Early Outcomes in a Home-Grown High-Risk Obstetric Remote Patient Monitoring (RPM) Program [ID 1140]

INTRODUCTION: Hypertensive disease during pregnancy remains a significant contributor to maternal morbidity and mortality, as well as hospital readmissions and ED visits. Early detection and continuous management are essential for reducing complications and providing timely care. This descriptive study aims to explore the effectiveness and feasibility of a home-grown remote patient monitoring (RPM) program for managing hypertension in pregnant women in a two-hospital system averaging a combined ∼8,300 deliveries annually. METHODS: Working with the virtual health department, three pathways were built to enroll high-risk patients: 1) pregnant with a history of hypertension, 2) gestational hypertension/preeclampsia, and 3) postpartum hypertension. Cohort data was collected from the patients to describe experiences and outcomes. Hospital data was collected regarding readmission and triage visits. RESULTS: In a 12-month period, we enrolled a total of 765 women (347 history of HTN, 233 gestational HTN/preeclampsia, and 185 postpartum HTN). The participants had a 58% adherence to daily blood pressure readings. The virtual care team had on average 332 monthly encounters. There were a total of 324 acute care encounters for enrollees with OB triage with a monthly average of 10. Ninety percent of participants were satisfied with their virtual care team. Interventions ranged from education, medication titration, and care coordination. CONCLUSIONS/IMPLICATIONS: Early findings suggest this program is helpful in remote management of hypertensive disease in pregnancy. Participants were engaged, satisfied, and connected with appropriate services. This study can inform future policy and development of RPM obstetric programs.