Telemonitoring simplified: new module links data, device and record in the centralised EHR

If care is to be truly patient-centred and integrated, data and decisions must follow the patient, wherever they are. This requires structural and secure ways to monitor patients beyond the hospital setting. Whereas hospital admissions were once unavoidable, today patients can be monitored in their familiar home environment through telemonitoring. Home measurement devices ensure a direct data flow to the electronic health record. Implantable devices, such as pacemakers, glucose sensors and insulin pumps, also provide a wealth of medical information. Yet little is currently done with that data. Nexuzhealth is changing this by implementing the electronic implantable device module in the centralised electronic health record, Nexuzhealth Hospital: CWS.

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Eveline Thomis, Senior EPD Consultant at Nexuzhealth

Advanced digital technologies are bringing high-quality care closer to the patient. Through telemonitoring, patients outside the hospital can still be followed up by the hospital. “To successfully roll out a telemonitoring pathway, a number of elements are crucial,” explains Eveline Thomis, Senior EHR Consultant at Nexuzhealth. “First, you need to be able to identify patients who are eligible for telemonitoring. Next, it is important that physicians can create a telemonitoring prescription directly from the EHR, so that all available administrative data are automatically populated. A central hub is also required, and data import is essential, because data collected at home are of little value if they do not flow back into the EHR. And finally, without data visualisation, the collected data cannot be interpreted.”

Accessible, efficient and care-path oriented

Thanks to several innovation projects, this entire flow – from patient identification to visualisation – has recently become possible. “Through Nexuzhealth, patients can now effectively be monitored at home,” Eveline Thomis continues. “The integration of telemonitoring in the EHR is accessible and efficient, both for physicians and for patients. When data are measured – such as blood pressure, heart rate or oxygen saturation – this can easily be done via measurement devices that connect directly to the EHR. Moreover, the integration is care-path oriented. This means that when a telemonitoring prescription is created, an activity is automatically generated in Nexuzhealth Hospital: CWS. In this way, patients can be grouped on a worklist per care path. A major advantage for physicians, as it allows them to immediately follow up all records under their responsibility, including those of patients outside the hospital.”

The benefits of integrating telemonitoring in the EHRare significant.

Continuity and capacity

Patients who are monitored at home do not occupy a hospital bed, allowing healthcare professionals to focus on more complex care profiles.

Long-term insights

Through telemonitoring, data import makes it possible to assess long-term health outcomes.

Engagement and satisfaction

Therapy adherence, patient safety and patient satisfaction all improve, as patients become active participants in their own care process.

“The integration of telemonitoring is care pathway-oriented. When a telemonitoring prescription is created, an activity is automatically generated in Nexuzhealth Hospital: CWS. In this way, patients can be grouped on a worklist per care pathway. A major advantage for physicians, as they can immediately follow up all records under their responsibility, including those of patients who are outside the hospital.”
eveline-thomis
Eveline Thomis

Senior EHR Consultant, Nexuzhealth

Ready to scale

“When integrating telemonitoring, Nexuzhealth immediately took scalability into account,” adds Product Specialist Charlotte Henderickx. “In the future, we want to offer hospitals the possibility to set up multiple care paths simultaneously. Because this involves large volumes of data, the portal and the hub have been designed in a secure and robust way. Flexibility is also very important, as hospitals need to be able to work with multiple telemonitoring providers. Since the government has imposed FHIR (Fast Healthcare Interoperability Resources) as a standard, many Belgian providers can already connect with us. We are also expanding telemonitoring to other forms of short-term follow-up, such as 24-hour measurements. At the same time, we are strongly focusing on long-term follow-up via implantable devices.”

Telemonitoring via implantable devices

Implantable devices such as insulin pumps, glucose sensors and pacemakers generate data continuously. “Ideally, the vendors of such devices are also telemonitoring providers, so that the data automatically flow into the EHR,” says Charlotte Henderickx. “Today, this is rarely the case. As a result, the current data flow of implantable devices is ‘trapped’. There is no exchange with the EHR, because patient identification is often missing. In practice, very little is done with this valuable data. Physicians can generate a PDF report during a consultation and manually upload it to the correct EHR. And if an implantable device triggers an alarm due to abnormal parameters, the alarm values can be consulted via the vendor’s web portal. But to integrate them into the EHR, they still have to be manually retyped into the intervention report.”

“With the new electronic implantable device module, we can link an implantable device to a patient, automatically transfer relevant parameters to consultation reports, and ensure that interventions in response to alerts are recorded in a structured way in the correct EHR. That is truly unique today.”
charlotte-henderickx
Charlotte Henderickx

Product Specialist, Nexuzhealth

A new, unique module: where data, device and record come together

That is why Nexuzhealth will soon introduce a new, promising module in the EHR: an electronic implantable device module. “This will allow us to link an implantable device to a patient, automatically route relevant parameters into consultation reports, and ensure that interventions following alarms are structured and stored in the correct EHR. This is truly unique today. Concretely, the module will include an overview with basic information about the implantable device: the brand and type, the implantation date, the unique serial number. Especially for MRI safety, it is important that this information is easily accessible. In addition, we will provide graphs of the most recently measured data in the correct units, the possibility to consult historical data, and individual scales for relevant parameters.”

The new module eliminates a great deal of manual work. “Thanks to this module, physicians save a significant amount of time while simultaneously increasing patient safety,” Charlotte Henderickx concludes. “In the longer term, the module will also allow us to update medical problem lists and calculate billing. The ultimate goal is therefore for the electronic implantable device module to automatically drive other modules within the EHR.”

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Takeaways from this article

EHR integration is essential: patient, device and care data must converge within a single care pathway.

Implantable devices generate a wealth of data, but this often remains underused due to missing links with the EPR. Nexuzhealth breaks this pattern with a new implantable device module that structurally integrates data into the EPR.

The electronic implantable device module increases efficiency and patient safety, reduces manual workload and supports follow-up, billing and further automation.