TOWER, Nursing, Education/Stel
Note official Tower process is Process tower (although it needs to be updated)
PRIOR TO ENROLLMENT
The physician can refer patients for this program.
The patient will be informed about the program by the Nurse Practitioner and Social worker while in the hospital. See TOWER, Introduction of RPM to the Patient
When a patient is ordered to be enrolled in the Remote Patient Monitoring program:
The RPM order is entered into Epic which triggers an INBOX message to both CN and Paramedic offices (the order will contain cuff size, parameters for scheduling, and limits)
Heart Failure NP or Social Worker will obtain consent for both 99091 and data sharing with Stel and place it in HIM to be scanned to the bin on the unit
Check Patient zip codes (for limited service zones)
Prepare Patient's Stel Bag / Assemble / Associate / Activate
Login to Stel Dashboard using Tower credentials (ONLY)
Enter patient information into Stel Dash
CN will enter patient in Stel Dash, identify patient Hub, set patient schedule, and limits
Paramedic will obtain Stel equipment from inventory and deliver it to the patient's home within 24 hrs of discharge, see TOWER, Paramedic Education for Initial Home Visit/ Tower / Stel RPM
They will assist you in getting started and taking your initial measurements
After the patient is set up, the Care Navigator can follow the patient vitals on the Stel Dashboard. See TOWER, How to use the Stel dashboard
The patient vitals will be documented within Epic daily. See your documentation of Hyperspace usage for flowsheet, encounter, and note documentation.
The billing for the service to the patient is done within Epic by importing a document that can be obtained on the Stel dashboard called the patient summary (see TOWER, How to use the Stel dashboard)
day to day contact with the patient
The Stel dashboard (see manual TOWER, How to use the Stel dashboard) will help you keep track of the patients.
The care navigator may initiate outreach to the patient if the patient:
missed a scheduled measurement
had an out of bound measurement
if the care navigator has concerns about the patient's condition