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Customer story ·
Vineyard Complementary Medicine

How Vineyard keeps island patients in care when they leave the island

A single-location practice on Martha's Vineyard used RTM to hold onto patients through 5-10x seasonal surges and constant travel.

Key outcomes
77

Patients enrolled in RTM, June 2024 - August 2025

1,553

Workouts completed by RTM patients

2.62 pts

Average pain reduction reported

Vineyard Complementary Medicine
Location
Martha's Vineyard, MA
Specialty
Physical Therapy
Practice type
Independent Practice
Practice size
Single location
Primary goal
Patient Engagement

The challenge

Vineyard Complementary Medicine is a single-location practice serving Martha's Vineyard — an island whose population swings by a factor of five to ten between winter and summer.

That geography created two problems at once. In peak season, demand far outran the appointment slots and clinical staff available, worsened by an island housing shortage that made hiring hard. And year-round, a large share of patients travelled, commuted, or left the island for extended stretches, so consistent in-clinic visits were unrealistic for them.

Without a reliable way to stay connected between visits, the practice had limited visibility into whether patients were doing their home programmes at all. The between-visit work its clinicians already did — checking in, adjusting programmes, answering questions — went undocumented and unreimbursed.

The approach

The practice built a digital-first care model around Remote Therapeutic Monitoring, with EverEx as the platform underneath it.

Enrolment inside the existing visit

Patients were enrolled during a normal appointment rather than through a separate onboarding step, so RTM became part of the standard pathway instead of an add-on.

Monitoring across the whole episode of care

Clinicians tracked patient activity, monitored reported symptoms, adjusted home exercise programmes remotely, and messaged patients between visits — regardless of where those patients physically were.

Telehealth for peak-season intake

Virtual evaluations absorbed new-patient demand during the busiest months, which freed RTM to carry continuity through the rest of the episode.

The results

Between June 2024 and August 2025, the practice reported the following across its RTM programme:

  • 77 patients enrolled in RTM
  • 1,553 workouts completed
  • 58.7 average app logins per patient
  • 340+ message exchanges between patients and their care team
  • 2.62-point average pain reduction and a 4.75 degree range-of-motion increase
  • $14,468 in RTM revenue, averaging $154.61 per patient per month

Beyond the figures, the model changed who could deliver care. Therapists who moved off-island continued treating their patients remotely rather than leaving the practice, and others took on RTM caseloads as supplemental work. That reduced pressure on onsite staff during the surge months without adding appointment slots or physical space.

Results reflect one practice's reported experience over a defined window. Reimbursement depends on payer policy and patient eligibility.

What's next

RTM has become a standing part of how the practice absorbs seasonal demand rather than a seasonal experiment. It continues to use remote monitoring to hold continuity through the surge months, and to keep clinicians who have relocated off-island treating their existing patients.

RTM kept our patients engaged between visits - especially those who leave the island, commute long distances, or struggle with scheduling in the summer.
Dr. Susan Sanford
Dr. Susan Sanford
President, Vineyard Complementary Medicine
Next step

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