Objective: This study assessed hospital characteristics associated with offering remote patient monitoring (RPM) services.

Methods: After integrating the 2019 American Hospitals Association annual survey and 2019-2020 Area Health Resource files, this study evaluated associations between hospital-related factors and county-level demographic factors with provision of (a) post-discharge, (b) chronic care, and (c) other RPM services, as well as (d) any of these three of RPM service categories, using multi-level, mixed-effects, multivariate logistic regression modeling.

Results: The study included 3,381 hospitals, of which 1,354 (40.0%) provided any RPM services. Being part of a clinically integrated network and being a private non-profit (vs. public) hospital were respectively associated with 104.3% (95% CI: 69.3-146.6%; p<0.001) and 29.5% (95% CI: 1.8-64.8%; p=0.035) higher odds of providing any RPM services. Critical Access Hospital designation, for-profit (vs. public) hospital ownership status, and location in the South (vs. Northeast) were associated with significantly lower odds of providing any RPM services by 35.5% (95% CI: 13.3-52.0%; p=0.004), 70.3% (95% CI: 56.4-79.8%; p<0.001), and 33.4% (95% CI: 2.0-54.7%; p=0.039), respectively. Similar trends were found with the various RPM subtypes.

Conclusions: While several hospital-related factors were strongly associated with provision of any RPM services, percentage of Hispanic/Latino population was the sole county-level factor associated. Specifically, being part of a clinically integrated network and private, non-profit ownership had the highest positive associations with offering RPM services while location in the South and critical access hospital designation had the strongest negative associations. Further studies are needed to evaluate the consistency in trends of these associations.