Summary of the good practice:
Apply the Information Communication Technology (ICT) in medicine means to respond promptly to the diagnostic needs of patients regardless of where they are. Many companies are investing in and developing markets that address remote management of chronic diseases, health and wellness. Remote monitoring (RM) is a new and different way of organizing the health care. The aim of our project is evaluate the possible usefulness of the information provided by implantable cardiac defibrillator (ICD) trough RM in a population of HF outpatient at high risk of events. This System is based on primary nursing: Technician or Nurse expert checks the website and makes a first filter on the transmission of patients. Transmissions that report abnormal data, arrhythmic episodes important, critical events are brought to the attention of the physician. In case of relevant event nurse or physician call patients to modify drug therapy or to schedule another follow-up. On basis of our findings, RM by ICD seems to be useful tool for a better management of technical failures and clinical complications occurring in HF outpatient, thus strengthening the hypothesis of a routinely use of RM in this clinical setting.
Second experience: we partnered with Puglia Region, CNR and Capurso City to “ProgettoIppocrate”, whose data are still in progress, which was intended to evaluate a potential correlation between climatic variations and the risk of disease cardiovascular onset in people with high cardiovascular risk through use of a wearable “Weheart”, device capable of monitoring the biometric data of patients.
Challenge addressed by the good practice
Our challenge is to check a growing number of patients in less time maintaining consistently high standards of quality of care and reorganize in office follow-ups and in the future, extend this model to all patient with implantable devices.
Key innovative elements of the good practice
This practice provides us useful information for recall management, become more and more frequent in recent years. This situation has limited right functioning of our clinics by increasing the workload of health workers.
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Publications and reports on the good practice