Allied Professionals (Non-physician submissions only) -> Clinical Research D-PO02 - Poster Session II (ID 47) Poster

D-PO02-041 - Use Of Vendor Neutral Clinic Management Software To Improve Cardiac Device Patient Enrollment In Remote Monitoring (ID 172)

Disclosure
  M.A. Allen: Honoraria/Speaking/Consulting Fee - Medtronic.

Abstract

Background: Remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) has been shown to decrease time to diagnosis, improve patient outcomes, and reduce healthcare utilization, and is endorsed by major guidelines. Yet enrollment in RM remains sub-optimal. Clinic management software enabling identification of patients eligible but not enrolled in RM is now available for cardiac device clinics. The utility of this software for improving enrollment of CIED patients in RM is unknown.
Objective: To evaluate the utility of a vendor-neutral clinic management system to improve CIED patient enrollment in RM.
Methods: Cardiac device clinic management software (Medtronic PaceartTM Analytics and PaceartTM Advanced Search) was used to identify CIED patients who are eligible for RM but not currently enrolled, at 10 locations of care within the Norton Healthcare System. Eligible patients were contacted by clinic nurses and prospectively followed for 9 months for RM enrollment. Future cost savings were estimated based on published differences in healthcare expenditures between RM and non-RM patients.
Results: Overall, 85 of 6,000 active CIED patients were eligible for RM but not enrolled. Of these, 2 declined due to cost, 53 initially refused, and 30 required assistance with equipment setup. After 9 months of follow-up, 23 of 85 patients (27%) were successfully enrolled in RM (16 pacemaker, 3 CRT-D and 4 ICD). These included 8 of the 53 patients who initially refused, and 15 of the 30 patients who required assistance with equipment setup. Assuming continued compliance, enrollment in RM for these 23 patients was estimated to prevent a total of $44,144 in 1-year (total inpatient and outpatient) costs to the healthcare system, from a payer perspective.
Conclusion: Increased enrollment in RM is an important clinical priority for cardiac device clinics. Use of clinic management software to easily identify patients who are eligible for RM but not enrolled led to a meaningful increase in patient activation in RM. This may enable more efficient and comprehensive care for these patients as RM has been shown to reduce time to diagnosis, improve outcomes, and reduce healthcare utilization.
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