Remote Patient Monitoring (RPM) & Principal Care Management (PCM)
Continuous, Personalized Care Beyond the Clinic
Remote Patient Monitoring (RPM) & Principal Care Management (PCM)
What is Remote Patient Monitoring (RPM)?
Remote Patient Monitoring enables real-time tracking of a patient’s vital health metrics from the comfort of their home using FDA-approved devices. This includes monitoring blood pressure, glucose, oxygen levels, heart rate, and more. Data is securely transmitted to the clinical team for review and proactive care decisions.
What is Principal Care Management (PCM)?
Principal Care Management supports patients who have one serious chronic condition expected to last at least 3 months. The program focuses on personalized management of that single condition—such as diabetes, COPD, or heart failure—through regular follow-up, care coordination, and medication oversight.
Why are RPM and PCM Important?
- Detect health changes early and avoid complications
- Provide tailored care plans and ongoing education
- Reduce unnecessary ER visits and hospital admissions
- Improve medication compliance and lifestyle habits
- Maintain a continuous connection between patient and provider
Included Services
- Daily remote monitoring of vitals (via Bluetooth devices)
- 24/7 alert-based triaging and clinical follow-up
- Monthly care coordination and care plan review
- Telehealth and phone check-ins
- Symptom tracking and patient-reported outcomes
- Personalized goal-setting and medication management
Who is Eligible?
- RPM: Patients with hypertension, diabetes, CHF, COPD, post-acute discharge, or at-risk elderly
- PCM: Patients with one serious chronic condition requiring active clinical management
- Patients not currently enrolled in other care coordination programs (e.g., CCM for PCM eligibility)
Benefits of RPM + PCM
- ✔Proactive, Real-Time Care: Receive timely care and monitoring directly from home.
- ✔Stronger Engagement: Enhances patient involvement and accountability.
- ✔Reduced Hospitalizations: Lowers risk of hospital readmissions and emergency visits.
- ✔Streamlined Communication: Improves coordination between patient and care team.
- ✔Improved Outcomes: Supports better long-term health and quality of life.
Who is Eligible?
- ✔RPM: Patients with hypertension, diabetes, CHF, COPD, post-acute discharge, or at-risk elderly
- ✔PCM: Patients with one serious chronic condition requiring active clinical management
- ✔Patients not currently enrolled in other care coordination programs (e.g., CCM for PCM eligibility)