Table 4 Proposed telehealth interventions

1. Remote Monitoring for Chronic Conditions and Prevention/Early Identification of Infections

 a. Pulse Oximetry with Heart Rate

 b. Blood Pressure Monitor

 c. Glucose Monitor

 d. Weight

 e. Temperature

 f. Fall monitor

2. Remote Nursing Assessment & Treatment via Telephone

 a. Pain

  i. Assess location, severity (0–10 scale), acute/chronic, aggravating/alleviating factors.

  ii. Plan interventions that include provision of non-pharmacological modalities to treat pain.

  iii. Provide instructions and education on how to treat pain with OTC medications including safe use related to co-morbid conditions.

  iv. Provide instructions on how, when, and where to seek appropriate further care when needed.

  v. Medication Reconciliation

 b. Mental status assessment every 2 weeks

  i. Assess mental health using patient stress questionnaires (PHQ-9, GAD-7, PC-PTSD, and AUDIT).

  ii. Provide appropriate referral and assist with access to care for new or worsening mental health issues.

 c. General assessment of new and on-going issues

 d. Identify patterns and issues with ongoing remote monitoring of chronic conditions and follow-up on missing remote monitoring results for more than 3 days

3. Care Coordination

 a. Arrange care for new or on-going issues

 b. Medication assessment (i.e., pharmacy pre-wrapped meds) based on medication reconciliation

 c. Follow up on issues after ED/Urgent/PCP visits

 d. Assessment of educational needs related to adherence to self-care behaviors and medications

  i. Plan and provide needed education.

  ii. Evaluate behavior change related to education and need for continued education/intervention.