- Requires staffing infrastructure
- There needs to be a method of integrating patient data into the electronic health record

Limitations of remote patient monitoring

- Respond to clinical data outside of regular clinic visits
- Recordings can be automatically sent to clinicians

Opportunities for remote patient monitoring

Remote patient monitoring, or the direct transmission of a patient’s clinical measurements to a healthcare provider, provides an efficient method of monitoring conditions as they progress. Symptoms and developments of chronic conditions can be tracked effectively as well.

Syracuse University

University of California, Santa Cruz

Telehealth encounters can be encountered by the following:
- E-consult: clinician-to-clinician communications
- Remote patient monitoring
- E-consult: patient-initiated communication
- Telephone visit
- Video visit

Telehealth encounters

- synchronous
- asynchronous
- remote patient monitoring

Telehealth modalities

Wosik, J., Fudim, M., Cameron, B., Gellad, Z. F., Cho, A., Phinney, D., . . . Tcheng, J. (2020). Telehealth transformation: COVID-19 and the rise of virtual care. Journal of the American Medical Informatics Association, 27(6), 957-962. doi:10.1093/jamia/ocaa067

Telehealth transformation: COVID-19 and the rise of virtual care

Specialists can communicate in real-time to optimize patient care as well as having accessible second opinions based on patient request.

E-consult: clinician-to-clinician communications

Remote patient monitoring

Patient can get medical assistance from medical providers directly saving time on more "basic" issues. Reduces strain on front-line workers and allows said providers to focus on more pressing concerns. 

E-consult: patient-initiated communication

Can replace sine unnecessary face-to-face visits; saving time, resources, and strain on the entire healthcare system, especially in terms of cost.

Telephone visit

A form of telehealth encounter involving synchronous patient-clinician communication with both audio and video, allowing care providers to visually observe patients.

Video visit

Patients and clinicians use smartphones, tablets, or computers to audio or audio-video call. May include an in-person medical assistant using peripheral medical equipment (such as a digital stethoscope) while a remote clinician evaluates the results in real-time


Synchronous telehealth

"Store and forward” of messages, images, and data to be collected and reviewed at a later time. Can include patient portals with secure messaging

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