Home Monitoring of Congestive Heart Failure Patients Using Radar-Enabled Vests

Care Coordination

eBrightHealth ACO Waiver Protection Form

Program Name:               
Care Coordination Home Monitoring of Congestive Heart Failure Patients Using Radar-Enabled Vests

Type of Waiver Utilized:
ACO Beneficiary Inducement Waiver

All Parties Involved:      
Christiana Care Quality Partners ACO, LLC d/b/a eBrightHealth ACO

eBrightHealth ACO Beneficiaries attributed to Christiana Care Node with a diagnosis of Congestive Heart Failure and located in New Castle County

Christiana Care Health System Carelink CareNow

Date Program will begin:
May 1, 2018

Description of Arrangement:
eBrightHealth ACO contracts with an inter-professional care coordination team referred to as Carelink CareNow. The focus of this group is to assist patients to receive the right care in the right place at the right time, and to optimize disease management in patients with chronic diseases.

This care coordination team is introducing the use of radar-enabled vests for patients eligible for Carelink CareNow services, who have a diagnosis of congestive heart failure. This will allow:

  • Promotion of patient self-engagement in chronic disease management
  • Objective measurements of lung fluid volume in the home setting
  • Timely responses to alerts of impending worsening of congestive heart failure

Purpose of Arrangement:
The purpose of this arrangement is to promote patient self-engagement in congestive heart failure management, as well as early recognition of impending worsening of congestive heart failure, thus allowing the care coordination team to engage with the patient’s care delivery team to escalate clinical care.  Examples would include detecting an elevated lung fluid volume through application of this device, and then outreaching to both patient and his/her physician to devise an appropriate clinical intervention to improve disease management or avert a clinical crisis.

Items, services, facilities or goods covered by the arrangement:
After informed consent, eligible patients will be visited, approximately twice a week, by a medical aide who will apply the radar-enabled vest on their chest wall and obtain a numerical reading of lung fluid volume. There will be no cost to members for this service.

Date and manner of the Governing Body’s Authorization:
Approved by the Board of Managers on 05/17/2018