Implementation of remote patient monitoring for hypertension: a secondary analysis from electronic health record data

Remote patient monitoring (RPM) is an effective telehealth service for managing hypertension. However, RPM implementation-related data in real-world settings are scarce. We conducted a retrospective cross-sectional analysis to explore RPM reach by socio-demographic factors accounting for clinic site variations and adoption by primary care providers (PCPs) using data from a large academic health system in Deep South. A total of 5280 patients and 88 PCPs were included. RPM reach was estimated by dividing total RPM enrolled patients with total RPM eligible patients where enrollment status was determined from patients’ electronic health record. RPM adoption was estimated by dividing the number of PCPs making ≥1 RPM referral with the total number of PCPs. RPM reach was 5.2%, and adoption was 62.5% with higher referrals concentrated among a small number of PCPs. Additional research is needed to understand the provider and patient decision-making process for effective RPM implementation.