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Practical Management of the Remote Device Clinic

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11 APP, advanced practice provider; HRS, Heart Rhythm Society; RN, registered nurse; tech, technician 2023 HRS Guidelines: Task Based (Implications for Staffing) Task Issues Under Evolution Connectivity/ Troubleshooting • Appointments • Connectivity • Patient questions Ancillary Staff Patient Education/ Enrollment • What is remote monitoring? • Why is it needed? • Choice of monitor APP, RN or Device Tech CIED Data Triage and Review • Website monitoring • Initial data processing • Initial communication with health care team Data Triage and Review, options: • Third party software Single web-based data portal Device and patient management Device Tech or RN Final Sign-off • Final interpretation • Final communication with health care team • Documentation for billing Alert Management • Patient calls • In-office evaluations • Charting and communication Final Sign-off • Interpretation (middleware vs in-EHR) • Information interoperability (between EHRs) • Closing the loop with patients Alert Management • In-office CIED management • Hospital-based remote CIED interrogations • After-hours alert management Physician, APP/ Physiologist

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