SHM Converge Scientific Abstract ePoster Gallery-Remote Patient Monitoring: Factors of Engagement With a Mobile Application

Pdf Summary

This project examined factors associated with patient engagement in GetWell Loop (GWL), a mobile remote patient monitoring (RPM) application used by the Froedtert and Medical College of Wisconsin Health Network after hospital discharge. GWL lets patients complete daily virtual questionnaires, submit questions, and receive either automated or live responses. If responses are concerning, a care coordination team can follow up by phone or through the app.<br /><br />The study was motivated by strong evidence that RPM can reduce hospitalizations, readmissions, and costs, but less is known about what influences whether patients actually use these tools. GWL was implemented in a stepped-wedge design across five clinic regions between March and November 2020. Patients were stratified by readmission risk: low-risk patients were offered GWL alone, while moderate- and high-risk patients were offered GWL plus conventional care coordination.<br /><br />Demographic information came from EPIC, and usage data came from the GWL database. Engagement was defined as an app engagement score greater than 50%, based on the proportion of app touchpoints completed out of those offered. The team used univariate, chi-squared, and multivariate analyses to compare engaged and non-engaged users and to identify factors independently associated with engagement.<br /><br />Preliminary findings showed that patients with low readmission risk were about twice as likely to engage with GWL as high-risk patients. No significant engagement differences were found by age, sex, race, language, insurance type, or area deprivation index.<br /><br />Overall, the study suggests that risk level may be more important than demographics in predicting RPM engagement. These results can help health systems target digitally supported post-discharge care more effectively and improve patient outcomes.

Asset Subtitle

Neemit N. Shah

Meta Tag

Author List Abhishek Janardan, Alexandra Polovneff, Bradley Crotty, Erika Smith, Ivan Pasillas, Neemit N. Shah, Tavinder Ark

Category Innovations

Concept Remote Patient Monitoring

Concept GetWell Loop

Concept Patient Engagement

Concept Post-discharge Care

Concept Engagement Score

Distinguished Non-Finalist

Presenter Organization Medical College of Wisconsin

Presenting Author Neemit N. Shah

Track Transitions of Care

Keywords

patient engagement

remote patient monitoring

GetWell Loop

mobile health application

post-discharge care

readmission risk

care coordination

hospital discharge

digital health

healthcare utilization

Remote Patient Monitoring

GetWell Loop

Patient Engagement

Post-discharge Care

Engagement Score