Nicole MacMillan, Cardiovascular Roundtable
In late April, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), and the American Medical Association- Physician Consortium for Performance Improvement (AMA- PCPI) released an updated set of performance measures for heart failure management. The measures, an update of the 2005 ACC/ AHA HF performance measures, place an increased emphasis on coordinated, cross-continuum care, while eight past measures deemed redundant and no longer useful were retired. Of the nine total measures, two are focused on the inpatient setting, five on the outpatient setting, and two bridge both settings.
2011 HF management performance measures stress cross-continuum coordination
Eric Bushlow, Cardiovascular Roundtable
Cardiovascular programs continue to search for innovative solutions to improve longitudinal care delivery and ensure patients are managed in the most appropriate post-acute settings. Remote monitoring for patients receiving pacemakers has long been suggested as an opportunity to improve the quality—and cost—of care along the continuum. Given the relative nascence of the technology, however, the impact of remote monitoring compared to other more established post-acute management strategies remains not well understood. However, a recent study published in the European Heart Journal examines the potential for remote-monitoring of pacemaker recipients to curb costs and improve quality of care.
COMPAS trial results support safety efficacy of Pacemaker remote monitoring
Two studies presented at the European Society of Cardiology 2011 Congress show that remote ICD monitoring is just as safe with regards to adverse clinical events as in-office visits for patients with implantable devices. The two randomized trials, both conducted in France, join the TRUST trial, which also demonstrated comparable mortality and adverse clinical events between patients attending in-office visits versus those whose ICD transmitted data remotely.
Trials find remote monitoring as safe as in-person visits