Engage, Educate, & Empower
Over a three and a half month period, the University of Iowa Hospitals and Clinics developed a home monitoring program to effectively monitor and treat COVID-19 patients who were in the hospital. This study consisted of 1,128 patients between March of 2020 and June of 2020. Researchers identified who was high-risk and who was low-risk based on their demographics, and prioritized those who were older and had existing underlying conditions.
The number of telemedicine visits required was at a median of three with patients who were high-risk needing more. There were a few limitations to this study which was the program occurring at a single academic center, and the mean age of participants were lower than those in other, similar studies. Based on comorbidities and age, 30.7% of the sample were high-risk patients, 6.2% required hospitalization, and 1.2% needed to be admitted to the ICU. What led researchers to conclude that home monitoring can effectively treat high-risk COVID-19 patients is the fact that more than 92% of patients did not...more
At the St. Joseph’s/Candler health system in Savannah, Georgia the pharmacists helped to improve outcomes for patients living with type 2 diabetes. The patients living with type 2 diabetes saw improvements in their A1C levels while using remote patient monitoring during the COVID-19 pandemic. Using remote patient monitoring, a pharmacist helped to improve the outcomes for patients living with type 2 diabetes.
All patients in the study had an initial A1C value of 8 percent or higher. The study consisted of two groups:
30 patients who received care prior to the pandemic (August 2019 and February 2020)
61 patients who received care between March and October 2020.
At the three and six month mark:
Patients in the pre-covid group saw an average A1C reduction of 1.3 percent and 1.2 percent
Patients who received telehealth care during the pandemic saw a greater decrease of A1C levels with 2 percent and 2.2 percent reductions....
There are two different connectivity options for RPM devices. Learning about the different types of connectivity options is one of the most important things to do when implementing a remote patient monitoring program for your practice. Why? Because there are many advantages and disadvantages to each option and you have to think of your patients and what would work best for them.
What are some of the reasons patients have a hard time using their device?
Patients may not be familiar with the technology. This can result in not using their devices at all or not as often, which prevents patients and their health care provider from monitoring their health metrics on a regular basis.
Not having reliable internet access. This is where one option would be better than the other.
Collect and transmit the patients health information via the same networks that smartphones do
Companies that offer cellular RPM devices will...
Kentucky Cardiology in Lexington had been finding it difficult to monitor their patients blood pressure at home and was unsure how accurate the numbers they were receiving were. Patients were forgetting to check their blood pressure or forgot to write it down which resulted in a doctor’s office with no readings. This can make it very difficult for doctor’s who are trying to treat and diagnose the patients hypertension or hypotension. They may be unsure if they should change up their medication or what needs to be done.
Where to Start
Dr. Avi Eres, a physician at Kentucky Cardiology, knows that he has an older patient base so he wanted to implement a remote monitoring system so that he could get more accurate blood pressure readings. After researching and finding a company that specializes in RPM, Dr. Eres decided to take the next step. This company explained everything in detail, what it would look like in real time and responded to any questions he may have had about the program. After completing the demo, Dr. Eres...more
Why is obesity a problem what can it lead to?
Obesity remains a leading health problem in the United States. Its prevalence increased from 30.5% in 2000 to 42.4% in 2018. This epidemic accounts for around $170 billion in surplus medical costs every year. Obesity raises the risk of type 2 diabetes, heart disease, stroke, fatty liver disease, renal disease, and other health problems.
Lifestyle changes that involve behavioral treatments such as nutrition monitoring, exercise programs and counseling have resulted in clinically significant weight loss in obese patients. In obese patients with hypertension, the American Heart Association also emphasized that for every 1 kg weight loss, a 1 mmHg drop in blood pressure can be expected. For patients who deal with diabetes, there have been clinical benefits seen for those who achieve a 3-5% weight loss. Tracking of patients’ weight and body fat percentage supports progress in weight loss and allows them to fix their efforts and strategies.
Why are we experiencing a nursing shortage?
There are several drivers to why we are seeing a shortage of access to adequate skilled nursing. One reason is that now people have the ability to access care that they didn’t prior to the Affordable Care Act which is resulting in strain in healthcare communities that directly impacted nursing on the front lines. There are also many front line nurses who are retiring early, and moving to direct care based on the last year and a half because of the COVID pandemic.
How can RPM help with the shortage?
Maximizing nursing staff to be able to do more virtual business would be a key way to alleviate some of the nursing shortage issues. Remote patient monitoring offers high patient engagement and high patient patient adherence to self-care which produces better outcomes. RPM brings results from an investment standpoint such as, reduction in costs, improvement in care outcomes, and patient engagement.
When switching patients to remote patient monitoring, dramatic improvements in blood pressure control were reported in a pilot study. The pilot cohort study consisted of 116 patients who had their care managed by Nurse Practitioners, and Pharmacists. The pharmacist will review and sign new prescriptions if needed. These healthcare providers also had the help of health coaches who have been trained to use the physician-developed algorithms for timely medication adjustments. During the study, patients were supposed to measure their blood pressure weekly. 91% of these patients were able to achieve a target BP of less than 135/85 mm Hg in an average of seven weeks.
This program is designed to break through a persistent problem in hypertension management. Using the provided Bluetooth-enabled at-home BP monitoring devices, BP readings are sent from the patient’s home to the office. These readings are automatically, and seamlessly transferred to the EMR. The software program will then analyze the readings, calculate their averages, and the navigators will...more
Remote patient monitoring is an efficient and effective way for practitioners to closely monitor a patient's chronic health conditions without requiring the patient to physically visit a practice. This form of monitoring deals with using digital technologies to monitor, capture, and transmit medical/health data of patients to their healthcare providers. These healthcare providers will then assess and provide any recommendations when necessary. Not only does RPM deliver clinical benefits, they also provide financial benefits to the patient and the practice.
So, who can participate in RPM?
Medical Fitness Practitioners
Patients with chronic conditions
Blood lipid disorders
What are the benefits?
RPM comes with many benefits. Here are a few...more
David Rachal III
American Diabetes Association® Empowers Youth at Home Nationwide through Project Power
Keeping our young people healthy and active amid coronavirus related closures is essential, and while organizations continue to scramble and pivot, the American Diabetes Association® (ADA) has transformed Project Power virtually. Project Power is a free at-home online experience consisting of fun lessons and physical activity challenges, which encourages children and families to stay healthy together. Nearly 1 in 3 children in the United States are overweight or obese. Through the initiative, the ADA intends to slow the trajectory of childhood obesity by focusing on health promotion, nutrition education, increased physical activity and family involvement to prevent obesity, type 2 diabetes and its complications for youth ages 5-12. The deadline to register is September 10, 2021.
“Adults aren’t the only ones who reap the physical and...more
David Rachal III
What Can an Exercise Science Career Look Like?
The field of Exercise Science helps to examine one’s body to adapt to exercises. It deals with facilitating and understanding the relationship between exercise, the body, fitness, health, and nutrition. Individuals in this field take responsibility for ensuring client's safety depending on their ages and skills levels. Exercise Science is also a vertical that you may find in other courses at different educational institutions including:
An Exercise Science degree also emphasizes chemistry, general physics, research, and even general and social psychology.
Future of Exercise Science Jobs
The U.S. Bureau of Labor Statistics mentioned that the primary career under Exercise Science (Exercise Physiologist) is going to keep on growing. It conveys that the employment rate in this...more
David Rachal III
HEALTHEFIT is pleased to welcome the University of Richmond as our newest Credentialing Partner. July 1, 2021 marked the first day that the Medical Fitness Practitioner Course will be offered to students through the School of Professional & Continuing Studies at the University of Richmond!
We are excited about this partnership as the value in what this credential brings to the students of the University as upon completion they will have career opportunities supported by physician practices and healthcare. A benefit that was quickly recognized by Mary C. Rayomond, Senior Program Manager through the diligent efforts of Tim Crooks our Director of Higher Education Relations.
We were delighted to learn that after only one month of receiving our proposal, the Associate Dean liked the curriculum and agreed that the University can move forward with next steps. Shortly after sending the details over to their Admin and Finance department, and we heard back from them within two weeks and the rest is history.
This example of a institution of higher learning...more
David Rachal III
Defining the Profession
As we seek to develop a clear role within the pathway protocol for the prevention, treatment and management of chronic disease, it’s time we define what is a Medical Fitness Practitioner. In doing so we create a foundation for creating a job description, performance measures, quality assurance and career path for the profession.
As a first step we must collectively recognize Medical Fitness as a service and articulate what it represents. For this service to be classified as medical, it must be relating to the science of medicine or to the treatment of illness and injuries. Next it’s important to note that the definition of fitness is the condition of being physically fit and healthy. Therefore, we can apply deductive reasoning to define Medical Fitness as the application of a medicinal science to produce a condition of health.
Now of course in order to provide Medical Fitness we must identify who is qualified to provide this service in a meaningful context to provide a positive outcome for the patient and value within...more
Naroby Bush-Zorilla, PA-C
Reduce your Risk of Contracting the COVID-19 (Coronavirus) and Influenza Virus (Flu).
So there have been an estimated 29 million flu illnesses, 280,000 hospitalizations and 16,000 deaths due to the influenza virus. As the Coronavirus has now spread to 6 continents, with 60 reported cases in the US, here are a few things you should know to keep you and your loved ones safe.
😷 You can unfortunately still contract the flu virus even if you have been vaccinated.
😷The signs and symptoms of influenza usually start abruptly, including but not limited to: fever, chills, cough, sore throat, body aches, runny/stuffy nose, fatigue, dizziness, and headache.
😷Signs and symptoms of Coronavirus include fever, cough and shortness of breath. If you have been exposed to someone who has coronavirus or have travelled to a Coronavirus area within the past 14 days and have developed symptoms, call your healthcare provider for further instruction. (Do not just show up). If you have emergency symptoms, it is best to be evaluated at the nearest Emergency...more
David Rachal III
Workout or Not to Workout? That is the question.
News Flash! The Coronavirus is here in the United States. Not actually breaking news, but as someone who spends 40+ hours in a fitness environment weekly, I know that viruses can spread easily in gyms and health clubs because of shared equipment and skin-to-skin contact. So I wanted to make sure that gym owners and members have a solid plan for slowing down the spread of the coronavirus. Before jumping into a few do’s and don’ts please note that there is a difference between cleaning and disinfecting.
- Cleaning refers to the removal of germs, dirt, and impurities from surfaces. Cleaning does not kill germs, but by removing them, it lowers their numbers and the risk of spreading infection.
- Disinfecting refers to using chemicals to kill germs on surfaces. This process does not necessarily clean dirty surfaces or remove germs, but by killing germs on a surface after cleaning, it can further lower the risk of spreading infection.
Here are questions I’ve...more
David Rachal III
Train Hard, Easy Fight. Easy Training, Hard Fight.
As the novel coronavirus has seen a global spread, questions have changed from ‘what is this virus about?’ to ‘how can I keep this virus away from me?’ and it is very understandable why that should be the case.
Everyone is asking questions, putting together facts about the virus and its spread, and somewhat subconsciously looking for information that says they are relatively safer than the next person.
Perhaps the most asked, and answered question so far is who is at risk and who is not. Truth is, we are all at risk of the virus, but then, international and national health organizations have given us information about conditions that constitute high-risk factors for the virus, especially as it concerns dying from the virus.
From statistics gotten from deaths already registered globally, the two major preconditions leading to death were identified as type-2 diabetes and hypertension. This simply means that anyone who already suffers these conditions is at a higher risk of contracting the...more
David Rachal III
Making the Essential List
As of this date at least 316 million people in at least 42 states, three counties, 10 cities, the District of Columbia and Puerto Rico are being urged to stay home. In addition, these same entities have ordered the closure of nonessential businesses amid the COVID-19 outbreak. Did I mention that the government payroll protection program ran out of money.
How can a gym, fitness center, or health club possibly survive during these times with the determination of what’s essential versus nonessential technically left up to cities and states to decide. Yet to the Department of Homeland Security and all locales, there are some businesses that that all have deemed essential. These include:
- Supermarkets, grocery stores, convenience stores, discount stores, farmers' markets, food banks, healthcare operations, pharmacies, daycare centers, garbage collection, gas stations, auto-repair shops, banks, post offices, shipping businesses, veterinary clinics, pet stores, etc.
David Rachal III
- HEALTH-E-FIT has partnered with LabSavvy to empower individuals with personalized, actionable education of your lab test results so you can ask the right questions, make informed decisions, and receive better care while providing medical fitness practitioners an opportunity to accelerated health outcomes through access to the same data used by physicians to make actionable care plans.
- What are the Benefits?
- For Patients:
- The LabSavvy mobile app will provide you with intelligent, personalized, and curated education, based on your age, sex, health factors, predictive analytics, and customizable interests.
- Build your own team of clinicians, medical fitness, and nutrition experts. You may also invite your own clinicians and health care professionals to collaborate with your team.
- Track your health progress over time. LabSavvy’s patent-pending tracking system imports and normalizes your results from multiple labs and our...