PO-03-054 OPTIMIZING REMOTE MONITORING ALERTS FOR CIED PATIENTS TO REDUCE RESOURCE UTILIZATION WITHOUT COMPROMISING CLINICAL CARE

The benefits of remote monitoring (RM) have been demonstrated in multiple clinical studies and become the standard care for patients with cardiovascular implantable electronic devices (CIEDs). Benefits include fewer hospitalizations, reduction mortality improved workflow by reducing in-office visits. As RM utilization increases, amount transmitted data can a resource burden responsible caregivers. To evaluate alert from actively monitored CIED within US-based integrated healthcare system to identify opportunities optimize provider workload. We conducted an epidemiologic descriptive study using 9,781 Patients 7 centers Kaiser Permanent who were BIOTRONIK Home Monitoring® (HM) 1/1/22 through 7/31/22. Frequencies proportions used describe alerts during period, as well occurrence device type. Patterns identified that suggest specific programming differences leading unnecessary given or In total, active enrolled HM analyzed. A total 8,519 (87%) had ≥1 timeframe. distribution types patient population was: 5,725 (67%) pulse generator (IPG), 132 (2%) cardiac resynchronization therapy pacemaker (CRT-P), 1,718 (20%) cardioverter-defibrillator (ICD), 715 (8%) defibrillator (CRT-D) 229 (3%) monitors (ICM). breakdown per month shows majority (65%) all are generated minority (20%). conjunction this finding, rate timeframe was highest ICM (15/patient) CRT-D (13/patient) which represents 10% patients. Alert optimization is essential reduce work associated RM. shown analysis limited number significant portion overall (65%). plan target those high-volume sites create server-based “templates” decrease clinicians. subsequent will determine impact on outcomes work.