Patient Selection Inclusion/Exclusion Criteria


An example of patient inclusion/exclusion criteria for use during the setup of telehealth programs, including: multiple chronic diseases, CHF, and general programs.


This tool is generally used by the Program Manager to select program participants. Others interested in this tool include:
  • Nursing operations management
  • Telehealth project team members
  • Program management
  • Medical management
  • Disease management

Helpful Tips

Consider additional criteria outside of clinical status, including the home environment; technology infrastructure such as availability of a phone line or internet connection; functional considerations such as ability to hear, see, and answer questions from the device; and strength of caregiver and social support system.

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