Custom Remote Patient Monitoring Software

Architecture, Key Features, Investments

In medical software development since 2005 and in IoT since 2011, ScienceSoft designs and implements remote patient monitoring solutions to enable data-driven patient care.

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Contributors

Gala Batsishcha

MD, Healthcare IT Consultant at ScienceSoft

Ann Krutsko

Healthcare IT Researcher at ScienceSoft

Remote Patient Monitoring in Brief

Remote patient monitoring software enables medical staff (physicians, nurses, etc.) to track patients’ vitals and overall health state via smart medical devices. RPM solutions automate the monitoring process, help timely spot disease progression, and improve care quality.

Integrations: smart medical devices, EHR/EMR.

Costs: from $200,000 for an RPM solution with general features to $400,000 for an app with an advanced feature set. Use our free calculator to gauge the cost of your project.

Architecture of a Remote Patient Monitoring System

Smart connected devices or sensors for patient monitoring

To collect patient vitals (e.g., body temperature, blood pressure, perspiration) and transfer them using connectivity protocols (e.g., Wi-Fi, NFC) to the cloud RPM server for further analytics.

Patient interface

A mobile app enables patients to view their health parameters, log their symptoms, receive alerts on a potential medical device failure, request a video consultation with a physician or a nurse, etc.

Cloud RPM server

To store, process, and analyze transferred medical data, link collected vitals with data from symptom and lifestyle logs and PHI from EHR (e.g., medical history, prescribed medications) to spot changes in patient state and identify their causes.

Medical staff interface

To provide medical staff (e.g., nurses, care coordinators, advanced practice nurses, physicians) with access to data on patients’ health state and alert them on detected abnormalities in patients’ vitals (e.g., severe hypoglycemia, prolonged tachycardia) or possible medical device issues.

Admin web panel

To manage user role settings for medical staff and patients (e.g., enable or restrict the view of monitoring data), add and confirm virtual appointment requests, update schedules of medical staff, etc.

Key Features of a Remote Patient Monitoring Solution

The feature set of an RPM solution depends on the specific needs of healthcare organizations. For example, some may require a tailored set of features for a remote cardiac monitoring solution to effectively manage patients with cardiovascular conditions. Below, ScienceSoft’s consultants outlined the functionality commonly required by healthcare organizations:

Real-time patient health and lifestyle tracking

Collecting patient vitals from one or several medical devices (e.g., to detect early symptoms of diseases, track chronic disease management).
Patient log of symptoms (e.g., shiver, nausea, abnormal thirst).
Lifestyle and physical activity log for patients (e.g., sleep time, walked distance) to help identify the cause of symptoms.
Medication intake log for patients.
AI chatbots interviewing patients on recent or potential symptoms.

RPM data analytics and reporting

Analytics of patient vitals against pre-set reference parameters.
Alerts to physicians on abnormal vitals to prioritize care delivery or a consultation.
Alerts to a patient and a caregiver on abnormal vitals.
Identification of trends in patients’ symptoms (e.g., to spot medication side effects, disease progression).
Automation of RPM reports generation (for patients and medical staff) showing trends in a patient’s health state, abnormal events (e.g., cases of atrial flutter), factors influencing the patient’s health (e.g., stress, low physical activity), etc.
In-app dashboards for physicians and patients showing patients’ vitals history and real-time measurements, analytics insights, etc.

IoT-based monitoring of RPM devices state and device configuration

Automated integration of an RPM solution with multiple health tracking devices.
Device failure identification in real time (e.g., by spotting unusual activity of a medical device, potential hardware failures).
Alerts on a device failure to patients and medical staff.
Configuration of RPM parameters.

Online communication between patients and physicians

Virtual consultations for patients with chronic diseases and conditions to discuss abnormal vitals, symptoms, adjust a care plan.
Messaging to get non-urgent consultations on new symptoms, medical device operation, etc.

Accessibility features

Text-to-speech functionality for visually impaired patients.
Voice control for patients with vision impairments, motor dysfunctions, etc.
User-enabled switch to a large font and high-contrast app design.

Patient data security

Encryption of RPM-collected data, telehealth appointments’ recordings, other PHI.
Role-based access for patients, medical staff, RPM admins.
Multi-factor user authentication.
HIPAA and FDA regulations compliance.

Real-Life Example of RPM Software Delivered by ScienceSoft

Development of Remote Patient Monitoring Software

5 mobile applications for iOS and Android (central app, communication app, home app, extended care app, “heartbeat” module).
Decreased load on the RPM software due to requests aggregation, data grouping, etc.
The solution won the Best Healthcare Technology Solution Award 2022 from Health Tech Digital.
Technologies: Android, iOS, MySQL, PHP, C/C++, Java, Node.js.

Project details

Leverage RPM to Improve Patient Outcomes

ScienceSoft is ready to develop an efficient remote patient monitoring solution for your healthcare organization to enable continuous patient health state tracking, analysis, and secure PHI transmission.

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Important Integrations for an RPM Solution

At ScienceSoft, we understand the importance of all-around patient health information. To achieve it, we recommend opting for the following integrations for an RPM solution:

Smart patient monitoring devices – to collect patients’ health parameters in real time or further analysis, track treatment efficiency.
EHR/EMR system – to access the patient health information (e.g., diagnoses, test results, chronic conditions) for physicians, log online appointments in EHR for the streamlined gathering of billing information, etc.

Explore a Demo of a Telehealth-Enabled RPM System

In the app demo, we show how automated vitals collection and analytics and identification of symptom patterns contribute to advanced patient care.

Watch the demo

Why Choose ScienceSoft’s RPM Software Services

35 years in software development and 19 years in healthcare IT.
ISO 13485, ISO 9001, ISO 27001 certifications.
Knowledge of healthcare standards (HL7, ICD-10, CPT, XDS/XDS-I, etc.).
Experience in FDA/CE registration, HIPAA and HITECH compliant software development.
Doctor of Medicine consultant on board.
Microsoft partner since 2008.
ScienceSoft is a 3-Year Champion in The Americas’ Fastest-Growing Companies Rating by the Financial Times.
ScienceSoft’s RPM solution won the Best Healthcare Technology Solution Award 2022 from Health Tech Digital.
ScienceSoft became a finalist for the Health Tech Award 2022 with its laboratory diagnostics software and the HTN Now Awards 2023 in the Excellence in Remote Patient Monitoring category.
ScienceSoft received the 2023 North American Enabling Technology Leadership Award in the medical devices connectivity industry from Frost & Sullivan.

What makes ScienceSoft different

We achieve project success no matter what

ScienceSoft does not pass mere project administration off as project management, which, unfortunately, often happens on the market. We practice real project management, achieving project success for our clients no matter what.

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What Determines Success of an RPM Solution

Relying on our 19 years of experience in healthcare IT, ScienceSoft has identified core factors influencing RPM software adoption and ROI.

In-built instructions

on syncing smart connected medical devices with an RPM application, correct medical devices use to help patients improve the quality of measurements (e.g., the accuracy of blood pressure monitoring).

AI-based care personalization

based on a patient’s diagnosis, analytics of collected vitals, logged symptoms, and lifestyle changes.

RPM accessibility compliance

with Section 508 of the Rehabilitation Act and other relevant regulations to help patients navigate through the application’s features regardless of their impairments (visual, motor, etc.), level of experience with technology.

How to Get Reimbursement for RPM Services

To get reimbursement from Centers for Medicare & Medicaid Services for remote patient monitoring, ScienceSoft recommends healthcare providers to use these codes:

CPT code 99453 – for providing patients with medical equipment (initial setup) and educating them on how to use it (average payment is about $25).
CPT code 99454 – for every 30 days of supplying a medical device (average payment is about $80).
CPT code 99457 – for 20 minutes per month of remote monitoring of physiologic parameters and live interactive communication.

CPT code 99458 – for additional 20 minutes per month (average payment is about $60).
CPT code 98975 – for Initial setup of remote therapeutic monitoring and patient education.
CPT code 98976 – for every 30 days of supply of devices for monitoring the respiratory system.

Investments for an RPM Solution

A remote patient monitoring solution typically costs between $200,000 and $400,000, with general systems (1 device type; feature messaging, alerts, etc.) at the lower end and advanced systems (e.g., with advanced analytics of PGHD) at the higher end. A complex RPM system with multiple types of devices is likely to cost over $400,000.

Key financial benefits

Reduced

patient care expenses due to reduced complications and improved overall quality of care
Decrease

of missed appointments due to online care delivery
Improved

efficiency of medical staff due to a decreased number of routine patient monitoring tasks (e.g., manual vitals measurement by nurses), optimized schedules of medical staff, etc.
Enhanced

total revenue of a healthcare organization due to improved performance of the organization, new revenue flows after RPM implementation, and incentive payments provided by Centers of Medicare and Medicaid Services

When ScienceSoft Recommends a Custom RPM Platform

ScienceSoft suggests opting for a custom remote patient management system if you need:

	A wide range of connected medical device types to monitor health parameters, especially if these devices are produced by different manufacturers (buying a full suite of medical devices from one manufacturer can be rather expensive).
	Solution functionality that fully covers RPM needs of your healthcare organization. In one of our RPM development projects, besides core functionality, we implemented a home app for healthcare services and an application for extended care team to cover all required RPM use cases.
	Seamless integration with your healthcare software, including legacy solutions and tools.

RPM Software Consulting and Implementation by ScienceSoft

Having the ISO 13485 certified quality management system, we know how to design and implement a robust remote patient monitoring system according to the requirements of the FDA and the Council of the European Union. You set goals, we drive the project to fulfill them in spite of time and budget constraints, as well as changing requirements.

Remote patient monitoring software consulting

Our healthcare IT consultants will:

Elicit requirements for your RPM system.
Draw up a list of features for remote patient monitoring software.
Design a high-level architecture of the RPM system, choose a reliable tech stack, help choose monitoring devices.
Plan integrations with FDA-approved monitoring devices and existing healthcare software (e.g., EHR).
Calculate development costs and estimate ROI of the RPM system.
Guide to cybersecurity and regulatory compliance requirements of HIPAA, HITECH, FDA, MDR regulations.

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Remote patient monitoring software implementation

We will:

Identify business and operational requirements for remote patient monitoring software.
Elaborate on and prioritize features of the RPM system.
Plan app architecture, choose tech stack, design integrations with healthcare IT systems (e.g., EHR).
Map and plan user journeys.
Design intuitive UX and attractive UI of RPM software.
Develop and test RPM software with a focus on regulatory compliance (e.g., with HIPAA, HITECH, FDA, MDR regulations).
Support the RPM system after the launch (if required).

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ScienceSoft's Clients Say

To develop a mobile application that would enhance a line of Bluetooth-enabled devices for newborn and baby care, we opened an app development tender. ScienceSoft’s proof-of-concept was convincing enough for us to further the cooperation. During the project flow we were very pleased by the work of ScienceSoft’s business analysts and developers, who demonstrated high level of skills and competence.

Marina Schommer, Chairman & CEO, Montex Swiss AG

About ScienceSoft

ScienceSoft is an international IT consulting and software development company headquartered in McKinney, Texas, USA. We hold ISO 9001, ISO 27001, and ISO 13485 certifications that prove we are well-skilled to develop reliable and secure software for medical devices.