Organizational Models for Cardiac Implantable Electronic Device Remote Monitoring: Current and Future Directions

Carly Daley; Tammy Toscos; Tina Allmandinger; Ryan Ahmed; Shauna Wagner; Michael Mirro

doi:10.1016/j.ccep.2021.04.008

Organizational Models for Cardiac Implantable Electronic Device Remote Monitoring: Current and Future Directions

Card Electrophysiol Clin. 2021 Sep;13(3):483-497. doi: 10.1016/j.ccep.2021.04.008.

Authors

Carly Daley¹, Tammy Toscos², Tina Allmandinger³, Ryan Ahmed⁴, Shauna Wagner⁴, Michael Mirro⁵

Affiliations

¹ Health Services and Informatics Research Department, Parkview Mirro Center for Research and Innovation, 10622 Parkview Plaza Dr., Fort Wayne, IN 46845, USA; Department of BioHealth Informatics, IUPUI School of Informatics and Computing, 535 W. Michigan St., Indianapolis, IN 46202, USA. Electronic address: [email protected].
² Health Services and Informatics Research Department, Parkview Mirro Center for Research and Innovation, 10622 Parkview Plaza Dr., Fort Wayne, IN 46845, USA; Department of BioHealth Informatics, IUPUI School of Informatics and Computing, 535 W. Michigan St., Indianapolis, IN 46202, USA.
³ Arrhythmia Diagnostic Center, Parkview Physicians Group, 11108 Parkview Circle, Fort Wayne, IN 46845, USA.
⁴ Health Services and Informatics Research Department, Parkview Mirro Center for Research and Innovation, 10622 Parkview Plaza Dr., Fort Wayne, IN 46845, USA.
⁵ Health Services and Informatics Research Department, Parkview Mirro Center for Research and Innovation, 10622 Parkview Plaza Dr., Fort Wayne, IN 46845, USA; Department of BioHealth Informatics, IUPUI School of Informatics and Computing, 535 W. Michigan St., Indianapolis, IN 46202, USA; Department of Medicine, Indiana University School of Medicine, 340 West 10th St., Indianapolis, IN 46202, USA.

PMID: 34330375
DOI: 10.1016/j.ccep.2021.04.008

Abstract

This review provides an overview of the literature on the organization, staffing, and structure of remote monitoring (RM) clinics, primarily from countries in Western Europe and United States, as well as the challenges, considerations, and future directions for RM clinic models of care. Using a current case example of an RM clinic in the Midwestern United States, this document provides key information from the viewpoint of a clinic undergoing a shift in workflow. Finally, this review distills key considerations for RM management for electrophysiology clinics, vendors and industry, and policy makers.

Keywords: Arrhythmia; Cardiovascular implantable electronic device; Electrophysiology; Organizational models; Remote monitoring; Workflow.

Publication types

Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Review

MeSH terms

Defibrillators, Implantable*
Electronics
Humans
Models, Organizational*
Monitoring, Physiologic
Remote Sensing Technology
United States