Allied Professionals Community of Practice

Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon

Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon

Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon

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Shannon Becker RN
Lead Device Nurse
Advent Health
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Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon

Hi Shannon,

   So for my practice, the messaging to patients regarding their remote checks is automatic.  We have it setup through our Epic integration wtih Murj that depending on the type of report (normal, normal with events, abnormal) there is a different, fully automated message that gets sent to our patients through a MyChart message.  If they do not have MyChart this same message is mailed to them, but those patients are told that if there is ever an issue someone will call them.  It has alleviated a lot of the strain on our staff, and patients actually like the messages as the messages also include a copy of their transmission and report.  

Very Respectfully,

James O'Hara PhD, DrPH, DMSc, PA-C 

EP APP Lead

Technical Director of Ambulatory Monitoring and Cardiovascular Implantable Electronic Devices (CIEDs).

Cardiac Electrophysiology 

Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon

Hi Shannon,

   So for my practice, the messaging to patients regarding their remote checks is automatic.  We have it setup through our Epic integration wtih Murj that depending on the type of report (normal, normal with events, abnormal) there is a different, fully automated message that gets sent to our patients through a MyChart message.  If they do not have MyChart this same message is mailed to them, but those patients are told that if there is ever an issue someone will call them.  It has alleviated a lot of the strain on our staff, and patients actually like the messages as the messages also include a copy of their transmission and report.  

Very Respectfully,

James O'Hara PhD, DrPH, DMSc, PA-C 

EP APP Lead

Technical Director of Ambulatory Monitoring and Cardiovascular Implantable Electronic Devices (CIEDs).

Cardiac Electrophysiology 

Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon

Hi Linda, 

    Sure thing.  I helped with the integration between Epic and Murj.  The Murj team side knows what to do, but you may have to ensure that it's part of your integration setup.  It basically works through the HLA7 document that Murj sends to Epic.  That document for us is a PDF that includes the Murj face sheet and the report from the company as a pdf file attached to the message/encounter as an image file.  Once the provider (MD for remotes, MD/APP for in office checks/hospital checks) signs off the report in Murj it is sent to Epic and on the Epic side it's directed into the Cardiac Procedures tab as either an "in office cardiac device monitoring" or a "remote cardiac device monitoring" encounter.  That encounter automatically triggers Epic to send a mychart message to the patient with a narrative and impression (that we pre-setup during the integration).  To keep things simple for Murj, Epic, and our EP team, we have that message set to trigger based off of how the docket in murj is labelled - either Normal no events, normal with events, or abnormal (green, yellow, red).  I'm happy to chat more in depth with you if you would like  (feel free to email me johara@virginiaheart.com).  

Thanks and have a great day!!!

James

Hi Shannon,

   So for my practice, the messaging to patients regarding their remote checks is automatic.  We have it setup through our Epic integration wtih Murj that depending on the type of report (normal, normal with events, abnormal) there is a different, fully automated message that gets sent to our patients through a MyChart message.  If they do not have MyChart this same message is mailed to them, but those patients are told that if there is ever an issue someone will call them.  It has alleviated a lot of the strain on our staff, and patients actually like the messages as the messages also include a copy of their transmission and report.  

Very Respectfully,

James O'Hara PhD, DrPH, DMSc, PA-C 

EP APP Lead

Technical Director of Ambulatory Monitoring and Cardiovascular Implantable Electronic Devices (CIEDs).

Cardiac Electrophysiology 

Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon

Hello HRS community.  I wanted to ask how you notify your CIED pts with remote transmission results.  We all now the challenges of volume burden and staffing.  Are you calling your patients with each transmission, mailing letters/postcards, sending a message on the portal is the patient is active, not notifying unless abnormal?  

Historically every patient here has been called with results.  Staffing has changed and we are short staffed and running a backlog.  We have started sending portal messages to patients who are active (recently within the last 1-2 months).  However, we are still calling everyone else.  The staff is getting bogged down with questions that don't pertain to the transmission, which is having a significant impact on productivity.  How do you handle these challenges?  

Thank you in advance!  Happy 4th of July.

--Shannon