Device Management

Extravascular Implantable Cardioverter-Defibrillator (EV-ICD) Appeal Toolkit

This resource collection includes a structured EV-ICD appeal template and a fully written sample appeal letter to support clinicians in securing coverage approval. Together, these tools provide a step-by-step framework…

Alert Triage Workflow for CIED Remote Monitoring Clinics

A standardized, evidence-based framework for managing CIED remote monitoring alerts in outpatient device clinics. Includes a color-coded triage algorithm (RED/YELLOW/GREEN), complete SOP, staff training materials, and interactive metrics dashboard that…

Remote Alert Guidance

This resource outlines standardized workflows and smartphrase guidance for managing cardiac device alerts, including atrial and ventricular arrhythmias, ICD therapies, lead issues, and battery status. It supports consistent, efficient alert…

MRI Screening Assessment

This resource provides a standardized screening tool to support safe MRI imaging in patients with cardiovascular implantable electronic devices (CIEDs). It guides clinicians through key device, lead, and pacing dependency…

In-Office Device Check Form

This resource provides a practical, guideline-based overview of sudden cardiac death risk stratification and ICD indications across a range of cardiomyopathies. It is designed to support clinicians with clear algorithms…

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,…