10
Figure 2. 2015 HRS Expert Consensus Statement on RM vs
2023 HRS Expert Consensus Statement
a
American Board of Internal Medicine (ABIM) Clinical Cardiac Electrophysiolog y
certification, American Board of Pediatrics Cardiolog y certification, or the International
Board of Heart Rhythm Examiners (IBHRE) device certification.
NP, nurse practitioner; PA, physician assistant;
2015 HRS Guidelines: Personnel Based
• Has IBHRE certification or experience on par with
certification
• Reviews data with criteria for involving physician or
mid-level and patient contact
Allied
Professional
• Obtains medical history, reviews transmissions,
make recommendations for management
• Participates in patient enrollment and education,
interpretation of routine transmissions,
documentation and billing
• Provides oversight of allied professionals
Mid-level
Provider
(NP/PA)
• Provides final interpretation and documentation
• Has appropriate certification
a
• Supervises mid-level providers
Physician
• Performs nonclincal actions:
Appointment reminders
Patient connectivity/troubleshooting
• Clinic technology/customer support
• Collects data for review
Ancillary
Staff
Staffing of Remote Monitoring Clinics
