Cardiovascular Roundtable Diagnostic Assessment of Arrhythmia Program Strategy

Cardiovascular Roundtable Diagnostic Assessment of Arrhythmia Program Strategy PURPOSE WHO SHOULD USE THIS This diagnostic is a companion to the presentation, Building the Arrhythmia Center of Excellence. Outlined below are characteristics of a high-value arrhythmia program. Arrhythmia care team members should use this assessment to prompt discussion and identify nearterm priorities for enhancing your arrhythmia program. CV program administrator, physician dyad leader, and/or arrhythmia program manager Access implementation tools to support each strategy at advisory. com/cr/arrhythmia Questions? Email cardiovascular@advisory. com HAVE IMPLEMENTED Program Strength Need to Improve HAVE NOT IMPLEMENTED Need to Implement Not a Current Priority Program Infrastructure Market assessment to determine the appropriate level of EP clinical and technology offerings Physician champions to spearhead arrhythmia program improvement efforts Principled EP service distribution and rationalization Partnerships with other institutions to send or receive complex arrhythmia patients Registry or society accreditation participation Program Operations Referring physician education strategies (e. g. , seminars) Referral guidelines for PCPs, general cardiologists Defined consult pathway for referring providers Cross-service line collaboration for patient identification (e. g. , neurology) Direct-to-patient marketing strategy (e. g. , web campaign, patient seminars) ED triage protocols to support AF patient management Observation unit guidelines for AF care delivery research technology consulting

HAVE IMPLEMENTED Program Strength Need to Improve HAVE NOT IMPLEMENTED Need to Implement Program Operations (Cont. ) Advanced practice providers trained to manage arrhythmia patients across the care continuum Protocol for technology selection (e. g. , physician preference items) Onboarding and training plan for EP lab staff Efficient staffing model for EP procedures EP lab staff engagement initiatives Strategies to reduce post-operative length of stay EP program dashboard to monitor outcomes, identify performance improvement opportunities Patient Management Technologies to support earlier arrhythmia patient identification (e. g. , virtual consults) Treatment decision infrastructure (e. g. , shared decision making, high-risk case committee) Dedicated navigator role to coordinate care for arrhythmia patients Cross-continuum arrhythmia care pathway Comprehensive patient education delivery including family members, caregivers Care protocol for cardiac surgery patients developing post-operative arrhythmias Dedicated clinic providing comprehensive, multidisciplinary AF patient care Patient lifestyle modification support (e. g. , AF wellness program) Streamlined referral to related specialties (e. g. , nutrition, pharmacy) Remote monitoring strategies for longitudinal patient monitoring, evaluation (e. g. , implantable loop recorder) Access best practice case profiles and implementation resources for each of these strategies at advisory. com/cr/arrhythmia 2445 M Street NW, Washington DC 20037 P 202. 266. 5600 │ F 202. 266. 5700 │ advisory. com Not a Current Priority