From Remote Monitoring to Actionable Care: Real-World Implementation of an Interoperable Digital Ecosystem for Peritoneal Dialysis

Abstract

Highlights What are the main findings? The integration of the Sharesource remote patient monitoring platform with the Versia electronic medical record system was successfully implemented across three dialysis centers, achieving complete data concordance and sustained operational stability. Implementation of the integrated digital ecosystem was related with improved workflow efficiency and supported proactive population health management and timely clinical interventions through automated dashboards and real-time access to patient-generated health data. What are the implications of the main findings? Interoperability between remote patient monitoring platforms and electronic medical records may transform fragmented data into actionable clinical insights for routine peritoneal dialysis care. Integrated digital solutions may support a shift from reactive care models toward proactive population health management, improving operational efficiency and data-driven clinical decision-making. Abstract Background/Objectives: Remote patient monitoring (RPM) has expanded the capacity of peritoneal dialysis (PD) programs to supervise home-based therapy; however, its full clinical value may be limited when patient-generated data remain disconnected from electronic medical records (EMRs). This study evaluated the implementation and impact of integrating the Sharesource RPM platform with the Versia EMR system in routine PD care. Methods: This multicenter real-world implementation study was conducted between November 2024 and February 2025 across three dialysis centers in Colombia. The integration enabled automated transfer of home treatment-related information from Sharesource to Versia and supported population health management through interactive dashboards. Workflow efficiency was assessed using a before-and-after time and motion analysis, and user experience was evaluated through structured surveys administered 12 weeks after implementation. Analyses were descriptive. Results: The integration was successfully implemented across the participating centers, achieving complete data concordance and operational stability. During follow-up of 287 patients, 501 patient-clinic communications, 159 preemptive evaluations, and 122 prescription modifications were recorded, reflecting proactive identification and management of clinical issues. Nursing consultation time decreased from 34 to 26 min per patient, and nephrologist time from 31 to 25 min per patient. Surveys showed high acceptance, supporting proactive clinical decision-making, and greater workflow efficiency. Conclusions: Real-world implementation of an interoperable RPM-EMR ecosystem in PD care was feasible, operationally stable, and was related to improvements in workflow efficiency while supporting proactive population health management. By transforming fragmented patient-generated data into actionable clinical insights, this digital ecosystem may support more efficient, data-driven, and proactive models of chronic kidney disease care.