3
Take-Home Messages
1. For patients with CIEDs, RM is the standard of care.
2. Prompt patient enrollment and maintenance of regular connectivity
with long-term adherence to RM accomplished by individualized
patient and caregiver education is essential to an effective RM
program.
3. Adequate staffing using both clinical and nonclinical personnel with
appropriate patient-to-staff ratios and dedicated time to perform
defined roles and responsibilities are essential for managing RM
clinic workflows.
4. Clinical staff in the RM clinic should be appropriately educated
and/or certified and participate in ongoing quality assurance and
improvement programs.
5. Programming alerts specific to device type and indication with
established mechanisms for promptly dealing with high-priority
alerts can moderate increasing data volume and workload for RM
programs.
6. Communicating RM device results with patients, their health care
providers, and the patient electronic medical record in a secure
and confidential manner should be accomplished according to
individual device clinic workflows.
7. A relationship between RM clinics and device manufacturers for
bidirectional exchange of ideas for staff training, patient education,
patient care services, and management of safety advisories and
recalls is imperative.
8. Use of third-party resources may offer financial and practical
benefits for dealing with increased device clinic volume.
9. Pediatric patients with CIEDs on RM require scheduling similar to
that for RM of adult patients but may have special needs requiring
additional considerations.
10. Implantable loop recorders (ILRs) require immediate connectivity
to RM with special programming needs based on the patient's
clinical indication for the ILR.
11. Alert-based RM that relies on continuous connectivity allowing for
extended time intervals between in-office device interrogations.
