Clinical Resource Utilization Assessment of Device Follow-up Clinic’s Remote Monitoring Service of Cardiovascular Implantable Electronic Devices




Leung, Lisa W.S.

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Background: With the maturity and wide availability of the telecommunication technology, the remote interrogation or remote monitoring of a cardiovascular implantable electronic device (CIED) has become an increasingly common and reliable form of telecardiology or telemonitoring in enabling patient and device follow-up remotely. Research Aim: From the perspective of a device follow-up clinic, the aim of this research is to assess if the integration of the remote monitoring technology to the standard healthcare service model of the implanted patient and device care through remote follow-up service and remote data transmission could be instrumental to the service supply of a device follow-up clinic in timely response to the variation of the service demand while sustaining the quality of patient service. Study Design: The study setting of the research is a single-site, single-vendor time-to-event study in serving implanted patients with on the regular follow-up service. This prospective, observational, post-test only design study consists of a control group whose patients attended all follow-up services at the conventional on-site setting, and an intervention group whose patients newly enrolled the remote monitoring services for remote follow-up service and other pertaining services. This study uses system dynamics modelling to depict the workload assessment impact by the remote monitoring technology. Results: In the specification to the research setting, the remote monitoring services indeed created more apparent upfront variety of workload for patient starting up with the services. It may recommend that the clinic and possibly the vendor could be more involved in the early stage of patient adoption with the education and system setup to manage the learning curve of the technology. One future study could be to continue observing the intervention group for a longer period of time for any changes to the clinical resources utilization associated with the remote monitoring services.



remote patient support, service delivery model, follow-up service, clinical resource assessment, remote monitoring, implantable cardioverter defibrillator, interventional, cardiovascular implantable electronic device, cardiac resynchronization therapy