Challenges in managing a remote monitoring device clinic

Abstract

Background: Recent advances in remote cardiac monitoring technology have created new challenges for clinicians and staff working in device clinics who are left processing large volumes of data. Often, this process is fractured and inefficient, with occurrence of unnecessary alerts that strain staff time and resources.

Objective: The purpose of this survey was to identify challenges allied health professional clinicians and staff encounter when managing a remote monitoring device clinic.

Methods: A 27-item mixed methods survey was developed using a Qualtrics-encrypted, anonymous Web survey tool. Demographic information and questions rating satisfaction level for remote device clinic issues were obtained using a 5-point Likert scale. Three open-ended questions were included that addressed challenges and successes in managing a remote monitoring clinic and served as a method for identifying common themes.

Results: Major themes identified were poor connectivity, staffing issues, and large volume of alerts. Approximately 50% of respondents were either satisfied or unsatisfied with issues surrounding managing remote monitoring device clinics. Strategies for success included optimizing alerts, assigning designated staff, and partnering with third-party platforms.

Conclusion: This survey confirms these issues as an opportunity for industry and digital health leaders to determine best practices for incorporating these technologies into patient care.

Keywords: Cardiac implantable electronic device; Defibrillator; Implantable loop recorder; Pacemaker; Remote cardiac monitoring; Wearable health device.

Figure 1

Count of reported estimated percentages of remote alerts.

Figure 2

Estimated percentage of transmissions that contained an alert (25th IQR 15%, 75th IQR 50%). IQR = interquartile range.