Care Pathways / Clinical Decision Support

Ambulatory Fetal Heart Rate Monitoring in Pregnancies at Risk for Fetal Arrhythmia

Using a hand-held Doppler monitor, pregnant subjects record 10-15 seconds of their baby’s heart beat and send an audio text of the heart beat to their physician.

SOP SCD Risk Stratification/ICD-Indications

This SOP provides a concise, guideline-based framework for sudden cardiac death risk stratification and ICD indications across multiple cardiomyopathies, including ischemic and non-ischemic dilated cardiomyopathy, ARVC, HOCM, myotonic dystrophy, and…

CPX-Guided Functional Follow-up After LBBAP

This protocol uses 3-month CPX as the individual baseline and mandates a two-step device optimization bundle (rate response + upper rate review) for Yellow results, with escalation and CPX-based reassessment…

A Systems-Based Quality Improvement Protocol: Preventing Lost-to-Follow-Up in Cardiac Device Patients

There is a need to establish a standardized process for identifying, contacting, and re-engaging cardiac device patients who have become inactive in remote monitoring or clinic follow-up, in order to…

Reducing Missed Remote Device Monitoring Alerts: A Quality Improvement Playbook

Missed remote monitoring alerts and unclear escalation pathways represent common, preventable system failures in cardiac device programs, particularly in community and hybrid care settings. These gaps can delay clinical response,…

Policy for Identification and Management of CIED Patients Undergoing Radiation Therapy

This policy outlines the management of patients with cardiovascular implantable electronic devices (CIEDs) undergoing radiotherapy treatment. It includes risk stratification flowcharts and example forms for documenting provider correspondence and CIED…

Alert Transmissions Management in Remote Monitoring

This algorithm guides how to optimize alert transmission evaluation in remote monitoring.

Device Clinic MD Notification Criteria

This resource outlines standardized physician notification and escalation criteria for device clinic alerts across pacemakers, ICDs, CRT devices, and implantable loop recorders. It defines arrhythmia, heart failure, and device-related alert…

Device Interrogation Workflow

This algorithm is intended to provide a standardized framework for in-clinic and remote follow-up of permanent pacemakers. It supports systematic assessment of patient symptoms, device function, programming optimization, safety surveillance,…

MRI Device Surveillance Guidelines

This document outlines a standardized protocol for safely performing MRI scans in patients with cardiac implantable electronic devices (CIEDs), including both MRI-conditional and legacy systems. It details eligibility criteria, device-specific…