On-Boarding Steps for the Remote Medical Monitoring Subscriber Application

Step-by-step guide

1. {mobile device} Search the Apple Store or Play Store for RMM HUB & download the app

2. {mobile device} When opening the RMM app for the first time, the user will be requested to enter a registration code. A unique registration code will be generated when creating a HUB through the RMM Subscriber, as described in the next step(s).

3. {RMM Subscriber} Login into the Subscriber web application and enter your login credentials.

4. {RMM Subscriber} Select the Hub tab, then select new. The user will be prompted to enter a Hub name and identifier. The hub name can represent the primary user, department, etc. The identifier is a unique number associated with the Hub. The Hub name and identifier are combined to provide a unique identity. Select save after providing the hub name and identifier.



5. {RMM Subscriber} Generate the Hub registration code by selecting the “Register Hub” tab.


6. {RMM Subscriber} The registration code is a randomly generated code consisting of alphanumeric and numeric characters. The registration code will expire after 60 minutes.


7. {mobile device} The RMM application will default to “Production” and will need to be changed to “Sandbox”.

                                          a. Select “settings” at the top of the dialogue page.

                                          b. Scroll to the bottom of the settings page and select “Sandbox”, then select “done”.

                                          c. The user will be returned to the registration page.

                                                        a.                                                       b.

                                                          

8. {mobile device} Enter the registration code on the iOS or Android device that was requested in step #2 and select submit. If the registration is successful, the dialogue box will display “No Known Patients”. See figure 7a. 

9. {RMM Subscriber} The user will be required to set up and assign patients to the Hub. This is achieved by selecting a user from a pre-populated list – or by creating a new user.


10. {RMM Subscriber} Enter the patient’s first name, last name, and patient-id. The patient-id is a unique identifier assigned to the patient record. This could be a Medical Record Number (MRN), a unique patient identifier, or other reference number assigned to the patient.

11. {RMM Subscriber} Assign the patient to the Hub by selecting the “HUBS” tab and selecting “NEW”.

12. {RMM Subscriber} A drop down box will appear, listing all the Hubs that are associated with the user’s account. Check the box next to the Hub that you wish to assign to the patient record, then select add.


13. {RMM Subscriber} After the Hub is selected and saved, the RMM Subscriber will list the Hub that is assigned to the patient. Users may assign multiple hubs to a patient – or multiple patients to a Hub in a many-to-many configuration.



14. {RMM Subscriber} Patients are assigned patient-specific or shared contacts that are notified in the event of an adverse condition that initiates an alert.


15. {RMM Subscriber} The user may provision multiple contacts per patient by entering details such as first and last name, contact role, email, and mobile number for SMS. In the event there are multiple contacts for each patient (i.e. caregiver, nurse, physician), default alert levels may be assigned to each contact. The user may also define a “do-not-disturb” (DND) period and time zone per contact.

16. {RMM Subscriber} The user can provision “Alerts” that are notified in the event of an adverse event, by selecting the “Alerts” tab and “Create Definition”.


17. {RMM Subscriber} Alerts can be assigned to a patient to provide notifications to physicians, caregivers, and family members when a measurement is outside of an acceptable range, or a measurement was not taken within the prescribed window. Alerts can be escalated from “Informational” (low level alert) through “Critical” for when a serious condition occurs. As alerts escalate, each preceding priority level will continue to receive alerts until the maximum repeat limit is reached or the alert is canceled.   There are five alert levels: Informational – Low – Medium – High – Critical 



18. {RMM Subscriber} Alert escalation(s) may be assigned by selecting the drop-down for the “period of time” to escalate and repeat between alerts. Escalation and repeat periods are set to minutes, hours, or weeks. A maximum alert repeat limit can be set by entering the number of alert repeats. In order to activate an alert, the “Alert is Active” checkbox must be checked.



19. {RMM Subscriber} Alert rules define the parameters for initiating an alert and are set on a per-device basis, such as temperature or SP02 levels.


20. {RMM Subscriber} Alert rules provide the guideline(s) for initiating an alert and are set on a per-device basis, such as an acceptable blood saturation level for SPO2 devices or acceptable temperature for thermometers.


21. {RMM Subscriber} Alerts are assigned notification recipients, who will be notified in the event of an alert.


22. {mobile device} The RMM mobile app will display a list of all the patients that have been provided through the RMM Subscriber and assigned to a specific Hub. Select the patient from the list that will be receiving a device measurement, or the user may add the patient manually. After selecting the patient, the patient’s name, and a unique identifier will be visible at the bottom of the RMM app’s main display.
                                                                           


23. {mobile device} After the patient has been added (step 22), the medical device will need to be paired with the iOS or Android device to facilitate taking a measurement. The three-step process is as follows: a. Select the “Add Device” tab at the bottom of the display. b. A pop-up will appear requesting the device be powered on. This will initiate the pairing process. c. When pairing is complete, the device description and image will appear. The user will need to select the device that was just paired to initiate measurements. Repeat the steps above to add (pair) additional devices.
                                                     a.                                                                             b.                                                                c.
                                                                                                           

24. {mobile device} After device pairing is complete, the user will be prompted to take a measurement. The following steps will occur when taking the measurement: a. The RMM mobile app will display an image of the medical device and a message “Take your measurement now”. Optionally, users may also provide a manual measurement by selecting the “Enter Manually” tab at the bottom of the page. b. After taking the measurement, a “waiting for results” message will be displayed. c. The measurement results will be displayed with an option to submit or redo the measurement. In the event of an erroneous reading, select redo and the user will be prompted to retake the measurement. Otherwise, by selecting the submit tab, the measurement will be pushed to the associated platform(s).
                                                   a.                                                                               b.                                                                   c.
                                                                                                             

25. {mobile device} The user may view the measurements at any time by selecting the measurements tab at the bottom of the page. It’s important to note that some devices will stream continuous measurements, such as an SPO2 device, which will result in multiple measurements being shown. These measurements are stored, but not automatically pushed to the RMM Subscriber. 

                                   


This concludes the RMM registration process.

Definitions: Hub – an instance of an app. Device – iOS or Android