Client Context

A regional health system had identified Remote Patient Monitoring (RPM) as a strategic priority. Clinical leadership saw the opportunity to extend chronic care management beyond the four walls of the clinic, reduce readmissions, and capture new revenue under emerging payment models. The board had approved the strategy.

What the health system did not have: an RPM platform, a clinical workflow to support it, integration with the Epic EMR, or a way to measure whether the program was actually working.

Challenge

RPM is conceptually simple and operationally hard. Devices have to be provisioned and shipped. Patients have to be enrolled, educated, and kept engaged over time. Clinical data has to flow back into the EMR so that the care team can act on it. Care managers need a workflow that surfaces who needs attention and when. Finance needs visibility into reimbursement and program economics. None of these capabilities existed.

The health system had spent months evaluating vendors. Pilots had been proposed. Nothing was running.

What We Did

Mireo engaged on a single mandate: launch the program with the technology to run it.

The Design stage included care model design, clinical workflow mapping, financial modeling, platform selection, and an integration architecture. We worked alongside clinical leadership, the EMR team, and revenue cycle to align on a launch-ready operational design.

The Build stage included configuration of the selected RPM platform, FHIR-based integration with Epic for bidirectional data flow, build-out of patient engagement automation (onboarding, education, reminders, escalation), training for the clinical care team, and deployment of a Power BI dashboard tied to clinical, operational, and financial KPIs.

The Improve stage continues. The program is in production. The care team uses the dashboard daily. New patient populations are being added as the program scales.

What We Built

  • RPM platform configuration — patient cohort design, device provisioning workflow, clinical alert thresholds.
  • Epic integration via FHIR — observations flow into Epic; care team actions are captured in the chart.
  • Patient engagement automation — onboarding outreach, ongoing education, reminder cadence, escalation logic.
  • Clinical workflow — care manager queues, escalation paths, documentation support.
  • Power BI performance dashboard — patient enrollment, clinical outcomes, reimbursement, care team productivity.

Results

The program is running. Patients are enrolled. The clinical team is engaged. Clinical and operational performance is being measured against baseline.

Outcome metrics are reported on a rolling basis as the program scales. Specific numbers — including the 20% readmissions reduction cited above — are placeholders pending formal verification with the health system.