Tip 1: ‘Select a program with convincing evidence.’

The particular program, which is object of improvement, needs to be supported by sound knowledge and positive results demonstrated in real-world settings. Good practices and research evidence about what is effective is crucial to engage and convince stakeholders to move on and look for improvements in the current practice.



The use of the telemonitoring of congestive heart failure patients is controversial; there is not clear evidence of its benefits. Some healthcare professionals believe that the use of devices is not the most appropriate approach to remotely monitor patients and appear more in favor of other less sophisticated procedures such as regular phone calls, filling questionnaires or dedicated nursing practice. The scaling-up of this program has been considerably slowed down; only one integrated care organization has been actively deploying telemonitoring. In order to get more professionals on board the positive results of a telemonitoring experience in the Basque Country have been widely disseminated. Additionally, the technological platform used by the professionals to follow up patient´s vital signs has been completely re-designed resulting in a very user-friendly and easy-to-use tool


Transfer to other settings:
  • Search the literature for evidence from a trusted source, that has good methodology and has been performed in a similar setting (e.g. geographical, private / public system) to convince
    professionals and specialists.
  • Create a smoother, more efficient workflow, supported by user-friendly tools to engage the staff.
  • Integrate the new way of working in the day-to-day practice, otherwise it will not be sustainable.
  • Inform patients what they will gain from the initiative and ensure it is supported by user-friendly tools.


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