PT - JOURNAL ARTICLE AU - Ganeshkumar, Parasuraman AU - Ilangovan, Kumaravel AU - Jagadeesan, M. AU - Reddy, Madhusudhan AU - Vidhya, Fermi P. AU - Vairamani, Vignesh AU - Sriramulu, Hemalatha Masanam AU - Banumathi, S. AU - Govindasamy, Prakash AU - Kaur, Prabhdeep TI - Experiences, Challenges, and Lessons Learned During Implementation of a Remote Monitoring Program for Home-Isolated COVID-19 Patients in Chennai, India AID - 10.9745/GHSP-D-21-00458 DP - 2023 Feb 28 TA - Global Health: Science and Practice PG - e2100458 VI - 11 IP - 1 4099 - http://www.ghspjournal.org/content/11/1/e2100458.short 4100 - http://www.ghspjournal.org/content/11/1/e2100458.full SO - GLOB HEALTH SCI PRACT2023 Feb 28; 11 AB - Key FindingsThe stress of the COVID-19 pandemic on the health system in Chennai, India, necessitated the development of a remote monitoring program for home-isolated patients.Home-isolation care for COVID-19 patients warranted suitable home conditions, standardized data collection mechanisms, robust systems and processes for early identification of clinical deterioration, and prompt referral to facility-based care.Key ImplicationThe processes we describe can be adapted and contextualized for use in other limited-resource settings to provide clinical care and social support for home-isolated COVID-19 patients.During the early months of the COVID-19 pandemic in 2020, the majority of the identified COVID-19 patients in Chennai, a southern metropolitan city of India, presented as asymptomatic or with mild clinical illness. Providing facility-based care for these patients was not feasible in an overburdened health system. Thus, providing home-based clinical care for patients who were asymptomatic or with mild clinical illnesses was a viable solution. Because of the imminent possibility of worsening clinical conditions in home-isolated COVID-19 patients, continuous monitoring for red flag signs was essential. With growing evidence of the effectiveness of remote monitoring of patients, the Greater Chennai Corporation in partnership with the National Institute of Epidemiology conceptualized and implemented a remote monitoring program for home-isolated COVID-19 patients. The key steps used to develop the program were to (1) decentralize triage systems and establish a home-isolation protocol, (2) develop a remote monitoring platform and remote health care workforce, and (3) onboard patients and conduct remote hybrid monitoring. In this article, we share the pragmatic solutions, critical components of the systems and processes, lessons, and experiences in implementing a remote monitoring program for home-isolated COVID-19 patients in a large metropolitan setting.