Technology and Data Needs for Rural Mobile Health Programs

Mobile health programs often have specific data and technology needs to provide care and monitor patients outside of a fixed facility.

Electronic Health Records and Data Integration

Electronic health records (EHRs) and integrated patient platforms are important for ensuring continuity of care and coordinating services across various settings. EHRs are data systems that hold patient information, document patient visits, communicate patient information with other providers, and support follow-up care. EHR systems can be used to ensure all members of the care team are aware of changes in health status, hospital admissions, and updated prescriptions.

Mobile health programs, especially those involving paramedics, may require specialized data platforms to interface with major EHR programs, as documentation for community paramedic encounters is structured differently from traditional incident-based emergency medical service (EMS) systems.

In addition to supporting coordinated care, an integrated health records system can help agencies track patient outcomes, which is valuable for demonstrating program effectiveness and identifying clients who may need further assistance.

If technical incompatibility prevents sharing patient data, case conferencing with providers and community organizations can accomplish many of the same goals while coordinating care plans and avoiding duplication.

Mobile Applications and Telehealth Software

Mobile health programs often use mobile applications and telehealth for remotely monitoring patients, providing care and consultation, and connecting patients to resources. Programs may choose software that allows integration with patient EHR systems, and it is important for these interfaces to be user-friendly and easily accessible for both patients and providers. Software must also have strong privacy and security capabilities to protect patient data.

For more implementation considerations, see the Rural Telehealth Toolkit.

Internet Connectivity

Reliable Internet is often essential for EHR system integration, remote monitoring, and telehealth provision. However, this can be a significant challenge in rural areas with limited broadband access. To address these issues, programs have equipped mobile units with Wi-Fi capabilities and provided staff with Wi-Fi extenders and hotspots to support remote services, including within patient homes. Programs should also be prepared for connectivity disruptions by keeping offline-capable software and paper versions of documentation available.

Artificial Intelligence

Artificial intelligence (AI) may be a useful tool for rural mobile health programs. AI technologies and systems can assist clinicians in making diagnoses, running and interpreting tests, and performing procedures, which can help address rural healthcare staff shortages or increase access to specialty care. However, AI requires reliable Internet connection, adequate space for processing equipment, and training for both patients and providers to address privacy concerns and build trust.

Resources to Learn More

Telehealth and Remote Patient Monitoring
Website
Provides guidance and considerations for developing a remote patient monitoring strategy and preparing patients and providers to use remote monitoring technology.
Organization(s): Health Resources & Services Administration