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Insurer Zilveren Kruis: remarkable decrease in A&E use through Telemonitoring

Since the introduction of telemonitoring for patients with chronic heart problems (in 2016), more than 500 Zilveren Kruis policyholders have been using HartWacht (translated HeartGuard, a remote monitoring service powered by Luscii, red.). 128 patients (25% of the participants) have been using HartWacht for more than a year. Comparisons have been made between their healthcare usage for the 12 months prior to telemonitoring and the 12 months following use. The results are impressive.

The first research results show a large decrease in the use of care. Olivier Gerrits, Director of Zilveren Kruis Healthcare Purchasing: “We were already convinced that telemonitoring contributes to more control and better quality of life. Now it appears that for our policyholders, there are also fewer admissions, emergency visits and ambulance trips”.

Major decrease in emergency first aid visits on A&E

Patients guided by HartWacht for a year have experienced a decrease in the number of nursing days, the number of emergency trips and the number of emergency room visits. This reduction has been compared to the year prior to the supervision of HartWacht. The number of nursing days has dropped by more than 40% and the number of emergency trips with the ambulance has been reduced by 30% in one year. The largest decrease occurred in the number of emergency room visits: In the group of patients that began with HartWacht, the number of emergency room visits (A&E) fell by 70%, compared to the year before.

VBHC Prize 2019

HartWacht is a joint initiative of Zilveren Kruis, the Netherlands’ Cardiology Centre (CCN) and the Dutch healthcare innovation company Luscii. The number of participants is growing steadily. This breakthrough in eHealth was an international first for the Netherlands in 2016. Last month, HartWacht received the VBHC Prize for its collaboration. Igor Tulevski, cardiologist and co-founder of CCN: “A wonderful reward for increasing the quality of life for patients and reducing healthcare costs on a daily basis”.

This press release was published by Zilveren Kruis on 9 may 2019
(https://nieuws.zilverenkruis.nl/indrukwekkende-afname-zorggebruik-door-telemonitoring/)

The role of Luscii in HartWacht:

Luscii provides hardware, software and patient support in Hartwacht. As a spin-out brand of FocusCura, Luscii is co-initiator of the HartWacht service, together with Cardiologist Center the Netherlands and insurer Zilveren Kruis. These three partners joined in a mutual innovation team to create the HartWacht service including a revolutionary reimbursement model. The Luscii platform is embedded as a button inside the EMR of the cardiologist (CardioPortal by Heart for Health). Patients can download the Luscii vitals and Luscii contact apps, send in their measurements and have (video)-communication with the nurses or cardiologists. Also, after enrollment, Luscii is responsible for all logistics (sending the measurement devices), service and (installation) support for patients with heart failure and hypertension within HartWacht.