The best RPM technology is worthless if patients don't use it. Patient engagement is the critical success factor that separates thriving programs from struggling ones. Here are strategies that actually move the needle.
Start with the Right Patients
Not every patient is ready for remote monitoring. Look for patients who express interest in managing their health, have reasonable cognitive ability and dexterity, have support at home if needed, and have demonstrated some health-seeking behavior.
Starting with motivated patients builds program momentum and success stories.
Make Enrollment Personal
The enrollment experience sets the tone for ongoing engagement. Don't just ship a device with written instructions. Take time to explain why monitoring matters for their specific health, set up the device together (in person or via video), practice taking a reading, and set clear expectations for monitoring frequency.
When patients understand the 'why' and feel confident with the 'how,' adherence skyrockets.
Remove Every Possible Barrier
Examine your process for friction points. Do patients need to download an app? Do they need WiFi? Do they need to remember to sync? Every barrier is an off-ramp.
Cellular-connected devices that work automatically have higher adherence than those requiring patient action.
Establish Feedback Loops
Patients need to see that their readings matter. Create feedback loops by acknowledging readings (even normal ones), celebrating consistency, addressing concerning trends promptly, and connecting readings to their care plan.
A patient who sends readings into a void will eventually stop sending them.
Use Multiple Communication Channels
Different patients prefer different communication methods. Be prepared to engage via phone calls, text messages, patient portal, video visits, and automated reminders.
Meet patients where they are, not where you want them to be.
Gamification and Incentives
While not appropriate for every population, gamification elements can boost engagement. Consider streaks (consecutive days of readings), progress visualizations, achievement badges, and comparison to personal goals.
Some programs have experimented with small financial incentives for consistent monitoring.
Address Barriers Quickly
When a patient stops sending readings, find out why immediately. Is the device broken? Did they lose interest? Are they hospitalized? Quick intervention prevents temporary gaps from becoming permanent dropouts.
Build monitoring of engagement metrics into your daily workflow.
