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Practical Management of the Remote Device Clinic

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5 Table 1. Definitions Term Definition Nonscheduled transmission • Patient-initiated interrogation Nonscheduled data transmission initiated by the patient due to experiencing real or perceived clinical events, for which the patient is seeking expert evaluation. • Alert-initiated Interrogation Nonscheduled data transmission initiated by predefined programmed parameters for alerting the clinic of a potentially actionable event. Actionable event Device-related or clinical event that requires intervention prior to the next scheduled in-person clinic visit. Continuous connectivity Continuous data collection within the device with automatic transmission using manufacturer-specific transmission frequency, which oen occurs once daily. While the data collection is continuous, the transmissions and monitoring are not continuous. Noncontinuous monitoring Noncontinuous data collection requiring manual transmission using manufacturer-specific transmission either scheduled by the clinic or initiated by the patient. (cont'd) RM considerations COR LOE Recommendations 1 A 1. In patients with CIEDs, RM is recommended as part of the standard of care. 1 B-R 2. In patients with CIEDs on RM, routine surveillance of lead function and battery status is recommended to ensure device integrity. 1 C-EO 3. In patients with CIEDs on RM with a device capable of continuous connectivity, connectivity should be maintained. RM payment/reimbursement models COR LOE Recommendation 1 B-NR 1. For the care of patients with CIEDs on RM, it is recommended that health care payers adopt adequate reimbursement for RM that is tailored to regional health system care patterns and facilitates sustainable and cost-effective CIED follow-up care.

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