Launching a Toolkit for Integrated Remote Monitoring
Abstract
Background: The implementation of RPA Virtual, a full-scale virtual hospital, contributed significantly to the effective management of the COVID-19 pandemic in NSW. Key in this was remote patient monitoring, which enabled virtual care. The MRFF ReMoTe research project, a collaboration between USYD and SLHD, successfully achieved seamless integration of remote monitoring devices with an established electronic medical record (eMR) system. However, substantial challenges remain in scaling up complex, digitally-enabled virtual models of care and extending to new cohorts. These challenges encompass clinical and patient usability, integration repeatability and efficiency, systematic device selection, clinical record coherence, and reliability and integrity of data for real-time clinical decision support. Methods: To address these challenges, we engaged in extensive collaboration with stakeholders, involving process mapping, codesign, consultations, and business analysis. We synthesised insights gained from the ReMoTe research and lessons learned during technology implementation into principles, requirements, and architectural patterns. Further support from the NSW Office of Health & Medical Research facilitated codification into best practice guidance. Results: As a result, a toolkit for integrated remote monitoring was produced. This toolkit comprises architectural and interoperability principles, conformance requirements, device selection criteria, and integration patterns. Its purpose is to streamline and standardise the integration of remote monitoring devices with clinical systems. Conclusion: Publication of the toolkit will allow health services to learn from our experience, and more efficiently replicate integrated remote monitoring approaches for virtual care. By doing so, it promotes a seamless patient experience and empowers healthcare providers to implement virtual care at scale.Published
2025-01-23
Issue
Section
Oral Presentations