Remote Patient Monitoring that Keeps Post-Acute Patients Out of the Hospital

Cabot Solutions designs and implements device-agnostic RPM programs that stream real-time vitals into your EHR, flag early clinical risk, and cut avoidable readmissions—without piling extra work on your nursing team.

Why RPM Matters

In post-acute and home-health settings, the period between bedside visits is the riskiest stretch of the entire care episode. Weight can creep up, oxygen saturation can drift, or blood pressure can spike long before a scheduled nurse check-in. Because these changes often go unnoticed, nearly one in five PAC patients lands back in the hospital within 30 days—triggering CMS penalties that can erase up to 3 percent of Medicare revenue and pull down facility star ratings. Manual phone check-ins and paper logs help, but they cost nurses 20–30 minutes per patient every week, fueling overtime and burnout without fully closing the gap.

Remote Patient Monitoring turns these blind spots into a continuous feedback loop: wearables that have been cleared by the U.S. Food and Drug Administration (FDA—the federal agency that certifies the safety and effectiveness of medical devices) collect vitals around the clock, data streams into a central platform, and intelligent alerts reach clinicians early enough to stop a problem from snowballing. The result is fewer avoidable readmissions, richer outcome data for value-based contracts, and a measurable reduction in staff workload.

Solution Overview – How Cabot Delivers an End-to-End RPM Program

Ready to replace post-discharge blind spots with actionable insight?

Implementation Roadmap — From Planning to Proven Outcomes

Multidisciplinary Discovery & KPI Definition (Weeks 1–2)

We convene nursing, finance, IT, quality, and front-line clinicians to surface pain points (e.g., CHF readmissions, nurse overtime) and convert them into numeric targets such as “cut 30-day CHF readmits from 14 % to 8 % in six months.” Current discharge workflows are mapped, and device/EHR feasibility is confirmed.

Gap Analysis & Signed Statement of Work (End of Week 2)

A deep dive into existing device contracts, connectivity options, and cost centers identifies integration risks and capital needs. The workshop outputs a mutually signed Statement of Work detailing KPIs, timelines, owner names, and governance checkpoints—locking scope before spend.

Technical Enablement & Non-Production Build (Weeks 3–4)

Interoperability engineers secure API credentials and firewall rules, then spin up a sandbox tenant mirroring production. A “thin-slice” test—one patient, one device—validates field mappings so vitals, alerts, and tasks appear in the EHR exactly where clinicians expect.

Security Validation & Production Cut-Over (Week 4)

Security officers audit encryption (TLS 1.3 in transit, AES-256 at rest), logging, and retention policies against HIPAA, SOC 2, and internal frameworks. Once approved, the configuration is cloned to production, monitoring dashboards go live, and a firm go-live date is set.

Role-Based Training & 10-Patient Micro-Pilot (Week 5)

Nurses and care coordinators complete a one-hour virtual device-placement and troubleshooting course; physicians and NPs get a 30-minute alert-management tutorial during a scheduled staff meeting. Ten high-risk discharges (CHF or COPD) are enrolled to fine-tune alert thresholds and logistics with minimal disruption.

Enterprise Scale-Up, Optimization & ROI Review (Weeks 6–12

Enrollment expands to the full census or next service line. Monthly executive huddles review live dashboards—readmissions, ED transfers, device-day compliance, interactive-minute documentation, staff-satisfaction snippets—and recalibrate algorithms to suppress residual false positives. By Week 12 a steering-committee meeting compares baseline vs. current metrics, calculates ROI, and drafts Phase 2 (often additional facilities, payers, or home-health branches).

Frequently Asked Questions

  

Which devices can you integrate, and how vendor-neutral is the solution?

We maintain a library of adapters for the most common FDA-cleared blood-pressure cuffs, weight scales, pulse-oximeters, and glucometers—both Bluetooth and cellular. If you already have a preferred hardware vendor, we ingest its data feed via BLE, MQTT, or REST in about ten business days. Because all processing happens in a device-agnostic ingestion layer, you can switch brands later without re-architecting the platform or retraining staff.

  

How are alerts routed, and can we change the logic later?

Alert rules are managed in a drag-and-drop workflow editor that mirrors BPMN notation. You decide the escalation ladder (e.g., RN triage within two hours; NP tele-visit if unresolved; attending MD if the risk score exceeds a set threshold). All logic lives in a visual canvas—no code required—so your clinical governance committee can tweak thresholds or add steps without filing an IT ticket.

  

How long is patient data retained, and how is it secured?

By default, encrypted data rests in a HIPAA-compliant cloud for seven years, aligning with most state statutes. We can extend or shorten that window per your retention policy. All records are protected with AES-256 at rest, TLS 1.3 in transit, and are covered by annual SOC 2 Type II and quarterly penetration tests. You retain ultimate data ownership, and extraction utilities guarantee portability if you ever change vendors.

Book a 15-minute strategy session with a Cabot clinical engineer and find out how quickly we can tailor RPM workflows to your census, protocols, and budget.