Health Data Acquisition and Management
Clinical content for Cardiology/EP audience with an allied health professional focus on developing solutions
Beth Davenport, BA, MSN, RN
Martha Ferrara, DNP, FNP, FHRS, CCDS
Suneet Mittal, MD, FHRS
Crash Course: Fundamentals of Remote Patient Monitoring
- Technology overview: Implantable and wearable remote patient monitoring
This session will provide an overview of the technologies of remote patient monitoring for CIEDs and external ECG monitoring. It will provide some historical context of RM for pacemakers and ICDs which started in the 1990s and then cover early software, reimbursement, modern software, general clinical workflow, the move to cloud-based solutions and the new ecosystem of many CIED RM companies, and what challenges and opportunities will be faced going forward.
- Remote Patient Monitoring for Disease Management
This session focus on the current and future state of using wearable devices for remote monitoring, with less of an emphasis on sensors and more of an emphasis on disease management. RPM for disease management will be covered with special emphasis on atrial fibrillation, heart failure, hypertension, post-myocardial infarction, and diabetes, and touch briefly on pediatric use cases. The presentation will cover different models and contexts (self-pay, FFS RPM, HMO/integrated health system, employer). A discussion will be held of challenges, reimbursement, incorporation into telehealth and the future. A brief snapshot of companies in the space will also be presented.
Group Chat: The Industry Perspective
The goal of this panel discussion is to speak to the CEOs, first briefly describing their companies and reacting to what they heard in the first two talks. The main focus will be for them to discuss the following: 1) what are they doing to address some of the gaps and challenges they heard; 2) what are you doing for disease management?; 3) how have your company's products and vision changed from inception; 4) what are the remaining biggest barriers for your companies to scale; 5) can you become fully autonomous for disease management; 6) where do you see the future for implantable and wearables based RPM (including revenue and reimbursement).
Group Chat: The HealthCare Professional Perspective: What Are Our Challenges?
This session provides perspectives from various healthcare professionals focusing on challenges such as patient education, enrollment, EHR integration and others.
Group Chat: Patient Voices - The Real Call to Action
The goal of this session is to hear from patients on their perspectives on what the benefits, challenges, and frustrations are with RPM for implantables and wearables. We want them to really charge a call to action on the things that MUST change for this to be viable and beneficial to patients. This will also touch on challenges with medical misinformation. This session can get into issues of cost and access (I.e. digital divide).
Crash Course: Data Connectivity and Interoperability
These sessions start with a case illustration of the journey of the data from an external or an implantable device to a central server, merging data for single patient coming from different sources (e.g., CPAP, diabetes monitor, blood pressure machine, ILR), going into an EHR, how it goes back to patients, seen by clinicians, notes written, and then a whole separate workflow for billing. Discussions will focus on areas to improve the seemingly linear path of data that is actually often disjointed leading to extra work with unreliable results.
- Interoperability 101 – How Do These Systems Talk To Each Other?
This session will serve as a primer (with a very broad conceptual overview) on how systems all talk to each other. To be discussed would be concepts of HL7, FIHR, connectivity APIs and SAAS services how hospitals set up and manage data flow with third party companies, and how patients can see their data. This will provide a brief history on connectivity and then explain what the present day challenges and gaps are.
- Navigating the Build vs Buy Decision for Hospitals and Health Care Systems
This session will discuss some of the challenges hospitals and health care systems face when implementing new technologies. The cost and overhead to buy a system can be high and sometimes introduces more risk if the company is early stage. At the same time, there are challenges in development, execution, and implementation of home-grown solutions. Sometimes, hybrid programs are discussed. The speaker will help frame the issue and provide an overview of the common issues in these considerations and provide 1-2 brief case studies or examples.
This panel will be a deeper dive into issues of interoperability, connectivity, and what this means for the many stakeholders present, with an emphasis on both patients and clinicians.
Crash Course: How Data Getting to Physicians May Be "More Refined"
- Current Workflow Models
This session will examine the different workflow models including direct entry into EHR system, use of middleware, in-sourced labor and split responsibilities.
- AI and Analytics: The Move from Data to Actionable Data
This session will provide information on how AI and analytics can transform data to actionable data and improve workflow, processes, and patient care and outcomes.
How Data Flows from the Clinician Responsible for Monitoring the Patient to the Patient and His/Her Entire Care Team
Coordination of patient care across health care providers and disciplines is of utmost importance. How this coordination can be enhanced in relation to remote monitoring will be a focus of this session. This will be tackled by different stakeholders and will extend beyond CIED and wearable rhythm monitoring devices to include heart failure, hypertension, diabetes, and other conditions that can be monitored remotely.
In this session, different stakeholders will brainstorm about what data the patient should see. Stakeholders will include patients, physicians, advanced practice providers, and industry. Common clinical scenarios will be discussed to highlight challenges and possible solutions.
Group Chat: What Data Should the Patient See?
Through examining commonly observed scenarios, the engaging session will debate topics such as the need for transparency and the implications of the CURES Act.
Patient Apps: Initial Experience
This session will present the initial experience with patient-focused apps highlighting their role in patient care and clinical research and discussing if and how data from these apps can be integrated into clinical workflows. The perspective of the patient, healthcare professional and industry will all be represented.
The Future State: A Wishlist (Roundtable Discussion)
This will be a wrap-up session that will review gaps in current remote monitoring and propose solutions. Future research needs and initiatives will be discussed.
This session will tackle some unresolved issues related to remote monitoring including liability concerns, cybersecurity, and reimbursement. The session will conclude with an update on professional guidelines on remote monitoring.