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Remote Monitoring

Remote Monitoring . A new dawn in healthcare Daniel Meiring Principal Cardiac Physiologist (Head of CRM). Background. 700,000 people suffer symptomatically from arrhythmias in the UK Drug therapy Life style modification Pacemaker. The Picture at SWBH.

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Remote Monitoring

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  1. Remote Monitoring A new dawn in healthcare Daniel Meiring Principal Cardiac Physiologist (Head of CRM)

  2. Background

  3. 700,000 people suffer symptomatically from arrhythmias in the UK • Drug therapy • Life style modification • Pacemaker

  4. The Picture at SWBH • SWBH serves a population of around 700,000 • We currently have 2400 patients with devices • 3 times during the first year • Every six months afterwards • Every 3 months decreasing to monthly checks as the battery ages • Demand on our service

  5. Face to Face Model • Patient comes to clinic • Time taken by patient coming into the clinic • Two members of staff • Time of patient to leave the clinic • Travel • Patients time • Psychological tie

  6. OPA currently set at 30 mins each • On average around 65 appointments per week • 22.2 mins per follow-up

  7. Remote FU

  8. Remote Monitoring • Set up • Staff Training • Recruitment clinics • Initial burden of getting patients onto the system

  9. Remote Monitoring / Follow-up • Home monitoring provides the same device information as in office • Early diagnosis of episodes – more effective treatment • Patients report a sense of reassurance • Patients report greater satisfaction in the medical team

  10. Encountering difficulties • 5% of patients declined (1% of all new implants) • Patient prefers Face to Face • Not appropriate for patient (e.g. learning difficulties, Language etc) • Patient not comfortable coping with equipment

  11. Future Developments • A&E un-coded boxes • Un-coded boxes for the wards • Remote Monitoring • Increased data collection • Engagement with industry

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