HealthBridge partnered with Vervelo to deploy a real-time RPM platform that keeps high-risk patients connected to their care team — from the comfort of home.
The Challenge
HealthBridge Medical Group was struggling with a stubborn problem: patients with CHF, COPD, and diabetes were being discharged, then silently deteriorating at home until a crisis forced them back to the ER. Their readmission rate for these chronic conditions sat at 24% — well above the national average — and Medicare penalties were mounting.
Their care coordinators were operating blind. Without visibility into day-to-day vitals, they couldn’t intervene early, only react.
What We Built
Real-Time Vitals Dashboard
A unified dashboard giving care coordinators live feeds from connected devices — weight scales, pulse oximeters, blood pressure cuffs, and glucometers — with patient-specific alert thresholds set by the clinical team.
Intelligent Alert Engine
Rather than flooding coordinators with raw data, our alert engine triages signals by severity and patient risk profile. Only actionable alerts surface — urgent escalations via SMS, routine trends via daily digest.
Patient Mobile App
A simple, accessible mobile app (iOS and Android) patients use to log symptoms, confirm readings, and message their care team. Designed for older adults: large text, voice input, minimal navigation.
EHR Bi-Directional Sync
All RPM data flows directly into HealthBridge’s Epic instance via FHIR R4, keeping the longitudinal record complete without manual entry.
The Transformation
Within six months of going live, HealthBridge saw a measurable shift across every metric they cared about:
- Readmission rate for CHF/COPD/diabetes patients dropped from 24% to 15% — a 38% reduction
- Average care team response time to alerts fell from 4.1 hours to 71 minutes
- Patient satisfaction scores (HCAHPS) improved by 52 points across monitored cohorts
- Estimated annual savings of $2.1M from avoided readmissions and reduced penalty exposure
More importantly, three patients credited the system with catching deterioration that would have otherwise gone unnoticed for days.
What the Client Said
“Vervelo didn’t just build us a monitoring tool — they built us a lifeline for our highest-risk patients. Readmissions are down, our team’s confidence is up, and patients are genuinely happier with their care.”
— Dr. Priya Nair, Chief Medical Officer, HealthBridge Medical Group
Technology Stack
- Devices: Biobeat, Withings, iHealth (HL7-certified)
- Integration: Epic FHIR R4, custom HL7 ADT feeds
- Backend: Python (FastAPI), TimescaleDB, Redis
- Mobile: React Native (iOS + Android)
- Infrastructure: AWS GovCloud, HIPAA-eligible
