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Editor's Correspondence
Nov 12, 2012

Telehealth Monitoring With Nurse Clinician Oversight

Author Affiliations

Author Affiliations: The H.O.P.E. Project, St Francis Healthcare Foundation, John A. Burns School of Medicine, University of Hawaii, Honolulu.

Arch Intern Med. 2012;172(20):1612-1613. doi:10.1001/archinternmed.2012.4433

We would like to provide evidence from our own observations that contradict the conclusions in the article by Takahashi et al1 and the accompanying Invited Commentary. 2 We performed a 3-year study using a model similar to the one described by Takahashi et al,1 a comprehensive telehealth monitoring with nurse clinician oversight.3 Our patients were also selected by a statistically derived “risk score” that used administrative data to inform the algorithm. Only those in the highest risk category were included in our study. Significant improvements in hospitalization rates and hospital charges were reported in our 1-year pilot findings, and these continued in subsequent years with added enrollees (unpublished data, 2012).