OpenTelemed Services
A Comprehensive Framework for Type 1 Diabetes Remote Monitoring via Telehealth
A revolutionary approach to T1D management, combining cutting-edge technology with expert clinical oversight to transform patient outcomes and quality of life.
Principal Investigator: Nurse Madison Rodriguez, BSN, RN, CDCES (MO, USA)
Technology & Service Provider: OpenTelemed Services LLC
Executive Summary & Project Definition
Abstract
Synthesizing the T1D management crisis and the telehealth-RPM solution to address critical gaps in traditional diabetes care delivery.
Problem Statement
Gaps in traditional episodic T1D care leading to suboptimal outcomes, including poor glycemic control and increased complications.
Vision Statement
To create a seamless, proactive, and data-driven T1D management ecosystem that revolutionizes patient care.
Project Mission & Objectives
Mission: To leverage OpenTelemed's platform to reduce HbA1c, minimize hypoglycemic events, and improve quality of life for Type 1 diabetes patients through continuous monitoring and expert clinical oversight.
Care Cohort: Patient inclusion/exclusion criteria including confirmed T1D diagnosis, CGM compatibility, and reliable broadband access for optimal platform utilization.
7.5%
Target HbA1c
Reduction Goal
50%
Hypoglycemic Events
Reduction Target
85%
Time in Range
Achievement Goal
Technology Stack & Infrastructure
CDCES Leadership
Madison Rodriguez's central role as Certified Diabetes Care and Education Specialist, providing expert clinical coordination and patient education.
Digital Platform Architecture
OpenTelemed Services LLC provides the core technological infrastructure, featuring cloud-based data integration and secure communication.
CGM Fundamentals
Utilizing electrochemical enzyme-based and optical fluorescence sensing methodologies for continuous glucose monitoring.
Real-Time Data Streams
Raw glucose values, trend arrows, and rate-of-change calculations provide predictive insights for proactive care.
HIPAA-Compliant Cloud
Built on AWS/GCP architecture with data availability zones, failover protocols, and AES-256 encryption.
EHR Integration
HL7 v2 and FHIR APIs enable seamless integration with Epic, Cerner, and other major electronic health record systems.
Clinical Workflow & RPM Protocol
Patient Onboarding
Comprehensive technology setup, device configuration, informed consent, and extensive patient education programs.
Tiered Alerting System
A multi-level alert system (Patient-Only, Nurse-Notified, Provider-Urgent) ensures appropriate and timely responses to glucose events.
Daily Clinical Workflow
Triage dashboard with intelligent prioritization and structured virtual consultations using shared AGP data for evidence-based discussions.
Decision Support & Documentation
Evidence-based algorithms for insulin dosage adjustments and integrated SOAP note templates for consistent documentation.
Research Outcomes & Clinical Endpoints
Primary Clinical Endpoints
Our primary focus is on the mean change in HbA1c from baseline, with a critical safety endpoint of monitoring and reducing severe hypoglycemic events.
- Time-in-Range Target: 70% (70-180 mg/dL)
- Time Below Range Goal: <4% (<70 mg/dL)
- Coefficient of Variation Stability Goal: <36%
Take Control of Your Diabetes Management Today
Join our innovative program and experience a new standard of proactive, data-driven care.
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