School of Nursing
Doctor of Nursing Practice (DNP)
Skilled Nursing Facility, Remote Patient Monitoring, Readmission Rates, Continuous Vital Sign Monitoring
Birkett, Sharee Lenae, "Remote Patient Monitoring as a Means to Reduce 30-Day Readmissions in Skilled Patients: An Integrative Review" (2022). Doctoral Dissertations and Projects. 3683.
Readmissions among skilled patients are a problem nationwide with rising rates despite federal mandates. Per the AHRQ (2021), readmission costs are estimated to average $15, 200 per patient. Interventions are needed to reduce readmissions and improve patient outcomes. Remote patient monitoring (RPM), especially with continuous vital sign monitoring (CVM) is one method that could reduce readmission rates. The purpose of this integrative review is to determine whether RPM could be used to reduce emergency department and 30-day readmission visits for Medicare part A skilled nursing patients. Utilizing the Whittemore and Knafl (2005) framework, 29 articles were reviewed with resulting themes from the literature including high rates of readmission in skilled nursing facilities, acceptable vital sign measurements from RPM devices, and improved patient monitoring with CVM and RPM. This integrative review suggests RPM technology could improve readmission rates and patient outcomes with reduced complications and decreased length of stay in acute care patients; however, further research using this technology in skilled facilities is needed.