Cellular blood pressure
The cornerstone. Uncontrolled home pressure is what prompts a medication change.
RPM for nephrology
CKD changes at home. The visit should not start from zero.
TOCA tracks home blood pressure and weight on cellular devices. Uncontrolled blood pressure or a weight gain is escalated the same day so the nephrologist can adjust blood pressure medication, adjust the diuretic, or add an extra dialysis session.
Nephrology workflow
Uncontrolled pressure or a rising weight becomes a clinical decision.
A blood pressure that stays high leads to a medication change. A weight gain leads to a diuretic change. When the patient is on dialysis and the fluid cannot wait, the same weight gain leads to an extra dialysis session.
01
Identify CKD, dialysis, and volume-sensitive patients. You write the order. PCM when CKD is the condition you own.
02
Cellular blood pressure cuff and scale ship to the home. No Wi-Fi. No Bluetooth pairing.
03
Uncontrolled blood pressure or a weight gain crosses the band you set. The care manager calls the same day.
04
You adjust blood pressure medication, adjust the diuretic, or add an extra dialysis session.
Clinical use cases
Between the quarterly labs.
CKD and hypertension
Home systolic pressure is the lever most likely to change the trajectory of remaining kidney function. Sustained readings above your band are escalated for a blood pressure medication adjustment.
Dialysis and volume
A cellular scale is watched against the dry-weight context you set. Weight gain that cannot wait for the next chair time is the trigger for an extra dialysis session.
Diuretic-sensitive CKD
A climb of a few pounds, with or without a blood pressure rise, supports a diuretic adjustment while the patient is still at home.
Diabetic kidney disease
Cellular glucose plus blood pressure. CCM coordinates primary care and pharmacy. The nephrologist uses PCM when CKD itself is the principal disease.
Devices
Matched to CKD, not a default box.
Cellular scale
Dialysis weight and volume. The number that can add a session or change a diuretic.
Cellular glucometer
For diabetic kidney disease. No app, no pairing, automatic cellular send.
Answered directly.
How does TOCA help a nephrology practice catch fluid overload?
Patients weigh themselves on a cellular scale and take a cellular blood pressure. When weight rises or blood pressure stays above the nephrologist’s band, the care team escalates the same day so the physician can adjust the diuretic, adjust blood pressure medication, or add an extra dialysis session.
Can remote monitoring lead to an extra dialysis session?
Yes. For a patient already on dialysis, a weight gain that cannot wait for the next chair time is escalated specifically so an extra dialysis session can be added before the patient presents to the emergency department.
What devices do nephrology patients receive?
A Tenovi cellular blood pressure monitor is the default. A cellular scale is added for dialysis and volume-sensitive CKD. A cellular glucometer is added for diabetic kidney disease. None of them require Wi-Fi or Bluetooth.
Is PCM or CCM the right code for CKD?
PCM is often the better fit when CKD is the single high-risk condition the nephrologist owns. CCM fits diabetic kidney disease and other patients with two or more conditions being coordinated. Do not bill both in the same month.