Chronic Disease Management Flourishes with Innovation in North Carolina

BD-HBHC-North-Carolina-Willie-Riddick-5-600x400-300x200Innovation does not always have to come with a hefty price tag in healthcare.  That is what health centers prove every day in the communities they serve, sometimes in the unlikeliest of places.  In rural Ahoskie, NC, the Roanoke-Chowan Community Health Center (RCCHC) operates a remote monitoring system for patients with chronic conditions, like cardiovascular disease, diabetes and hypertension.

RCCHC serves 14,000 patients annually with four locations in northeastern North Carolina. There is no public transportation in the area and for some patients who need regular care that can pose a challenge.  There is also the cost factor: over half (53 percent) of patients struggling with incomes at or below 200 percent of the Federal Poverty Level. The remote monitoring program helps identifying patients with chronic conditions and provides them with monitoring equipment at no cost.  A nurse case manager sets up their equipment and connects it wirelessly to a server.  After a patient has done all the screenings (blood pressure, pulse, body weight and blood sugar), the readings and data are transmitted to the nurse care manager and primary care physician. The real value for providers is that there is hard data with which to work on a daily basis to determine a patient’s health status, rather than trying to guess at what has happened in the intervening months between appointments. The results are also impressive: there has been a 75 percent reduction in hospital admissions and readmissions for patients in the program.

The program was entirely funded by grants, such as the BD Helping Build Healthy Communities Award, but it was Direct Relief, an organization that works in partnership with health centers and NACHC, that brought the program to our attention.  You can read their blog post about RCCHC by visiting this link.

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