The Remote Monitoring Hub provides care team members with the tools to manage patients in Remote Patient Monitoring (RPM) and Remote Therapeutic Monitoring (RTM). These programs use devices to send patient readings, such as blood pressure or weight, to the care team. The Remote Monitoring Hub brings each patient’s readings, program status, monthly progress, and outreach history together in one worklist. In this section, you will learn how to read the ‘Remote Monitoring’ card on the Command Center, how to access and navigate the ‘Remote Monitoring’ screen, how to review, snooze, and assign readings, how to enroll eligible patients, and how to use the ‘Actions’ menu to perform bulk actions, set columns, and export the worklist.
Remote Monitoring Card
The ‘Remote Monitoring’ card is located on the ‘Command Center’ screen. It shows which readings still need to be reviewed and how much billable time has been logged for patients during the current month. To learn more about the Command Center, please see the ‘Command Center’ section.
Unreviewed Critical Readings - This count displays the number of patients with a critical reading that has not been reviewed.
Unreviewed Caution Readings - This count displays the number of patients with a caution reading that has not been reviewed.
Unreviewed Normal Readings - This count displays the number of patients with a normal reading that has not been reviewed.
Frequency Not Met - This count displays the number of patients who have at least one vital that has not received a reading within its required reading frequency.
Minutes Distribution - This bar graph displays the number of patients with ‘0–9 min’, ‘10–19 min’, and ‘20+ min’ of billable RPM and RTM time logged during the current month.
Notes:
The ‘Unreviewed Normal Readings’ count is not displayed for all organizations.
Readings that have been snoozed are not included in the card’s counts until the snooze ends. Because of this, a count on the card may be lower than the number of patients in the tab it opens.
When ‘My Work’ is selected, the reading counts include readings assigned to the user and patients where the user is the RPM or RTM Care Manager or Provider.
The card will display a ‘NOT ENABLED FOR YOUR ORGANIZATION’ message if your organization does not have access to the Remote Monitoring Hub or does not have an RPM or RTM program enabled.
To view patients with unreviewed readings through the ‘Command Center’ screen:
Click the desired readings count on the ‘Remote Monitoring’ card to open the ‘Remote Monitoring’ screen to the matching ‘Critical’, ‘Cautioned’, ‘Normal’, or ‘Frequency Not Met’ tab
To view patients by minutes logged through the ‘Command Center’ screen:
Click the desired bar in the ‘Minutes Distribution’ graph to open the ‘Remote Monitoring’ screen to the ‘All Patients’ tab with the ‘Minutes’ filter set to the matching range
Remote Monitoring
The ‘Remote Monitoring’ screen is a patient-based worklist for every patient who is eligible for or enrolled in RPM or RTM across the practices a user can access. Each patient appears in a single row that shows their unreviewed readings, care team, program status, conditions, monthly progress, vital trends, and recent outreach. From this screen, users can review readings, assign readings to care team members, enroll eligible patients, and open common patient actions without leaving the worklist.
The ‘Remote Monitoring’ screen can be accessed from several places in ThoroughCare:
The ‘Remote Monitoring’ card on the Command Center
The ‘Worklists’ menu in ThoroughCare’s left side panel
The RPM and RTM section titles and numbers on the dashboard
Any link that previously opened the ‘Device Readings Queue’ screen
To access the ‘Remote Monitoring’ screen through the left side panel:
Expand ThoroughCare’s left side panel
Expand the panel’s ‘Worklists’ menu
Click ‘Remote Monitoring’
Notes:
The ‘Remote Monitoring’ option replaces the ‘RPM’ option in the ‘Worklists’ menu. The ‘Remote Monitoring’ screen also replaces the ‘Device Readings Queue’ screen.
When opened from a dashboard number, the ‘Remote Monitoring’ screen keeps the filters that apply to that number.
The Remote Monitoring Hub is enabled for an organization upon request. To learn more, please reach out to a ThoroughCare representative for assistance.
Only users with access to RPM or RTM can view the ‘Remote Monitoring’ screen. Users with read-only access can view program information, but cannot edit enrollment, program status, care team, or conditions, log time, or print for that program. Locked actions display a ‘Read-only access to RPM/RTM’ message.
Navigating the ‘Remote Monitoring’ Screen
The ‘Remote Monitoring’ screen will open to the ‘Assigned to me’ tab. The top of the screen displays the screen title, a month selector, and the ‘Actions’ and ‘Filters’ buttons. Below the header, a row of tabs organizes patients into groups, followed by the patient worklist.
Selecting a Month
The month selector at the top right of the screen determines which month of patient information is displayed, including the worklist, tab counts, and readings.
To view a different month through the ‘Remote Monitoring’ screen:
Click the left arrow next to the month selector to move back one month, or click the right arrow to move forward one month
Note: When a previous month is selected, information displays as of the last day of that month.
Worklist Tabs
The worklist tabs sort patients into groups based on their readings and assignments. A patient will appear in every tab they qualify for.
All Patients - This tab displays every patient who is eligible for or enrolled in RPM or RTM across the practices the user can access, with no filters applied.
Assigned to me - This tab displays patients with at least one reading assigned to the logged-in user. If the practice automatically assigns new readings to Care Managers, this tab also displays patients where the logged-in user is the Care Manager or Provider.
Unassigned - This tab displays patients with at least one unreviewed reading that is not assigned to anyone.
Critical - This tab displays patients with at least one unreviewed critical reading.
Cautioned - This tab displays patients with at least one unreviewed caution reading.
Normal - This tab displays patients with at least one unreviewed normal reading.
Frequency Not Met - This tab displays patients with at least one vital that has not received a reading within its required reading frequency. Patients who are the most days overdue are listed first.
Notes:
An unreviewed reading is a reading with a ‘New’, ‘Follow Up’, or ‘Snoozed’ status. Once a reading is reviewed, it is removed from the tabs and the ‘Readings Queue’.
The ‘Normal’ tab is not displayed for all organizations.
Only patients with an active RPM or RTM enrollment are included in the ‘Frequency Not Met’ tab. A vital’s required reading frequency is set in the patient’s chart, under that vital.
To view a group of patients through the ‘Remote Monitoring’ screen:
Click the desired tab
Worklist Columns
Each column in the worklist displays a different type of patient information. Several columns also open a related modal or patient chart tab when clicked.
Patient - This column displays the patient’s name, date of birth, EHR ID, and preferred phone number. Clicking the patient’s name opens their chart. This column stays visible when scrolling to the right.
Practice/Department - This column displays the practice and department the patient belongs to.
Readings Queue - This column lists the patient’s unreviewed readings, colored by severity. Each reading displays its value, its status, and when it was taken and received. The top of the column displays a count of readings, such as ‘6 readings in queue · 4 to review’. When there are no readings to review, the column displays ‘No Readings to Review’.
Flags - This column displays any active flags on the patient’s chart. Clicking a flag or the pencil icon opens the ‘Edit Flag’ modal.
Risk Level - This column displays the patient’s current risk level. Clicking the risk level or the pencil icon opens the ‘Edit Risk Level’ modal.
Care Team - This column displays the patient’s care team for their monitoring program. Clicking an underlined care team member’s name opens the ‘Edit Care Team’ modal.
Program Status - This column displays the patient’s RPM or RTM enrollment status, enrollment date, and how long they have been enrolled. Clicking a status opens that program’s enrollment modal.
Conditions - This column displays the patient’s conditions tied to RPM or RTM. Clicking a condition opens the ‘Condition’ modal.
Month Progress - This column tracks the minutes logged this month against the patient’s minutes goal, the number of days with readings, and how many days the patient is short of the billing goal. Billing code pills are added once a claim is generated. Clicking any text in this column opens the patient’s ‘Billing’ tab.
Vital Trends - This column displays a daily bar for each vital that is linked to a device. Each day is colored by that day’s most recent reading. Hovering over a bar displays more details, and clicking a vital opens the patient’s ‘Vitals’ tab.
Interaction Overview - This column displays the date of the last successful interaction, the next scheduled interaction, and the number of unsuccessful outreach attempts. Clicking a date opens the ‘Interaction’ modal.
Clinical Review - This column displays the date and the name and credentials of the user who last marked the patient’s care plan as reviewed.
Provider Sign-Off - This column displays the date a provider signed off on the patient’s care plan. Hovering over the date displays more details.
Actions - This column provides quick access to send a message, log time, print the care plan, or create a to-do for the patient.
Reading the ‘Month Progress’ Column
The ‘Month Progress’ column uses colors to show how close a patient is to their monthly goals.
Minutes - The minutes bar is amber below 75% of the patient’s minutes goal, dark teal from 75% up to the goal, and green once the goal is met. Once a patient reaches 75% of their minutes goal, a message displays the minutes still needed, such as ‘3 min short of billing goal’.
Days with Readings - The days with readings indicator is green for 16 or more days, amber for 10-15 days, and dark blue for 0-9 days. When a patient has 10-15 days with readings, a message displays how many days they are short of the goal.
Notes:
The minutes goal is set in the patient’s chart for their active program.
The days with readings goal is based on the practice’s RPM and RTM billing settings. To learn more, please see the ‘Minimum Days with Readings’ option in the ‘Billing & Claims Settings’ section of the Administrative User Guide.
If a patient is not enrolled in RPM or RTM, the column displays ‘Not enrolled in RPM or RTM.’
Reading the ‘Vital Trends’ Column
The ‘Vital Trends’ column displays a bar for each vital that is linked to a device. Each day in the bar is colored by that day’s most recent reading:
Green - Normal reading
Yellow - Caution reading
Red - Critical reading
Gray - No reading
A dark marker shows the current day. If a vital has not received a reading within its required reading frequency, a yellow caution icon displays next to the vital’s name.
Notes:
If the patient has no vitals linked to a device, the column displays ‘No Vitals.’
A gray day on its own does not mean a vital is overdue. The caution icon only displays once the vital’s required reading frequency has passed.
Sorting the Worklist
By default, patients with critical readings are listed first, starting with the patient who has waited the longest. Patients with caution readings are listed next, followed by all remaining patients in alphabetical order.
To sort the worklist through the ‘Remote Monitoring’ screen:
Click the ‘Patient’ column header to sort patients alphabetically, or click the ‘Readings Queue’ column header to sort patients by their readings
Note: The ‘Frequency Not Met’ tab lists the patients who are the most days overdue first.
Filtering the Worklist
The ‘Filters’ button opens a panel of filters that narrow the worklist to specific patients. Filters can be combined, and filters can be searched by name or keyword.
To filter the worklist through the ‘Remote Monitoring’ screen:
Click the ‘Filters’ button located at the top right of the screen to open the filters panel
Locate the desired filter by scrolling through the categories or typing in the search field
Note: Click a category heading to collapse or expand its filters.
Select the desired filter values
Repeat steps 2-3 until all desired filters have been selected
Click the ‘Apply Filters’ button to update the worklist
Note: To close the panel without applying your changes, click outside of the panel. Changes that were not applied will not be saved.
To clear all filters through the ‘Remote Monitoring’ screen:
Click the ‘Filters’ button located at the top right of the screen to open the filters panel
Click the ‘Clear All’ button
Notes:
The ‘Filters’ button displays the number of filters applied, such as ‘Filters (4)’. Applied filters are marked with a blue dot in the filters panel.
Applied filters are remembered for each user and practice on the same browser until they are cleared. The ‘Reading Period’ filter returns to the selected month each time the screen is opened.
Clearing filters does not change the selected tab.
If a filter has an error, such as a ‘Max’ value that is lower than its ‘Min’ value, the filter is marked in red and the ‘Apply Filters’ button is disabled until it is corrected.
Filter Options
Active Programs - Displays patients with no active programs, an active RPM program, or an active RTM program.
Billing Status - Displays patients who are billable or non-billable.
Call Attempts - Displays patients with a number of call attempts between the ‘Min’ and ‘Max’ values entered.
Call Status - Displays patients by the status of their last call, such as ‘Reached’ or ‘Left Voicemail’.
Care Manager - Displays patients assigned to the selected Care Managers, or patients with no Care Manager.
Clinical Review - Displays patients whose clinical review is pending or completed.
Conditions - Displays patients with the selected condition, or patients with no conditions.
Days with Readings - Displays patients with a number of days with readings between the ‘Min’ and ‘Max’ values entered.
Departments - Displays patients in the selected departments, or patients with no department.
Enrollment Day - Displays patients enrolled between the selected dates.
Enrollment Status - Displays patients with the selected enrollment status, such as ‘Enrolled’ or ‘On Hold’.
Flags - Displays patients with any of the selected flags, or patients with no flags.
Last Successful Call - Displays patients by when their last successful call took place, such as ‘Last 30 Days’.
Measurement Type - Displays patients with readings of the selected measurement types, such as ‘Blood Pressure’.
Minutes - Displays patients with a number of logged minutes between the ‘Min’ and ‘Max’ values entered.
Physician - Displays patients assigned to the selected Physicians, or patients with no Physician.
Practice - Displays patients in the selected practices. This filter only displays for users with access to more than one practice with RPM or RTM.
Qualified Billable Device - Displays patients with a qualified billable device.
Reading Period - Displays patients with readings between the selected dates.
Reading Severity - Displays patients with critical, caution, or normal readings.
Reading Status - Displays patients with readings in a ‘New’, ‘Follow Up’, or ‘Snoozed’ status.
Reading Type - Displays patients by the type of readings they have, such as ‘Supplied Device Readings’ or ‘No Readings’.
Risk Level - Displays patients with the selected risk levels, or patients with no risk level.
Supplied Devices - Displays patients by whether a device has been supplied, ordered, or not supplied.
Unsuccessful Call Attempts - Displays patients with a number of unsuccessful call attempts between the ‘Min’ and ‘Max’ values entered.
User Assigned to Reading - Displays patients with readings assigned to the selected users, or patients with unassigned readings.
Notes:
For ‘Min’ and ‘Max’ filters, either field can be left blank. Values must be whole numbers from 0 to 100,000.
When more than one reading filter is applied, a patient is only displayed if a single reading matches all of the reading filters.
Reviewing Readings
Unreviewed readings are listed in each patient’s ‘Readings Queue’ column. Clicking a reading opens a review modal that displays the reading’s details, recent readings for the same vital, and previous notes, so the reading can be documented and marked as reviewed.
Reviewing a Reading
To review a reading through the ‘Remote Monitoring’ screen:
Locate the desired patient and click the desired reading in the ‘Readings Queue’ column to open the review modal
Note: Click ‘Show’ to view the patient’s readings for the same vital from the last 30 days. Previous notes for the vital are listed in the modal.
Enter a note describing the review
Note: A note is required for critical and caution readings. A note is optional for normal readings.
Select an outcome from the outcomes dropdown, if displayed
Click the ‘Complete’ button to mark the reading as reviewed
Note: If required information is missing, the ‘Complete’ button is grayed out. Clicking it will display the information still needed.
Notes:
Reading notes are saved to the patient’s ‘Vitals’ tab.
The outcomes dropdown is only displayed for practices that use color coded outcomes.
Once a reading is marked as reviewed, it is removed from the ‘Readings Queue’.
Reading and note times are displayed in the practice’s time zone.
Snoozing a Reading
Snoozing a reading delays its review for a set amount of time. A snoozed reading stays in the ‘Readings Queue’ with a ‘Snoozed’ status.
To snooze a reading through the ‘Remote Monitoring’ screen:
Locate the desired patient and click the desired reading in the ‘Readings Queue’ column to open the review modal
Enter a note
Note: A note is required to snooze critical and caution readings. A note is optional for normal readings.
Select a snooze length of 15 minutes, 1 hour, 3 hours, or 24 hours, or enter a custom length
Note: The snooze length is set to 24 hours by default. A custom snooze length can be up to 48 hours.
Click the ‘Snooze’ button to save
Notes:
While a reading is snoozed, it is unassigned and appears in the ‘Unassigned’ tab.
When the snooze ends, the reading is assigned back to the user who snoozed it, as long as that user is still active and no one else was assigned to the reading during the snooze.
Assigning a Reading
Each reading can be assigned to one user, who becomes responsible for reviewing it. Readings can be assigned, reassigned, or unassigned from the review modal.
To assign or reassign a reading through the ‘Remote Monitoring’ screen:
Locate the desired patient and click the desired reading in the ‘Readings Queue’ column to open the review modal
Click ‘Change’ next to ‘Assigned to’
Select the desired user
To unassign a reading through the ‘Remote Monitoring’ screen:
Locate the desired patient and click the desired reading in the ‘Readings Queue’ column to open the review modal
Click ‘Unassign’ next to ‘Assigned to’
Notes:
When an unassigned reading is opened, the user who opened it is shown as the default owner. The reading is only assigned to that user once they complete it, snooze it, or assign it.
When a user completes or snoozes a reading assigned to someone else, the reading is reassigned to that user.
Completed and snoozed readings cannot be reassigned from the review modal.
Some practices automatically assign new readings to the patient’s RPM or RTM Care Manager. Users are not notified when a reading is automatically assigned to them. To learn more about this option, please reach out to a ThoroughCare representative for assistance.
Assigning All Readings for a Patient
The ‘Assign All’ option assigns all of a patient’s unreviewed readings to one Care Manager at once.
To assign all of a patient’s readings through the ‘Remote Monitoring’ screen:
Locate the desired patient and click ‘Assign All’ in the ‘Readings Queue’ column
Click into the dropdown field to display a list of active Care Managers
Note: Begin typing the desired Care Manager’s name to filter the dropdown list.
Select the desired Care Manager
Click the ‘Assign’ button to save
Note: If any readings are already assigned to another user, a warning displays the number of readings that will be reassigned.
Notes:
‘Assign All’ only assigns readings with a ‘New’ or ‘Follow Up’ status. Snoozed readings are not assigned.
Only active users with the ‘Care Manager’ role in practices you can access are listed.
Enrolling a Patient in RPM or RTM
When a patient is eligible for RPM or RTM but not enrolled, the ‘Program Status’ column displays an orange ‘Eligible’ badge with a purple ‘RPM’ and/or ‘RTM’ button below it. These buttons open the enrollment modal for that program.
To enroll a patient through the ‘Remote Monitoring’ screen:
Locate the desired patient and click the ‘RPM’ or ‘RTM’ button in the ‘Program Status’ column to open that program’s enrollment modal
Enter all applicable modal fields
Click the ‘Save’ button to save
Notes:
Clicking the ‘RPM’ or ‘RTM’ button does not enroll the patient. The patient is only enrolled once the enrollment modal is completed.
A patient’s eligibility is based on the ‘Eligible for RPM / RTM’ setting in their chart.
Once a patient is active in either program, the ‘Eligible’ badge and enrollment buttons are no longer displayed.
To update an existing enrollment, click the patient’s program status to open that program’s enrollment modal.
Using the ‘Actions’ Menu
The ‘Actions’ button, located at the top right of the screen next to the ‘Filters’ button, opens a menu for creating patients, performing bulk actions, setting columns, and exporting the worklist.
Creating a New Patient
To create a new patient through the ‘Remote Monitoring’ screen:
Click the ‘Actions’ button located at the top right of the screen
Click ‘Create New Patient’ to open the ‘Create Patient’ modal
Enter all applicable modal fields
Click the ‘Save’ button to save
Note: Only users with permission to create patients will see the ‘Create New Patient’ option.
Performing Bulk Actions
Bulk actions allow users to complete the same action for several patients at once. The available bulk actions are ‘Log Time’, ‘Modify Flags’, ‘Care Plan Report’, ‘Change Department’, ‘Reassign Care Team’, and ‘Bulk Send Assessments’.
To perform a bulk action through the ‘Remote Monitoring’ screen:
Click the ‘Actions’ button located at the top right of the screen
Hover over ‘Bulk Actions’ to display the list of bulk actions
Click the desired bulk action to display the bulk actions header above the worklist
Select a practice from the ‘Practice’ dropdown in the bulk actions header
Note: A practice must be selected so the bulk action uses that practice’s flags, departments, care team, and time categories.
Check the box next to each desired patient
Note: Check the ‘Select all on this page’ box to select every patient on the current page.
Click the ‘Continue’ button to open the selected bulk action’s modal
Enter all applicable modal fields
Click the ‘Save’ button to complete the bulk action
Note: To exit without completing the bulk action, click the ‘Cancel’ button in the bulk actions header.
Notes:
The ‘Continue’ button stays disabled until a practice is selected and at least one patient is checked.
Selected patients stay selected when moving between pages and tabs. The bulk actions header shows the total number of patients selected.
Selecting a different practice removes selected patients from other practices.
‘Log Time’ and ‘Reassign Care Team’ can only be performed for patients in the same program. If both RPM and RTM patients are selected, the ‘Continue’ button is disabled.
Each bulk action is only available to users with permission to perform that action.
Setting Columns
The ‘Set Columns’ option allows each user to choose which columns appear in their worklist and the order they appear in. Column settings only apply to the user who sets them and are saved across practices, sessions, and devices.
To set columns through the ‘Remote Monitoring’ screen:
Click the ‘Actions’ button located at the top right of the screen
Click ‘Set Columns’ to open the ‘Set Columns’ modal
Check the box next to each column that should be displayed, and uncheck the box next to each column that should be hidden
Note: Begin typing in the search field to filter the list of columns.
Drag the columns in the ‘Column Order’ panel into the desired order
Click the ‘Apply Columns’ button to save
Note: To exit the modal without saving, click the ‘Cancel’ button, the ‘x’ button, or anywhere outside of the modal, then click ‘Discard Changes’.
Notes:
The ‘Patient’, ‘Readings Queue’, and ‘Actions’ columns are always displayed. The ‘Patient’ column always stays in the first position.
To move a column with the keyboard, press Tab to select the column in the ‘Column Order’ panel, then use the up and down arrow keys.
To return to the original columns and order, click the ‘Reset to Default’ button, then click ‘Apply Columns’.
Hiding a column does not change which patients are displayed or the tab counts.
Exporting the Worklist
The worklist can be exported as a CSV or PDF file. Exports include the patients on the selected tab, with the filters, search, and month currently applied.
To export the worklist through the ‘Remote Monitoring’ screen:
Click the ‘Actions’ button located at the top right of the screen
Hover over ‘Export’ to display the export options
Click ‘CSV’ or ‘PDF’
Note: The file is created in the background. A download link displays once the file is ready.
Notes:
Exports only include the columns displayed in your worklist, in the same order. The ‘Actions’ column is not included.
Use the PDF export to print the worklist.
Only users with permission to run reports will see the ‘Export’ option.
To access other helpful ThoroughCare articles in the Knowledge Base or to get help from the ThoroughCare Support team members, click the ‘i’ icon in the top right corner of the software next to the username and use the appropriate link!