Cost analysis of a remote patient monitoring programme for post-discharge patients with type 2 diabetes

Tzeyu L. Michaud, Jennie L. Hill, Paul A. Estabrooks, Dejun Su

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Introduction: Assessing costs of an evidence-based health promotion programme is crucial to understand the economic feasibility of adopting or sustaining the programme. This study conducted a cost analysis of a remote patient monitoring (RPM) programme to enhance the post-discharge management of type 2 diabetes. Methods: Using retrospective data collected during RPM implementation from September 2014 to February 2018, we estimated the costs of implementing an RPM in the primary care setting. Measures included total and average annual costs, costs per participant who was enrolled or completed the programme, and costs per person-day. We further conducted sensitivity and scenario analyses to examine variations in estimated programme costs associated with varying programme efficiencies and alternative personnel compositions of the RPM team. Results: The total RPM implementation costs were estimated at US$4,374,544 with an average annual programme costs of US$1,249,870, which translated to US$3207 per participant (n = 1364) completing the three-month programme. The per person-day cost was averaged at US$24 (182,932 person-days). Sensitivity and scenario analyses results indicate that the sustainment costs were approximately US$1.6 million annually and the per-person-day costs were between US$21 and US$29 with each nurse coach on average serving a panel of 62–93 patients. Conclusion: The implementation and sustainment costs of an RPM programme, estimated under various assumptions of programme efficiency and care team compositions, as exemplified in this study, will help healthcare organizations make informed decisions in budgeting for and sustaining telehealth programmes to enhance diabetes management.

Original languageEnglish (US)
Pages (from-to)417-425
Number of pages9
JournalJournal of Telemedicine and Telecare
Issue number6
StatePublished - Jul 2023


  • Implementation
  • quality improvement
  • reimbursement rate
  • sustainment
  • telehealth, remote patient monitoring, diabetes

ASJC Scopus subject areas

  • Health Informatics


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