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The impact of telehealth monitoring on acute care hospitalization rates and emergency department visit rates for patients using home health skilled nursing care.

Home Healthc Nurse. 2013 Jan;31(1):39-45. doi: 10.1097/NHH.0b013e3182778dd3. Woods LW, Snow SW. Landace W. Woods, RN, BSN, MSN, NEA-BC, is the Director of Nursing and an Administrator at Greenville Hospital System Home Health Agency, Greenville, South Carolina. Susan W. Snow, RN, BSN, RN-HCS-D, is a Quality Improvement Coordinator at Greenville Hospital System Home Health Agency, Greenville, South Carolina.


This article describes the design and results of a study to demonstrate the impact of telemonitoring on acute care hospitalization (ACH) and emergency department (ED) visit rates for a Medicare-certified home health agency (HHA). Sociodemographic characteristics did not significantly differ between patients in the baseline, control, and intervention groups.

Patients in the telemonitoring group had a statistically lower rate of ACH and ED visit rates. Telemonitoring may be an effective strategy for HHAs to reduce hospitalization and ED visits for patients with cardiac and/or respiratory conditions.

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