Chronic Care Management is a foundational structure for deploying new and emerging Heart Failure management devices.
John Simmerling
Chief Science Officer, 20k+ followers, Thought Leader - Chronic Care Management, Molecular & Cellular Science, GCT, BioMed, BioTech, SDOH, IAQ, Healthcare Innovation
Chronic Care Management and Heart Failure Devices
A robust chronic care management (CCM) system is essential for integrating advanced device technologies to improve heart failure patient outcomes.
High-quality CCM solutions can support the use of devices such as handheld ECG monitors to detect atrial fibrillation in cardiovascular and CHF patients, enabling timely intervention through accessible, patient-generated data.
For heart failure patients with a left ventricular ejection fraction below 35%, Baroreflex Activation Therapy (BAT - which includes a device) offers an alternative for those ineligible for cardiac resynchronization therapy. BAT works by stimulating carotid artery baroreceptors, helping to lower sympathetic nervous activity, reduce blood pressure, and improve heart function.
While handheld ECGs provide real-time data, BAT therapy’s success depends on clinical evaluations during follow-up, where settings can be refined based on standard diagnostic measures. The continuous interactions and assessments between CCM Care Managers can bridge the gap between clinic visits to measure meaningful data for BAT therapy's efficacy.
Both devices are optimally effective in achieving desired outcomes when part of a CCM program and dedicated care managers.
Effective CCM programs provide more oversight but less burden on physicians.
Effective CCM, with dedicated workflows and engagement, enhances the quality of life and exercise tolerance and reduces hospitalizations in heart failure patients, making it a foundational component for incorporating life-saving technologies and therapies into clinical practice.
It is critical to the success of an RPM and CCM program that the solution doesn't add to a cardiologist's workload. The CCM vendor's care managers will operate the program and provide oversight based on continuous monitoring and engagement with the patient.
Begin with a proven Chronic Care Management Solution.
Cardiology practices must first implement Chronic Disease Management solutions that provide patient enrollment strategies, continuous engagement capabilities, workflow documentation, EMR integration, and nurse care manager staffing - not through call centers, but with dedicated W2 employed nurses.
Again, the best CCM solutions don't add to a cardiologist's workload.
The cardiology practice would first implement a Remote Patient Monitoring and Chronic Care Management solution that utilizes data-integrated (FDA-approved) cellular-enabled devices such as SPO2 and Blood Pressure monitors.
Once that step is complete, patients who would benefit from atrial fibrillation surveillance (via EKG algorithms embedded in the remote device) and intra-arterial pressure monitoring can be identified and added to the CCM program.
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The steps for a cardiology practice to incorporate this kind of life-saving data into their practice are:
These devices and treatments represent an opportunity to significantly reduce adverse events, mortality rates, and hospital readmissions.
They also provide a patient-centric, preventive care model that improves long-term health outcomes.
A model which is LONG OVERDUE.
Citations:
Experienced healthcare executive driving improved outcomes and better patient care through value-based Primary Care partnerships.
6 天前Samson Magid Sounds like an ideal program for HealthSnap to be recognized as an industry leader.
These are not just new technologies or devices; they are lifelines that empower patients and clinicians alike. With #CCM handling continuous monitoring and patient engagement, doctors can focus more on care quality than on clerical tasks, and patients experience fewer hospital visits. It's high time we embrace such solutions that put patients first and ease the load on our healthcare teams!