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• W4377014744 abstract "Alert-driven remote patient management (RPM) or fully virtual care without routine evaluations may reduce clinic workload and promote more efficient resource allocation, principally by diminishing non-actionable patient encounters. However, the financial impact from the hospital management perspective of RPM adoption for patients with implantable cardioverter defibrillators (ICDs) is unknown. To assess the financial implications on hospital budgets of adopting RPM compared to conventional strategies in patients with ICDs. A budget impact analysis was conducting using a 1-year time horizon to quantify the total cost of health care resources utilized to follow post-implant ICD patients. Differences in costs between three follow-strategies were calculated: (a) in person evaluation (IPE) only, (b) RPM-conventional (hybrid of IPE and RPM), and (c) RPM-alert (alert-based ICD follow up) (Figure). Event rates were obtained from the TRUST (Lumos-T Safely RedUceS RouTine Office Device Follow-up) randomized clinical trial, which enrolled 1,339 patients 2:1 to conventional RPM or IPE alone. Associated costs were obtained from the published literature, and reported in 2021 US Dollars. The average total 1-year follow up costs were $6,569 for IPE only, $6,277 for RPM-conventional, and $5,749 for RPM-alert. In the RPM-conventional group, clinic costs were marginally higher (+$70 per patient) than IPE; however, overall cost savings were driven by a reduction in hospitalization costs (-$302 per patient) compared to IPE. In the RPM-alert group, the majority of cost savings was due to reduction in clinic-associated costs (-$400) compared to the IPE strategy. Assuming a cohort of 1,000 patients with ICDs followed by an IPE strategy only, the estimated annual cost-savings would be $292,000 and $820,000 if that hypothetical hospital system were to transition to RPM-conventional and RPM-alert follow up, respectively. A strategy of alert-driven remote monitoring for patients with ICDs is associated with a significant projected annual cost-savings for hospital budgets. While partially attributable to reduced hospitalizations, approximately 50% of the cost-savings from an RPM-alert strategy resulted from a reduction in clinic-associated expenditures, likely attributable to less non-actionable work." @default.
• W4377014744 created "2023-05-19" @default.
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• W4377014744 date "2023-05-01" @default.
• W4377014744 modified "2023-10-16" @default.
• W4377014744 title "PO-03-181 ASSESSING THE FINANCIAL IMPLICATIONS OF ALERT-DRIVEN VERSUS SCHEDULED REMOTE MONITORING OF IMPLANTABLE CARDIAC DEFIBRILLATORS: A BUDGET IMPACT ANALYSIS FROM THE TRUST TRIAL" @default.
• W4377014744 doi "https://doi.org/10.1016/j.hrthm.2023.03.938" @default.
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