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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
