A growing population
ICD Follow-up Clinic Example
1500
Optimizing health care system resources for
implantable cardiac device patients though technology
Reggie Groves
1250
1000
Patients
An Aid to Cost-Effectively Delivering
The right care at the right time
The number of cardiac
device patients is
expected to soon exceed
clinics’ capacity
D
750
Fact:
The number
of patients
indicated for
ICD therapy
has doubled.*
500
250
General Manager and Vice President,
Patient Management Business
e
ic
ev
s
nt
ie
t
pa
clinic capacity
0
Medtronic CareLink Network
1998
2000
2002
2004
2006
2008
* ACC/AHA/NASPE 2002 guideline update.
Medtronic CareLink System:
The Future of Follow-Up Care
Medtronic CareLink® Network
1
Imagine a system that:
Patient holds the antenna over
her device for interrogation.
The Monitor automatically dials
a toll-free number and
transmits the data over a
standard phone line.
3
• Solves the pending capacity crisis
Clinic can view
patient data
and reports on
a secure
website
• Improves the timeliness and efficiency of medical
care, and
• Enhances patient satisfaction
4
2
Data is
automatically
sent to a secure
server
Medtronic CareLink® Monitor
Portable device used by ICD
patients to send data
• Routine follow-up
• Symptomatic episodes
• Post-shock events
Patients need only a standard
phone line
• Connect from home or while
traveling (within the United
States)
Patients and
their families
can access
extensive
materials
about living
with their ICD
Patient List
• The first screen
the clinician sees
upon entering the
Medtronic
CareLink
Clinician site
• Sort by date/time,
patient name, and
physician
Patient One
Patient Two
Patient Three
• Allows quick
triage of patients,
based on alerts
Patient Four
Patient Five
Patient Six
Patient Seven
• Detailed
information on
patients or
transmissions is
one click away
Patient Eight
Patient Nine
Patient Ten
1
Quick Look
Current EGM
Similar data to
surface ECG
• Comparable to
the
comprehensive
data shown on
the
Programmer
view
10-second
EGM with
Marker
Channel TM
Clinic Benefits
Device Follow-Up: Today
Total Time: 20-30 minutes
More efficient
patient care:
Allows continuity of care, which
may lead to improved patient
compliance and satisfaction.
Improved access Comprehensive device data and
patient diagnostics are available
to patient data:
when and where needed.
Improved clinic
operations:
Current clinic customers report
being able to dramatically
decrease the time for each
device check.
Receptionist
Admin/Technician
• Pulls schedule and • Greets patient
• Collects co-pay,
patient file
if applicable
1
2
10-15 mins
Receptionist
• Schedules next
appointment
Doctor
• Sees patient if
necessary
5
Total Time: 10-15 minutes
Admin/Technician
• Pulls patient file
• Prints Reports
• Schedules next
appointment
Nurse/Technician
• Checks device and
completes paperwork
2
Doctor
• Over-reads
paperwork
Administration
• Paperwork to Billing
• Billing submits claim
4
3
7
Doctor
• Over-reads
paperwork
8
Administration
• Billing submitted
• Reimbursement
filed
9
5 mins
“The Medtronic
CareLink® Network
reassures our
patients that we
are doing
everything
possible to keep in
touch with them,
even when they’re
at home.”
Regina Owen, RN
1
5-8 mins
Nurse/Technician
• Completes
paperwork
6
5 mins
Workflow with Medtronic
CareLink® Network
Nurse/Technician
Nurse/Technician
• Escorts patient to
• Interrogates device
room
and checks
• Inquires about meds, thresholds when
appropriate
4
3
5-7 mins
The Stern Cardiovascular
Center, Memphis
2
Patient Benefits
Dawn Yasik
Age 32, GEM II DR
Dawnpatient
Yasik
on Medtronic
CareLink® Network since
January 2003
Convenience:
Routine device checks can be
done from the convenience of the
patient’s home.
Freedom to
travel:
Patients can transmit data when
they travel within all 50 states
(USA only).
Peace of
mind:
Patients and their families have
peace of mind by being remotely
connected to the clinic.
“Before CareLink, I
would have been quite
concerned about
traveling far from home
and my clinic. Having
the Monitor with me,
knowing I could be
‘connected’ with my
clinic within minutes,
made me feel much
better.”
Medtronic CareLink® Network Reimbursement Status
As of January15, 2004
Patient Enrollment on Medtronic CareLink Network
Signed CareLink Contract (100)
Covered with existing codes
Covered with Misc. code
Coverage in process
AK
MT
ND
MN
WA
ID
ME
SD
WI
MI
WY
NY
VT
NH
OR
IA
MA
NE
CA
NV
UT
IL
CT
PA
IN
CO
OH
NJ
RI
MD
KS
DE
WV
KY
MO
VA
AZ
NM
OK
TX
AR
TN
NC
AL
GA
SC
MS
LA
FL
5000
4500
4000
3500
3000
2500
2000
1500
1000
500
0
5000
3540
2212
1031
12
82
FY03 Q1
FY03 Q2
402
FY03 Q3
FY03 Q4
FY04 Q1
FY04 Q2
FY04 Q3
HI
Rev 1/15/04 EA
Fusion of Hard and Soft
Medical Care
Veterans Administration
The right level of care, at the right time
• Success story
– Medtronic CareLink currently up
and running in 22 VA clinics
– Nearly 500 Vets being followed
remotely
– Others are in queue for
implementation this year
The Vision:
Streamline
device follow-up
throughout the
VA clinic system
with Medtronic
CareLink
Network
• Comparable comprehensive data to an in-office visit
– No need for patient to come into clinic
– Alleviates scheduling strain on clinic
• Provides quick feedback
–
–
–
–
Peace of mind for patient
Can eliminate inefficiencies, unnecessary hospitalization
Enables faster collaboration between caregivers
Enables triage to optimize use of resources
3
Facilitating Collaboration for
Better Patient Care…
The Future
HF Nurse
HF Doctor/
Cardiologist
• Optimization of health care system resources
– Care customized to the patient
MIND:
Internist
Peace of mind
BODY:
– Facilitates continual patient monitoring, proactive
intervention to avoid problems (I.e. hospitalization)
Device
data
and
patient
data
“SOLE”:
Freedom,
Adventure
EP
– Real-time clinical information to manage patients beyond
acute care episodes
• Monitor changes as they happen
• Example: Medication titration
Family/
Caregivers
EP Nurse/
Technician
4