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       #Post#: 175--------------------------------------------------
       Evidence of deliverable of Remote Monitoring of cardiac devices 
       service
       By: admini5 Date: May 13, 2015, 6:05 am
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       What is the evidence of deliverable from implementation of
       Remote Monitoring of cardiac devices service?
       In Sandwell and West Birmingham (which covers a population of
       approximately 500,000), 537 patients were prospectively
       recruited to a protocol of follow-up by remote monitoring over a
       24-month period (2011–2012) after insertion of implantable
       loop recorders (Medtronic, Reveal) and bradycardia (single and
       dual chamber) pacemakers.
       This replaced the previous protocol in which patients were seen
       face-to-face for routine follow-up by a cardiologist after
       implant at 6 weeks, 3 months and then 6-monthly thereafter. In
       the remote monitoring protocol, 6 months after implant,
       face-to-face consultations and remote-monitoring consultations
       were alternated every 6 months. Financial and staff time savings
       were calculated by implementing such a protocol. The initiative
       also monitored the impact of remote monitoring on scheduled and
       unscheduled care. If patients had unscheduled alerts (for
       predefined criteria), a protocol dictated which alerts would be
       managed by either cardiac physiologists or cardiac specialist
       nurses and which required discussion with a cardiologist, who
       decided if further face-to-face follow-up was necessary.
       For further information, please go to :
  HTML https://arms.evidence.nhs.uk/resources/qipp/617474/attachment
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