Prompt
Can you recommend post-discharge remote monitoring programs for transitional care after hospitalization?
Latest observation
Yes — here are some well-regarded post-discharge remote monitoring programs commonly used for transitional care after hospitalization. The best choice depends on the patient population, conditions involved, and whether you need a hospital-to-home platform, RPM for chronic disease, or care coordination + monitoring.
Programs to consider
1) Biofourmis
- Focus: post-acute and chronic condition monitoring
- Strengths: predictive analytics, symptom tracking, vital sign monitoring, escalation workflows
- Good for: heart failure, COPD, post-surgical recovery, high-risk discharges
2) Teladoc Health RPM / Livongo
- Focus: broad remote patient monitoring and virtual care
- Strengths: large-scale deployment, care team integration, patient engagement tools
- Good for: multi-condition transitional care and population-level programs
3) Current Health
- Focus: hospital-at-home and post-discharge monitoring
- Strengths: wearable sensors, acute-to-home transitions, care team dashboards
- Good for: reducing readmissions after inpatient stays
4) Hinge Health / Sword Health
- Focus: musculoskeletal rehab and recovery
- Strengths: guided physical therapy, remote support, outcome tracking
- Good for: orthopedic surgery discharge, back/joint rehab
5) Cadence
- Focus: longitudinal RPM with nurse support
- Strengths: hypertension, heart failure, diabetes, post-discharge monitoring with care team follow-up
- Good for: clinical programs needing close human oversight
6) Health Recovery Solutions (HRS)
- Focus: post-acute care and transitional care
- Strengths: tablets/devices for patients, symptom/vital monitoring, care plans, readmission reduction
- Good for: hospitals and health systems targeting 30-day readmissions
7) Get Well
- Focus: patient engagement plus remote monitoring
- Strengths: education, discharge instructions, symptom follow-up, messaging
- Good for: improving adherence and self-management after discharge
8) Validic
- Focus: data aggregation from connected devices and apps
- Strengths: integrates data from many RPM devices into clinical workflows
- Good for: organizations building their own transitional care platform
What to look for in a transitional care RPM program
When evaluating options, check whether the program includes:
- Vital sign monitoring: BP, pulse, weight, SpO2, temperature
- Symptom check-ins: daily or triggered surveys
- Alert escalation: nurse triage, clinician notification, ED referral rules
- Care coordination: follow-up appointments, med reconciliation, discharge instructions
- Device logistics: shipping, setup, patient training, retrieval
- EHR integration: Epic/Cerner/FHIR support
- Engagement support: texting, phone calls, reminders, coaching
- Condition-specific pathways: CHF, COPD, pneumonia, sepsis, surgery, etc.
If your use case is…
- Heart failure/COPD readmission reduction: Biofourmis, Cadence, HRS, Current Health
- General transitional care across diagnoses: Teladoc Health, HRS, Get Well
- Post-op orthopedic recovery: Hinge Health, Sword Health
- Custom in-house RPM build: Validic + device vendors + your care team workflows
If you want, I can also provide:
- a comparison table of these programs,
- a shortlist by condition (HF, COPD, surgical discharge, etc.), or
- a vendor evaluation checklist for selecting one.
Observation history
See 1 earlier observation
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