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On Demand: Overcoming the Challenges of Guideline- ...
Presentation Slides
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The document outlines a presentation on the challenges and future of guideline-directed remote cardiac monitoring, hosted by MedAxiom. The presentation features Dr. Benjamin D’Souza from Penn Presbyterian Medical Center, Dr. Niraj Varma from Cleveland Clinic, and Dr. Shanti Bansal, founder of Octagos Health. The discussion includes the history and evolution of the HRS guidelines concerning remote monitoring, as exemplified by the TRUST trial which illustrates the impact of remote monitoring on reducing in-office evaluations.<br /><br />Remote monitoring (RM) tasks such as patient education, data triage, alert management, and communication largely fall on allied health professionals. However, these tasks are often unstructured, under-resourced, and not reimbursed, which can lead to staff dissatisfaction, turnover, and lost revenue. To address these issues, a structured and adequately staffed RM team is crucial, with appropriate training and dedicated resources. The document suggests an estimated 3 full-time equivalents (FTEs) for every 1,000 CIED patients. <br /><br />Third-party platforms can enhance RM by improving survival rates and reducing hospital time. The presentation also details the journey of remote monitoring at Penn Presbyterian Medical Center and the integration of Octagos Health, which facilitates improved workflow, EPIC integration, revenue generation, and customization for specific cardiac monitoring needs.<br /><br />The presentation emphasizes adherence to national guidelines, the role of technology for checklist automation, and communication between healthcare systems and electronic medical records like EPIC. Octagos Health's involvement includes analytics for better management of heart failure metrics without involving unnecessary data, ensuring efficient billing and compliance needs are met. The event concludes with a call for questions, signaling open dialogue and further exploration into remote monitoring practices.
Keywords
remote cardiac monitoring
guideline-directed
MedAxiom
HRS guidelines
TRUST trial
allied health professionals
CIED patients
Octagos Health
EPIC integration
heart failure metrics
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