Allied Professionals (Non-physician submissions only) -> Clinical Research D-AB01 - The Wide Spectrum of Arrhythmia Care: EP Procedure to Follow-up (ID 24) Abstract

D-AB01-02 - Cardiac Implanted Electronic Device Follow-up Clinic HRS Survey: The Staff's Lived Experience (ID 758)

Disclosure
 A.M. Ferrick: Nothing relevant to disclose.

Abstract

Background: Increasing numbers of cardiac implanted electronic devices (CIEDs) are implanted world-wide resulting in more in-office and remote follow-up (FU) visits. This places greater demand on device clinic staff potentially leading to compromised patient care and staff dissatisfaction
Objective: The purpose of this study is to explore, in the device clinic staff’s own words, their experience with device clinic practice.
Methods: We conducted a survey of Heart Rhythm Society (HRS) members participating in forums on the on the HRS website. The survey analyzed the characteristics of implanting centers as well as how they schedule and staff in-office and remote device FUs. 43.8 % of respondents described themselves as less than satisfied with their device clinic practice. An open-ended question asked the “biggest pain point” of their device clinic experience to amplify quantitative findings and better understand respondents’ perceived needs. Qualitative data were analyzed by coding individual comments, and analyzing emerging themes associated with the experience of device clinic practices.
Results: The data revealed the emergence of four predominant themes:(1) Dissatisfaction with staffing; ie.“Biggest pain point is not enough staff” and “understaffed for growing volume”, (2) Frustration with increasing numbers of remote FUs; ie. “Remote transmissions, especially implantable loop recorders are very time consuming” and “Too many remote follow-ups compared to rostered time to do it in”, (3) Lack of patient compliance; ie. “Patients unable to set up remote monitor/failure to send scheduled remote checks” and “Patients lost to follow-up (compliance monitoring)”, (4) Effort to input FU data into electronic medical records (EMR); ie. “Trying to get data from programmers and remote into EMR!” and “Our EMR/Reporting system has too many steps to complete. Most time consuming of follow up”.
Conclusion: Specific needs of CIED FU staff must be addressed including, insufficient staff numbers, more efficient scheduling of remote monitoring, addressing poor patient compliance and restructuring complicated EMR documentation. Addressing these needs may increase staff satisfaction, improve patient outcomes and maximize staff retention.
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