Abstract 16894: Innovation in Cardiac Care: Direct Transmission of Remote Implantable Cardioverter Defibrillator Data to Patients through Their Electronic Personal Health Records

Abstract

CORE 5. MYOCARDIUM: FUNCTION AND FAILURE: SESSION TITLE: EMERGING TECHNOLOGIES III

Introduction: Remote monitoring of implantable cardioverter defibrillators (ICDs) has improved the quality of care through timely delivery of critical device data to healthcare providers. Despite its efficacy and satisfaction among providers and patients, the ICD monitoring data is not directly available to patients. The purpose of this study was to exhibit the feasibility of transmitting data to an electronic personal health record (ePHR) in a patient-friendly format. We believe providing patients access to their ICD data will help promote patients’ engagement in their health care, improve patient provider communication and clinic workflow.

METHODS: The study followed 21 cardiac patients undergoing remote monitoring for their St. Jude Medical ICD device. We used the Implantable Device Cardiac Observation profile, a standard based mechanism to send transmission data to compatible electronic health records and ePHRs, based upon IEEE 11073-10103. Patients were able to view all remote transmission data, including scheduled and alert initiated, instantaneously as a readable report in their NoMoreClipboard ePHR account. The Patient Activation Measure survey was used to assess patient engagement at baseline and 3 months. Further semi-structured interviews were conducted at 3 months to explore patient perspectives regarding the ICD data they received. In addition, 103 healthcare providers were surveyed to determine perspectives on potential benefits and concerns about sending patients data.

RESULTS AND CONCLUSIONS: All patients (67 ± 14 years, 100% White, 5% Hispanic/Latino, 76% male) successfully received the ICD data in their ePHR. Of the 21 patients, 29% showed improved patient engagement (p=0.11). Patients showed great interest in receiving the ICD data but desired additional knowledge to better understand the report. An interim analysis of 34 providers showed that 74% believe patient access to ICD data will allow for better patient care, though 44% believe it may increase clinic workflow. In conclusion, the study suggests there is potential value in directly transmitting ICD data to patients for improving patient care. Further investigation is necessary to find the impact of sending ICD data electronically on patient health and quality of life.

Document Type

Article

Publication Date

3-27-2018

Publication Title

Circulation

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