure readings (27 mmHg systolic, 11 mmHg diastolic). The pilot demonstrated particular success with homebound patients and those with social support, maintaining a device failure rate below 10% despite rural connectivity challenges.
Modivcare e il Michigan Center for Rural Health hanno completato un programma pilota di Monitoraggio Remoto dei Pazienti (RPM) della durata di 18 mesi in tre ospedali rurali del Michigan. Il programma, rivolto a pazienti con ipertensione, diabete e insufficienza cardiaca congestizia, ha raggiunto un tasso di partecipazione del 48,72% su 117 pazienti idonei. I risultati notevoli includono il raddoppio del numero di pazienti con pressione sanguigna controllata (dal 39% al 78%) e significative riduzioni nelle letture della pressione sanguigna (27 mmHg sistolica e 11 mmHg diastolica). Il pilota ha dimostrato particolare successo con i pazienti costretti in casa e quelli con supporto sociale, mantenendo un tasso di malfunzionamento dei dispositivi sotto il 10% nonostante le sfide di connettività rurale.
Modivcare y el Centro de Salud Rural de Michigan han completado un programa piloto de Monitoreo Remoto de Pacientes (RPM) de 18 meses en tres hospitales rurales de Michigan. El programa, enfocado en pacientes con hipertensión, diabetes e insuficiencia cardíaca congestiva, alcanzó una tasa de inscripción del 48.72% de 117 pacientes elegibles. Los resultados notables incluyen el doble de pacientes con presión arterial controlada (del 39% al 78%) y reducciones significativas en las lecturas de presión arterial (27 mmHg sistólica y 11 mmHg diastólica). El piloto mostró un éxito particular con pacientes confinados en casa y aquellos con apoyo social, manteniendo una tasa de fallos de dispositivo por debajo del 10% a pesar de los desafíos de conectividad rural.
모디브케어와 미시간 농촌 건강 센터는 미시간의 세 개 농촌 병원에서 18개월 동안의 원격 환자 모니터링(RPM) 파일럿 프로그램을 완료했습니다. 이 프로그램은 고혈압, 당뇨병 및 울혈 심부전 환자를 대상으로 하며, 117명의 적격 환자 중 48.72%의 등록률을 달성했습니다. 주목할 만한 결과로는 혈압이 조절된 환자 수가 두 배(39%에서 78%로) 증가하고, 혈압 수치에서 상당한 감소(수축기 27 mmHg, 이완기 11 mmHg)가 있었습니다. 이 파일럿 프로그램은 집에 있는 환자와 사회적 지원이 있는 환자들에게 특히 성공적이었으며, 농촌 지역의 연결성 문제에도 불구하고 장치 고장율을 10% 이하로 유지했습니다.
Modivcare et le Michigan Center for Rural Health ont achevé un programme pilote de Surveillance à Distance des Patients (RPM) de 18 mois dans trois hôpitaux ruraux du Michigan. Le programme, ciblant les patients souffrant d'hypertension, de diabète et d'insuffisance cardiaque congestive, a atteint un taux d'inscription de 48,72% parmi 117 patients éligibles. Les résultats notables comprennent le doublement du nombre de patients ayant une pression artérielle contrôlée (de 39% à 78%) et des réductions significatives des valeurs de pression artérielle (27 mmHg systolique, 11 mmHg diastolique). Le pilote a démontré un succès particulier auprès des patients confinés à domicile et de ceux bénéficiant d'un soutien social, maintenant un taux de défaillance des appareils en dessous de 10% malgré les défis de connectivité rurale.
Modivcare und das Michigan Center for Rural Health haben ein 18-monatiges Remote Patient Monitoring (RPM) Pilotprogramm in drei ländlichen Krankenhäusern in Michigan abgeschlossen. Das Programm richtete sich an Patienten mit Bluthochdruck, Diabetes und kongestiver Herzinsuffizienz und erreichte eine Einschreibungsrate von 48,72% von 117 geeigneten Patienten. Bemerkenswerte Ergebnisse sind die Verdopplung der Patienten mit kontrolliertem Blutdruck (von 39% auf 78%) und signifikante Senkungen der Blutdruckwerte (27 mmHg systolisch, 11 mmHg diastolisch). Das Pilotprogramm war besonders erfolgreich bei immobilen Patienten und solchen mit sozialer Unterstützung und hielt die Ausfallrate der Geräte trotz der ländlichen Vernetzungsprobleme unter 10%.
- 48.72% successful enrollment rate from 117 eligible patients
- Blood pressure control doubled from 39% to 78% in monitored patients
- Average reduction of 27 mmHg systolic and 11 mmHg diastolic in blood pressure
- Device failure rate below 10% despite rural connectivity challenges
- Two out of three hospitals continued RPM program after pilot completion
- None.
Insights
The successful pilot program demonstrates significant potential for Remote Patient Monitoring (RPM) in rural healthcare settings. Key metrics show impressive results:
The pilot's success in three rural Michigan hospitals, particularly with high enrollment rates when referred by trusted providers, validates the scalability of RPM solutions. The low device failure rate (
This initiative addresses a critical gap in rural healthcare delivery through innovative technology integration. The success metrics are particularly meaningful given the challenging demographics - communities with average populations of 2,000 and traditionally healthcare access. The
The program's ability to engage homebound and socially isolated patients effectively tackles a persistent rural healthcare challenge. The creation of an implementation playbook represents a valuable scaling tool for other rural healthcare systems, potentially transforming care delivery models in underserved areas nationwide.
The pilot, funded by the Michigan Health Endowment Fund’s 2022 Special Projects and Emerging Ideas Initiative, was implemented with the goal of increasing digital health capacity and access to care for the participating rural, independent critical access hospitals, while capturing lessons learned to be shared with rural health stakeholders throughout the state of
The program in these three communities, whose average population is 2,000, saw significant success in enrolling patients referred directly by their primary care providers (PCPs) or local care managers, with 117 eligible patients referred (all of whom had been diagnosed with hypertension, diabetes, and/or congestive heart failure) and an impressive 48.72 percent enrollment rate. Patients introduced to RPM by their trusted care providers enrolled at rates more than eight times higher than those who received a referral via letter or cold call.
Of the patients monitored during the pilot, a cohort of 46 patients had a continuous six months of uninterrupted engagement and blood pressure monitoring, allowing for rigorous analysis of health impact. Among these patients, the number of individuals with controlled blood pressure readings doubled, increasing from 39 percent at the start to 78 percent by the end of the pilot period. Patients with previously uncontrolled hypertension experienced an average reduction of 27 mmHg systolic and 11 mmHg diastolic, achieving blood pressure readings in the normal range. According to the National Institute of Health, such reductions correlate with over a 20 percent reduction in the risk of major cardiovascular events, underscoring the RPM program’s potential to significantly improve long-term health outcomes. In addition to the strong blood pressure improvements, many participating patients also improved their blood glucose and weight.
Engagement was strongest amongst patients who were homebound or had limited social support, further validating the importance of RPM in addressing gaps in care for rural, isolated populations. While connectivity issues presented a barrier, through the use of cellular-enabled devices, the program achieved a device failure rate of less than 10 percent.
“This pilot project has proven that striking the balance between relationship-driven care and technology-forward solutions can be transformative in rural healthcare,” said L. Heath Sampson, President and Chief Executive Officer. “By leveraging RPM technology to foster personal care relationships to provide ongoing support to rural hospitals and their patients, we are improving outcomes and allowing healthcare teams to work more efficiently, ultimately improving the health and well-being of Michigan’s rural residents.”
The RPM pilot program demonstrated the significant potential of remote monitoring to improve healthcare delivery in rural settings, where access to traditional healthcare is exceptionally challenging.
“We are thrilled with the outcomes of this pilot and the positive impact it has had on patients and healthcare providers alike,” said Michael Beaulieu, MD, FAAFP, Chief Medical Officer for Helen Newberry Joy Hospital. “RPM has the ability to reshape rural healthcare, providing continuous care outside of the traditional office setting while reducing the workload for clinicians.”
As a result of this program, two of the three activations have continued providing RPM as a benefit and a comprehensive Remote Patient Monitoring Playbook has been developed to support similar healthcare organizations in adopting and implementing RPM solutions, aimed at improving patient care in rural and underserved areas through real-world guidance and actionable implementation plans.
“The Michigan Center for Rural Health extends its heartfelt thanks to the teams at Helen Newberry Joy Hospital, McKenzie Health System, and Schoolcraft Memorial Hospital for investing their time and energy into the RPM pilot. By participating in the RPM pilot, not only did they make a positive impact on the health and wellness of their patients, but they also are making a difference beyond their geographical footprints through the distribution of the playbook,” said John Barnas, Executive Director of MCRH.
As RPM technology continues to evolve, healthcare organizations across the nation are increasingly turning to these tools to deliver proactive, personalized care. By partnering with rural hospitals through this initiative, MCRH and Modivcare are bridging the healthcare access gap in underserved areas.
About Modivcare
Modivcare Inc. (Nasdaq: MODV) is a technology-enabled healthcare services company that provides a platform of integrated supportive care solutions for public and private payors and their members. Our value-based solutions address the social determinants of health (SDoH), enable greater access to care, reduce costs, and improve outcomes. We are a leading provider of non-emergency medical transportation (NEMT), personal care and remote patient monitoring. To learn more about Modivcare, please visit www.modivcare.com.
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Source: Modivcare Inc.
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