Daily vitals monitoring for chronic care teams

Chronic care teams need between-visit measurements linked with the clinicians who act on them. Cadence combines cellular-enabled home devices, clinical review and a multidisciplinary support team for patients with high blood pressure, type 2 diabetes or heart conditions. The program follows assigned vital readings and patient information alongside the treating physician's care plan.

Patients receive the selected blood pressure cuff, weight scale or glucose meter and take the assigned measurements. Cellular devices transmit readings automatically after use, with no patient network setup. The clinical workflow combines vital records, symptoms, medication information and engagement, flagging conditions for review. Doctors, nurse practitioners, nurses and other team members follow physician-developed protocols, including medication titration, laboratory requests and lifestyle support. Two-way electronic medical record integration shares the relevant information with the participating practice.

Patients can contact the care team by phone or text around the clock and receive updates on their progress. Staff triage reported readings and requests, contact patients and escalate care to the practice when needed. Regular telephone visits provide ongoing support and education, while scheduling and medication assistance keep follow-up tied to the care plan. The shared records bring daily home measurements and clinical actions into the physician's existing workflow.