Journal of Innovation in Cardiac Rhythm Management
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Introduction
The enduring accredited on-demand archive features the full proceedings of the Virtual Summit, which occurred as a real-time live stream on March 1, 2024. The activity addresses the substantial clinical and economic challenges faced by clinics to effectively manage and provide optimal care for patients with Cardiac Implantable Electronic Devices (CIED's) through remote monitoring.   

The objectives of the Summit are to comprehensively assess the recent HRS guidelines on Device Clinics, and appraise its implications, and review high-quality approaches in remote monitoring, patient engagement, outsourcing, billing, and cost management. The expert faculty share their experiences and strategies for overcoming challenges by employing essential solutions, including service, staffing, technology, and training.

 

Agenda

tmb PrepMD 2024 leadershipsummit  

On-Demand Access
To View, Click on the Access Button within each Session.

CME/CE Credit
To earn credit, participants must access the Claim Credit Form, and successfully complete the post-activity CME test. This activity provides 3.75 AMA PRA Category 1 Credits™ for Physicians and 3.5 Contact Hours for Nurses.

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Agenda

Summit Introduction and Overview
Beth Davenport, MSN, RN, Sallie Gustafson, RN, Aileen Ferrick, PhD, ACNP, RN, FHRS, Nancy Lee, RN, FHRS, CCDS and Amy Tucker, MSN, RN, CCDS

Session I
HRS Consensus Statement and Resource Management Challenges

Expert Analysis of the HRS Consensus Statement
Presenter: Aileen Ferrick, PhD, ACNP, RN, FHRS
Moderator: Beth Davenport, MSN, RN
Panel: Aileen Ferrick, PhD, ACNP, RN, FHRS, Sallie Gustafson, RN, Nancy Lee, RN, FHRS, CCDS and Amy Tucker, MSN, RN, CCDS

Harmful Practices and Resource Management Challenges
Moderator: Beth Davenport, MSN, RN  
Panel: Aileen Ferrick, PhD, ACNP, RN, FHRS, Sallie Gustafson, RN, Nancy Lee, RN, FHRS, CCDS and Amy Tucker, MSN, RN, CCDS

Session II
Patient Engagement and Device Clinic Economics

Patient Engagement
Moderator: Beth Davenport, MSN, RN  
Panel: Aileen Ferrick, PhD, ACNP, RN, FHRS, Sallie Gustafson, RN, Nancy Lee, RN, FHRS, CCDS and Amy Tucker, MSN, RN, CCDS

The Business of Running a Device Clinic
Presenter: Amy Tucker, MSN, RN, CCDS
Moderator: Beth Davenport, MSN, RN  
Panel: Aileen Ferrick, PhD, ACNP, RN, FHRS, Sallie Gustafson, RN, Nancy Lee, RN, FHRS, CCDS and Amy Tucker, MSN, RN, CCDS

Session III
Overcoming Challenges and Achieving Success in Device Clinic Leadership

Optimal Real-World Solutions to Achieve Best Practices
Moderator: Beth Davenport, MSN, RN  
Panel: Aileen Ferrick, PhD, ACNP, RN, FHRS, Sallie Gustafson, RN, Nancy Lee, RN, FHRS, CCDS and Amy Tucker, MSN, RN, CCDS

Closing Remarks and Take-Home Lessons
Beth Davenport, MSN, RN, Sallie Gustafson, RN, Aileen Ferrick, PhD, ACNP, RN, FHRS, Nancy Lee, RN, FHRS, CCDS and Amy Tucker, MSN, RN, CCDS

Commercial Support
The activity is supported through an educational grant from PrepMD

Joint Providership:
MediaSphere Medical, LLC and Ciné-Med

 

Faculty

Program Chairs
Beth Davenport RN

Beth Davenport, MSN, RN
Clinical Translation Specialist at Biotronik
(Former Director of Virtual Care and Cardiac Device Clinic, Sanger Heart & Vascular)
Charlotte, NC
Sallie Gustafson NP

Sallie Gustafson, RN
Manager of Device Clinic at Emory Clinic
Emory Healthcare
Atlanta, GA

Faculty

Aileen Ferrick MD

Aileen Ferrick, PhD, ACNP, RN, FHRS
Co-Chair of the 2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic
White Plains Hospital 
White Plains, NY
Nancy Lee RN

Nancy Lee, RN, FHRS, CCDS
Prairie Cardiovascular Consultants, Ltd.
Regional Director of Device Operations
Clinical Arrhythmia Device Nurse
O’Fallon, IL
Amy Tucker RN

Amy Tucker, MSN, RN, CCDS
Nurse Manager, Cardiac Device Clinic
Sanger Heart & Vascular Institute
Charlotte, NC
   

 

 

CME Accreditation

CME Released: 3/11/2024; Valid for credit through 3/11/2025

On-Demand Archive CME Certificate Fulfillment
To successfully earn credit, participants must complete the activity online during the valid credit period that is noted above. To receive AMA PRA Category 1 Credit™ or Contact Hours, you must receive a minimum score of 70% on the post-test, accessible at Claim Credit page. CME/CE certificates are issued to your inbox upon successful completion.  

Participants who have claimed credits for live attendance are not eligible to also claim credits through the enduring archive.

Live Activity Certificate Fulfillment
CME Credits or Contact Hours are available to claim for attendees of the live activity. 1 Certificate is supplied electronically for the cumulative CME Credits or Contact Hours earned commensurate with the extent of participation. To claim your credits, click on the Claim Credit button, and complete the online Credit and Evaluation form. Participants will be able to download or print a certificate once the form has been submitted. Credits for attendance to the live activity are available to claim up until 3/1/2025.

Target Audience
This activity has been designed to meet the educational needs of Device Clinic Managers, Device Techs and Nurses, Administrative Staff and Electrophysiologists running Device Clinics.

Learning Objectives
Upon completion of this educational activity, participants will be able to:

  • Review the recent HRS guidelines and discuss implications for Device Clinics including impact on resource management and patient engagement.
  • Evaluate potential harmful practices and resource management challenges, and assess optimal real-world solutions to overcome existing challenges and establish best practices in Device Clinic leadership.
  • Review best practices for patient engagement based upon the HRS consensus statement.
  • Examine the economics and financial aspects of running a Device Clinic.

Accreditation Statement
Jointly Accredited Provider TM To support the improvement of patient care, this activity has been planned and implemented by MediaSphere Medical and Ciné-Med. Ciné-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health-care team.

Ciné-Med designates this educational activity for a maximum of 3.75 AMA PRA CATEGORY 1 Credit(s)™.
Physicians should only claim credit commensurate with the extent of their participation in the activity.

Ciné-Med designates this activity for 3.75 Contact Hours for Nurses.

Disclosure Policy
MediaSphere Medical and Ciné-Med adheres to accreditation requirements concerning industry support of continuing medical education. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations. Speakers will disclose any relationships at the beginning of their presentations.

All MediaSphere Medical and Ciné-Med employees in control of content have indicated that they have no relevant financial relationships to disclose.

It is the policy of MediaSphere Medical and Ciné-Med to ensure balance, independent objectivity, and scientific rigor in all its supported educational programs. All faculty members participating in educational activities are required to disclose to the program audience any real of apparent conflicts of interest held within the past 12 months.

MediaSphere Medical and Ciné-Med implement a mechanism to identify and resolve all conflicts of interest prior to delivering the educational activity to learners.

Faculty Disclosures

Beth Davenport: No Relevant Financial Relationships to Disclose

Aileen Ferrick: Honorarium from Medtronic

Sallie Gustafson: Workflow Advisor for Medtronic

Nancy Lee: Speaker’s Bureau for Medtronic

Amy Tucker: Speaker’s Bureau for Boston Scientific

Non-Endorsement Statement
MediaSphere Medical and Ciné-Med verify that sound education principles have been demonstrated in the development of this educational offering as evidenced by the review of its objectives, teaching plan, faculty, and activity evaluation process. MediaSphere Medical and Ciné-Med does not endorse or support the actual opinions or material content as presented by the speaker(s) and/or sponsoring organization.

Commercial Support
The activity is supported through an educational grant from PrepMD

Joint Providership:
MediaSphere Medical, LLC and Ciné-Med

 

Claim Credit

CME/CE Test
  1. Please complete the following CME/CE post-test. Your submission will be reviewed and notification provided shortly regarding certificate fulfillment status. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

  2. First Name: *  
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  3. Last Name: *  
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  5. Confirm Your Email: *  
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  6. Degree: *  
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  7. Specialty:*  
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  8. Institution: *  
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  9. Mailing Address:*  
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  10. City: *  
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  11. State: *  
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  12. 1) Two previous documents published in 2008 and 2015 established remote monitoring (RM) guidance, and in 2015, it was recommended that RM for Cardiac Implantable Electronic Devices (CIEDs) become standard of care. The Heart Rhythm Society identified the need for updated, practice guidelines to manage an effective device clinic, which led to the 2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practice Management of the Remote Device Clinic. Which factor(s) led to the updated document?
  13. Select one*  





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  14. 2) Appropriate staffing for RM is essential, and Device clinics that are understaffed and unstructured may lead to job dissatisfaction, burnout, and staff turnover. The document concludes that three full time equivalent staff members are needed to efficiently cover 1,000 device patients.
  15. Select one*  


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  16. 3) Continuous connectivity is the only way to operate an efficient RM clinic, which includes the recommendations of enrolling and connecting patients to RM directly following implantation, with utilization of an industry representative if possible.
  17. Select one*  


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  18. 4) Patient education is key to maintaining patient connectivity. Which of the following key strategies are recommended related to education for improved participation and compliance in patients with CIEDs on RM?
  19. Select one*  





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  20. 5) ILRs have had an impact on Remote Monitoring, including significant increases in daily data volume of transmissions needing review. Results of a study demonstrated that while ILRs represented 19% of devices implanted, they accounted for over 50% of the alerts.
  21. Select one*  


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  22. 6) Given the impact of ILRs on Remote Monitoring, special programming considerations for ILRs are recommended. Which of the following recommendations should be considered in patients with ILRs on remote monitoring?
  23. Select one*  






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  24. 7) Building relationships with manufactures contribute to improved clinic workload and efficiency, including assisting with patient enrollment, possibly before discharge, and contributing to educating patients, staff, and technical support. populations with
  25. Select one*  


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  26. 8) CIED evaluation (in-person or remote) is a diagnostic test and can be billed and paid separately during the 90-day global surgical period.
  27. Select one*  


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  28. 9) There is a difference between CPT Codes for in-person and remote monitoring. In-person CIED evaluations use “Global” codes, which encompass both technical and professional components. Whereas Remote CIED evaluations use different technical and professional components so they always have separate CPT codes.
  29. Select one*  


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  30. 10) If a patient receives in-person CIED management services while in a remote monitoring period, the billing implications depend on the in-person service. Which statement is accurate?
  31. Select one*  



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  32. Although optional, we respectfully request that you complete the activity evaluation form, since your feedback assists in the development of future educational activities.

  33. Background

    Please rate each question using a scale of 1 to 5 (1 = Beginner, 5 = Advanced)


  34. I would consider my level of expertise in the subject matter prior to the webcast as:
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  35. I would consider my level of expertise in the subject matter after the activity:
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  36. Considering my experience and background, the material presented was:
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  37. Extent to which activity met the identified objectives
    Please rate each question using a scale of 1 to 5 (1 = Not Met, 5 = Completely Met)

  38. Review the recent HRS guidelines and discuss implications for Device Clinics including impact on resource management and patient engagement.
    Invalid Input Please Select one

  39. Evaluate potential harmful practices and resource management challenges, and assess optimal real-world solutions to overcome existing challenges and establish best practices in Device Clinic leadership.
    Invalid Input Please Select one

  40. Review best practices for patient engagement based upon the HRS consensus statement.
    Invalid Input Please Select one

  41. Examine the economics and financial aspects of running a Device Clinic.
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  42. Information Presented
    Please evaluate the information that was presented by answering Yes, No, Maybe or Not Applicable

  43. Reinforced my current practice/treatment habits:
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  44. Will improve my practice/patient outcomes:
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  45. Enhanced my current knowledge base:
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  46. Provided new ideas or information that I expect to use:
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  47. Information gained from this conference will result in making a change in your practice:
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  48. Future activities on this subject matter is important to my practice:
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  49. Addressed a professional practice gap:
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  50. Was free of commercial bias/influence:
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  51. What barriers do you anticipate in incorporating best practices learned in this activity into clinical activities or quality improvement initiatives at your institution?
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  52. What mechanisms can you identify to overcome these barriers?
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  53. (*) Required Fields
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Suggested Resources

Suggested Resources

Device Clinic Managers, Device Techs and Nurses, Administrative Staff, and Electrophysiologists can benefit from a variety of supplementary resources that enhance knowledge and skills in managing device clinics effectively. These resources are designed to support professionals in mastering best practices and overcoming challenges that are commonly encountered in device clinic settings.

Here we share online tools and resources for you to use in your efforts

Ask the Experts……Device Clinic Leadership Summit Faculty

Have a question for the Device Clinic Leadership Summit faculty? They are available to share their perspectives and provide pearls of wisdom for mastering best practices and overcoming device clinic challenges.

Email faculty your questions (Subject Line: Device Clinic Leadership Summit)

Beth Davenport, MSN, RN - This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Sallie Gustafson, NP - This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Aileen Ferrick, PhD, ACNP, RN, FHRS - This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Nancy Lee, RN, FHRS, CCDS - This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Amy Tucker, MSN, RN, CCDS - This e-mail address is being protected from spambots. You need JavaScript enabled to view it

2023 HRS Expert Consensus Statement on Practice Management of the Remote Device Clinic

Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics.

This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert management. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and programming concerns. The goal is to provide evidence-based recommendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research directions are also identified.

Full-Length Version >>

Pocket-Sized Guide >>

CIED Remote Monitoring Clinic Staffing Calculator

This staffing calculator is a tool to help your clinic determine the number of full-time equivalent (FTE) staff needed to effectively follow patients with cardiac implantable electrical devices (CIED) on remote monitoring (RM). The recommended FTE staffing results consists of clinicians, administrative personnel, and third-party resources needed for safe and efficient administration of remote monitoring services.

Staffing Calculator >>

Cardiac Device Billing

Rhythm Management 2024 Billing and Coding Guide. Boston Scientific (2024) >> 

CMS.gov. (2024). Billing and Coding: Cardiac Rhythm Device Evaluation >>

CMS.gov. (2024). Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers-Coding >>

CMS.gov. (2024). Billing and coding: Implantable Automatic Defibrillators >>

CMS.gov. (2024). Billing and Coding: Cardiac Resynchronization Therapy (CRT) >>

Hospital & Physician Reimbursement Guide, CIED Management Services. Medtronic. (2024) >>

Reimbursement Guide: CIED Management Services: Hospital & Physician Coding, Coverage, and Payment. Medtronic. (2024) >>

Cardiac Device Billing Codes and Cost Analysis for CIED Remote Monitoring Programs (PrepMD) >>

Cardiac Device Clinic Education and Staffing Resources

PrepMD Device Clinic Training: CEU-Accredited Online & IBHRE Prep, Onsite Training >>

ATI CRM Jumpstart Program >>

IBHRE – Cardiac Device Education and Self-Assessment (CDESA) Course V.2 >>

HRS Online >>

Medtronic Academy >>

Biotronik Mastery >>

Boston Scientific EDUCARE >>

Abbott Cardiovascular Training & Education >>

MicroPort Academy CRM >>

PrepMD In-Clinic Solutions Program >>

Subscribe to Receive Notifications of Future Educational Programming
Signup to receive timely updates and announcements about future CEU-accredited educational programming that is relevant to this activity from the educational grantor of the Device Clinic Leadership Summit.

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