January 2025 Monthly Chart Review

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Robert Martinez

45 years • MRN: 847293 • DOB: 05/15/1978 • PCP: Dr. Michael Roberts
RPM CCM 93% Adherence Urgent Escalation
RPM Chart Jan 1-31, 2025
Days Monitored
28/31
Glucose Avg
142 mg/dL
BP Avg
135/82
Compliance
95%
Glucose trending down with new regimen. BP slightly elevated.
CCM Chart Jan 1-31, 2025
Total Time
45 min
Interactions
4 calls
Last Contact
01/20/25
Medication reconciliation completed. Discussed lifestyle modifications.
View Complete Patient Data

Demographics

Date of Birth 05/15/1978
Age 45 years
Gender Male
Primary Language English

Insurance

Primary Insurance Blue Cross Blue Shield
Member ID XYZ123456789
Group Number 98765
Coverage Type PPO

Primary Diagnoses

Type 2 Diabetes E11.9
Essential Hypertension I10
Hyperlipidemia E78.5

Current Medications

Metformin HCl
1000mg twice daily • Last fill: 01/05/2025
Lisinopril
10mg once daily • Last fill: 12/28/2024
Atorvastatin
40mg once daily at bedtime • Last fill: 01/10/2025

Recent Lab Results

HbA1c 7.2% Above target
Total Cholesterol 218 mg/dL Borderline high
eGFR 68 mL/min Normal
LDL Cholesterol 142 mg/dL Above target

Known Allergies

Penicillin - Rash
Sulfa drugs - Hives
Aspirin - GI upset
Blood Glucose Management
  • • Daily glucose monitoring via RPM device
  • • Weekly pharmacist consultation for medication optimization
  • • Monthly HbA1c trend analysis
  • • Nutrition counseling and meal planning
Hypertension Control
  • • Twice-daily BP monitoring
  • • Medication adherence tracking
  • • Lifestyle modification counseling
  • • Sodium restriction education
Care Team
Primary Care Provider Dr. Michael Roberts
Clinical Pharmacist Dr. Sarah Johnson
Care Coordinator Jennifer Smith, RN
Last Review 01/15/2025
Medication Adjustment - Metformin
01/15/2025
Increased Metformin from 500mg to 1000mg twice daily due to persistent elevated glucose levels. Patient tolerating well with no GI side effects.
By Dr. Sarah Johnson, PharmD
RPM Device Setup
01/10/2025
Patient enrolled in RPM program. Glucose monitor and BP cuff provided. Initial training completed. Patient demonstrated proper use of devices.
By Jennifer Smith, RN
Initial CCM Assessment
01/05/2025
Comprehensive medication review completed. Identified potential drug interactions. Created care plan focusing on diabetes and hypertension management.
By Dr. Sarah Johnson, PharmD
Lab Results Review
01/02/2025
HbA1c elevated at 7.2%. LDL cholesterol above target at 142 mg/dL. Discussed intensification of therapy with PCP. Patient agreeable to medication changes.
By Dr. Michael Roberts, MD

RPM Device Data - Smart Cap (Medication Adherence)

Online Last reading: 2 hours ago
93%
Overall Adherence
↑ 2% this week
28
Days Monitored
Since Jan 1st
2
Missed Doses
Last 30 days
8:30 AM
Avg Dose Time
±15 minutes
Medication Adherence Details
Metformin HCl
500mg • Twice daily • Morning & Evening
95%
Lisinopril
10mg • Once daily • Morning
98%
Atorvastatin
20mg • Once daily • Evening
87%
Recent Dose History
Date Time Medication Status Notes
Jan 23, 2025 8:32 AM Metformin, Lisinopril Taken On time
Jan 22, 2025 8:28 AM Metformin, Lisinopril Taken On time
Jan 22, 2025 7:45 PM Atorvastatin Missed Patient forgot
Jan 21, 2025 8:35 AM Metformin, Lisinopril Taken On time

Emily Chen

39 years • MRN: 629184 • DOB: 12/03/1985 • PCP: Dr. Lisa Wang
CCM 78% Adherence New
CCM Chart Jan 1-31, 2025
Total Time
38 min
Interactions
3 calls
HbA1c
8.1%
Missed Doses
6 this mo.
Adherence challenges due to work schedule. Implemented reminder system. Scheduled nutrition consult.
View Complete Patient Data

Demographics

Date of Birth 12/03/1985
Age 39 years
Gender Female
Primary Language English

Primary Diagnoses

Type 2 Diabetes E11.9
Depression F32.1

Current Medications

Glipizide
5mg twice daily • Last fill: 01/08/2025
Sertraline
50mg once daily • Last fill: 01/12/2025

Recent Lab Results

HbA1c 8.1% Above target
Fasting Glucose 165 mg/dL Above target

Known Allergies

None documented
Diabetes Management & Adherence
  • • Implement medication reminder system
  • • Weekly check-ins to address adherence barriers
  • • Nutrition consultation scheduled
  • • Blood glucose monitoring education
Mental Health Support
  • • Monitor antidepressant effectiveness
  • • Coordinate with mental health provider
  • • Address depression impact on self-care
  • • Provide emotional support during calls
Care Team
Primary Care Provider Dr. Lisa Wang
Clinical Pharmacist Dr. Sarah Johnson
Mental Health Provider Dr. Jennifer Adams, PsyD
Last Review 01/18/2025
Adherence Intervention
01/18/2025
Implemented medication reminder system due to missed doses. Patient reports work schedule conflicts. Scheduled nutrition consultation to address dietary challenges.
By Dr. Sarah Johnson, PharmD
CCM Enrollment
01/12/2025
Patient enrolled in CCM program. Initial assessment revealed depression affecting medication adherence. Coordinated with mental health provider for integrated care.
By Jennifer Smith, RN
Medication Review
01/08/2025
Comprehensive medication review completed. Identified potential interaction between Glipizide and Sertraline. Adjusted timing of medications to minimize interaction.
By Dr. Sarah Johnson, PharmD
Initial Assessment
01/05/2025
Patient referred for CCM due to poor diabetes control and depression. HbA1c elevated at 8.1%. Created care plan focusing on adherence and mental health support.
By Dr. Lisa Wang, MD

CCM Device Data - Weight Scale

Online Last reading: 1 day ago
78%
Overall Adherence
↓ 5% this week
18
Days Monitored
Since Jan 12th
6
Missed Readings
Last 30 days
7:15 AM
Avg Reading Time
±30 minutes
Weight Trend Analysis
Current Weight
185.2 lbs
-2.1 lbs
Starting Weight
187.3 lbs
Baseline
Target Weight
170.0 lbs
Goal
Recent Weight Readings
Date Time Weight BMI Status
Jan 22, 2025 7:30 AM 185.2 lbs 28.4 Good
Jan 21, 2025 7:45 AM 186.1 lbs 28.6 Good
Jan 20, 2025 -- -- -- Missed
Jan 19, 2025 8:15 AM 185.8 lbs 28.5 Good

James Wilson

62 years • MRN: 195847 • DOB: 08/22/1962 • PCP: Dr. John Stevens
RPM RTM 100% Adherence
RPM Chart Jan 1-31, 2025
Days Monitored
31/31
BP Avg
118/72
HR Avg
72 bpm
Weight
Stable
Exceptional compliance. Post-cardiac event monitoring shows stable vitals.
RTM Chart Jan 1-31, 2025
Days Tracked
28/31
INR Avg
2.5
In Range
96%
Warfarin therapy stable. INR consistently in therapeutic range.

Maria Rodriguez

34 years • MRN: 738291 • DOB: 03/18/1990 • PCP: Dr. Amanda Foster
RTM 88% Adherence
RTM Chart - Asthma Management Jan 1-31, 2025
Peak Flow Avg
380 L/min
Inhaler Use
2x daily
Rescue Use
3 times
Symptom-free Days
26/31
Well-controlled asthma. Minimal rescue inhaler use. Continue current regimen.

David Thompson

68 years • MRN: 482956 • DOB: 11/30/1955 • PCP: Dr. Robert Chen
CCM RPM 95% Adherence
RPM Chart - Heart Failure Jan 1-31, 2025
Weight Change
-3 lbs
BP Avg
128/78
Daily Weights
30/31
Edema
None
Stable weight with appropriate diuresis. No signs of decompensation.
CCM Chart Jan 1-31, 2025
Total Time
52 min
Interactions
5 calls
Sodium Intake
< 2g/day
Excellent dietary compliance. Fluid restriction maintained. Caregiver engaged.

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