Remote patient monitoring solutions: 
a 360° overview

Remote patient monitoring solutions: a 360° overview

Remote patient monitoring (RPM) solutions include devices and software that enable the continuous monitoring and analysis of a patient's vitals and condition (blood pressure and glucose, oxygenation levels, heart rate, temperature, etc.) outside a conventional clinical setting. Itransition delivers custom software for all types of health data collection devices – from medical equipment to general-use fitness trackers – that helps providers to elevate the quality of medical assistance by securely collecting, storing, processing, and transferring patients’ health information.

Americans favor remote patient monitoring

MSI International

of practices use RPM technologies

American College of Physicians

the value of the remote patient monitoring market in 2022

MarketsandMarkets

Main features of remote patient monitoring software

The major purpose of RPM software is to collect data on patients’ vital metrics and deliver it to medical professionals. However, modern patient monitoring platforms enable a much more robust functionality.

Main features of remote patient monitoring software
  • Collect patients’ vitals from all kinds of tracking devices
  • Register symptoms, vitals, and lifestyle
  • Track medication intake
  • Record mental health parameters
  • Compare patients’ vitals against reference parameters
  • Identify trends in symptom changes
  • Chart history of patients’ vitals
  • Generate comprehensive reports
  • Interview patients and log symptoms using chatbots
  • Alert designated people of any abnormalities
  • Supply patients with condition management recommendations
  • Answer common non-urgent questions
  • Make devices controllable by voice
  • Add text-to-speech functionality
  • Let users switch to a larger font
  • Provide a high-contrast app design option
  • Encrypt all data passing through RPM devices
  • Ensure compliance with HIPAA and other regulations
  • Assign different access profiles for various groups of users
  • Enable multi-factor user authentication
  • Let designated personnel manage RPM parameters
  • Identify signs of a device not functioning properly
  • Alert users about possible device failure
  • Block all device operations in case of a malfunction

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Why work with us

25+ years of healthcare software development

Ranked high in 2021 Execution Zone for Telemedicine and IoT by Zinnov Zones

HIPAA-compliant software development

Working experience with FDA classes II and III, and IEC 62304 classes A, B and C of medical devices

Competency in ICD-10 and CPT codification, as well as DICOM standards

Remote patient monitoring solution architecture

RPM solutions have a complex architecture. However, it consists of the main structural blocks that support three groups of users: patients, healthcare organizations, and admins.

Interface for patients
Admin panel
Interface for medical personnel
mHealth and lifestyle apps
Smart devices
Medical RPM devices
ERH
Other integrations (healthcare analytic solutions, hospital management systems, etc.)
3d party platforms
Cloud server for data storage and processing
Patients
Admins
Doctors and nurses

Use cases of RPM solutions

Most use cases for RPM solutions can be categorized by the care model they support, by the disease they help manage, and by the medical field they are used in.

By care model

    • Population health management
      • Chronic care
      • Newborn care
      • Senior care
      • Oncological care
    • Post-discharge care management
      • Transitional care
      • Principal care
    • Hospital-at-home
    • Digital therapeutics

    By disease

      • Congestive heart failure
      • Chronic obstructive pulmonary disease
      • Hypertension
      • Diabetes
      • Kidney diseases
      • Cancer
      • Stroke
      • Multiple sclerosis
      • Alzheimer’s
      • Obesity

      By medical field

        • Cardiology
        • Endocrinology
        • Gastroenterology and bariatrics
        • Oncology
        • Nephrology
        • Pulmonology
        • Neurology
        • Physiotherapy
        • Pediatrics
        • Gynecology and obstetrics

        Types of remote patient monitoring solutions

        There are many kinds of RPM apps and solutions on the market. Most of them can be categorized by the type of connected device or its function and the way it works with data.

        RPM devices

        Blood pressure monitors
        EEG devices
        Maternity care monitors
        Asthma management devices
        Heart rate monitors
        Mood tracking devices
        Glucose level monitors
        Smart scales
        Pedometers
        GI tract monitors
        ECG devices
        Spirometers
        Pulse oximeters
        Temperature sensors

        RPM apps

        IoMT connected devices

        Exchange patients’ health information with the rest of the IoT medical devices inside the ecosystem

        Application forms

        Get information from questionnaires filled out by patients

        Precision care apps

        Prepare data for medical research and more personalized diagnostics and treatment

        Telemedicine

        Facilitate data exchange during doctor-patient communication

        mHealth and lifestyle apps

        Receive data from patient’s wearables or mobile applications

        Our remote patient monitoring services

        An experienced Itransition team is your reliable partner at any stage of your RPM software adoption journey.

        RPM consulting

        Our experts help you build a holistic care environment. We assess your existing healthcare IT ecosystem, advise on the most suitable custom RPM solutions for your organization’s needs and resources, and create an optimized plan for their implementation. Our healthcare software development specialists also help you ensure regulatory compliance and adherence to security regulations, calculate the cost of the implementation process, and offer verified additional modules for integration with your RPM solution.

        RPM development

        Itransition’s experienced engineers are ready to develop solutions for any type of RPM device according to your organization’s needs and integrate them with your other healthcare software and third-party applications. We employ development best practices, ensuring the solution’s security, compliance with industry regulations, and patient safety while using methodology best fitted for your case.

        Migration

        We handle data migration between any of your healthcare systems, built-in PRM device software, IoT gadgets, and other connected applications in a safe, secure and compliant way, mitigating the risks of data losses or contamination.

        Modernization and support

        Our team can upgrade, extend, or rework your legacy solutions so that they fit your healthcare needs and become more secure and reliable. We are also here for you 24/7 to solve any issues with the software and are ready to monitor, analyze, and optimize its performance.

        Client spotlight: our RPM success stories

        Our engineers have helped healthcare providers enhance their care services with specialized software that drives more value from RPM devices.

        Asthma monitoring software

        3 component

        software suite

        We developed asthma monitoring software that includes a web app, separate mobile apps for patients and clinicians, and a user management platform for a US startup that designs medical devices to help patients self-manage their asthma while reducing physical and emotional stress. Our team ensured the solution was developed in the shortest time frame possible, while covering all of the client's functionality requirements, as well as complying with HIPAA and applicable regional regulations on PHI processing.

        A remote patient monitoring and mobile telehealth suite

        3x

        faster case creation

        In under six months, our team has delivered a solution that enables nurses from rural areas to collect sexual assault evidence. The app is connected to a lens-equipped medical device, a colposcope, that generates high-resolution videos and photos of a patient’s examined body parts. It also streamlines case creation, making the process quicker and more comfortable for the patient while complying with data security regulations.

        Ready to enhance your healthcare services with innovative RPM solutions?

        Contact us

        Valuable RPM integrations

        While RPM solutions alone greatly benefit healthcare organizations and patients, their full potential is unlocked in an integrated healthcare IT ecosystem.

        Valuable RPM integrations
        EHR/EMR systems
        Healthcare IoT
        Telehealth apps
        Patient portals
        Mobile health apps
        Healthcare data analytic solutions
        Make sure that patients’ medical history is continuously updated with new information from their RPM devices so that medical personnel have a complete up-to-date view of the patients’ conditions.

        Expand your digital care services by enabling IoMT devices like drug delivery gadgets and virtual ward systems to take action automatically based on the readings from integrated RPM devices.

        Equip your specialists with tools for remote health examination during their teleconsultation. With connected RPM devices, a virtual visit is just as effective in terms of diagnostic and care quality as an in-person one.
        Boost patient engagement and empower them to understand and manage their health condition better by enabling them to review their health stats, symptom patterns, and real-time vitals via a patient portal connected to the RPM device.
        Allow medical personnel and patients to have access to RPM readings, log symptoms and other vital information, and exchange such data with other systems on the go, by integrating RPM devices with mHealth applications.
        Transform data received from RPM devices into the basis for accurate diagnosis and personalized treatment plans by finding meaningful patterns in patients’ condition changes, symptoms, and vitals with the help of medical analytic solutions.

        Benefits of a remote patient monitoring software

        Remote patient monitoring systems have valuable advantages for patients, medical personnel, and healthcare organizations.

        Healthcare organizations

          • Reduce patient care expenses
          • Improve medical staff efficiency
          • Have fewer no-shows
          • Increase total revenue
          • Enhance patient engagement
          • Expand patient base
          • Add new healthcare service options to their offering
          • Comply with major healthcare regulations

          Healthcare professionals

            • Have a better understanding of their patients’ conditions
            • Improve the quality of patient care
            • Have more transparent relationships and better understanding with patients
            • Can dedicate more time to critical patients
            • Can intervene before a patient’s condition worsens

            Patients

              • Can access their healthcare team anytime
              • Don’t have to travel to the doctor’s office so often
              • Have fewer risk of picking up a hospital-borne infection
              • Experience better health outcomes
              • Have more control over their condition
              • Are better educated on their condition and healthy lifestyle

              RPM implementation roadmap

              Our experts make sure to suggest the best approach and methodology for your case to make the implementation as smooth and cost-effective as possible. The entire process usually involves six main steps.

              1

              Planning

              We conduct market research and business analysis to define main goals and requirements. Our team sets up timeframes, creates a roadmap, suggests the tech stack, and assigns project roles.

              2

              Design

              We ensure the future solution is safe and compliant with FDA, IEC, HIPAA and other standards. UI/UX designers develop wireframes and product designs. A working prototype is built, tested, and run by the decision-makers.

              3

              Development

              Our engineers develop the solution, ensuring its reliability, security, scalability, and interoperability with other healthcare software. We ensure the solution’s effectiveness and user-friendliness.

              4

              Testing

              While we test the solution throughout the development process, our experts still conduct a final QA before the deployment to assess the functionality, productivity, and reliability of all software components.

              5

              Deployment

              Our team performs successful software deployment, ensuring smooth integration with all third-party apps and other healthcare systems, and complements it with personnel training for quicker adaptation.

              6

              Maintenance and support

              We offer post-implementation support services to tackle challenges, handle software updates and upgrades, monitor the app’s performance and make improvements, or integrate new apps or modules.

              Tech stack

              We use a collection of modern tools and technologies which we continuously expand to cover our clients’ unique requests.

              Programming languages and frameworks

              Backend: ASP.NET Core C# Ruby

              Frontend: Angular React

              Containerization

              Docker

              Trusted Platform Module (TPM)

              APIs

              Omron API Fitbit API

              Google Fit API

              Cloud platforms

              Azure + all varieties of their services (ex. Azure IoT)

              AWS (Amazon Web Services) + all varieties of their services (ex. AWS IoT)

              Databases

              SQL Server Postgres MongoDB

              Amazon DynamoDB Azure Cosmos DB Redis

              Database-related

              SSIS (Microsoft SQL Server Integration Services)

              FAQ

              We have compiled a list of questions most adopters of this technology have at the beginning of their journey and asked our experts to share their thoughts.

              What is the cost of remote patient monitoring software development?

              The cost of an RPM solution development depends on the type and number of connected devices, functionality, and the additionally integrated apps. One might get a simple RPM app for $50,000, while an advanced RPM suite with multiple complex connected devices would cost more than $500,000.

              How long does it take to develop a patient monitoring system?

              Like the cost of the solution, the development time depends on your requirements: it ranges from 2-3 months for a smaller system to 6-9 months for a more complex solution. You can contact our experts for more detailed information regarding your unique case.

              How to get Medicare or Medicaid reimbursement for remote patient monitoring?

              Medicare and Medicaid cover RPM services. The most widely-used codes to recover your costs include CPT 99453, 99454, 99457, 99458, 98975, and 98976. However, the rules change frequently, so it is better to consult with a solution provider.

              Who can provide RPM services?

              To qualify for Medicare reimbursement for CPT codes 99453, 99454, 99457 and 99458, a provider must be a physician or other qualified healthcare professional (QHCP), while for codes 98975 and 98976 clinical staff can perform the needed maintenance and management of the RPM devices and services.

              Which devices can be connected to remote patient monitoring solutions?

              FDA approves only wireless, non-invasive devices to be used for remote patient monitoring.
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