Leveraging Technology to Achieve the Quadruple Aim in CIED Management

At the Fall’s CV Transforum hosted by MedAxiom, Murj had the pleasure of collaborating with customer Megan Black, RN, BSN, Device Clinic Lead at ProMedica Physicians Cardiology, to explore how new technology adoption can lead to great success on each metric of the Quadruple Aim: improved patient experience, better outcomes, lower costs, and enhanced clinician experience.

Megan shared her first-hand experience with transitioning from a 20-year old workflow to Murj cardiac device management software, the investment needed to embrace change, and the metrics that prove the worth of the investment.

As highlighted in the presentation, the gains from adopting Murj were many:

  • Reduced 2,500 transmission backlog to 0 in first 30-days
  • After the transition, standard of care compliance tracking is instant, standing at 89.3% for the 31-day billing intervals for ILRs
  • 4X increase in documented and billable care 
  • Lowered ILR labor cost per transmission from $21.39 to $2.92
  • No need to add staff
  • Remote care usages is now higher and to an improved standard, thereby enabling a better experience for patients and better outcomes

Download your own copy of the presentation here.

Interested in how Murj software can optimize your cardiac device workflow? Contact us today.

Questions asked during the presentation:

Question: 
It seems like this may shift the information burden from device clinic staff to MD/providers. Can you speak about the provider burden and response to this solution?

Answer:
Providers will experience a reduction in work effort when using Murj. Providers typically spend their time on events and alerts where historical device events are essential to confirming a care plan. Murj presents these historical events instantly, saving hours per week of MD time searching through an EMR for a related device event. For normal device checks, Murj further simplifies the work effort by providing short-form summaries that can be batch approved by providers if desired.

Question:
Is legacy of data preserved from one EHR to another or is it better to hold until after transitioning to new EHR?

Answer:
Adopting Murj won’t impact any data currently in the EHR. Murj does allow for importing of patients from a variety of data sources such as EHRs and any legacy system that may have been used for CIED management in the past.

Question:
Are your providers completing the review/interp process in EPIC?

Answer:
At ProMedica, providers are reviewing reports in Murj. The reports are then automatically synced to EPIC. 

It is not required to review in Murj. If preferred, clinics can maintain an approval workflow in EPIC. Although, reviewing in Murj brings great benefits like maintaining the integrity of interval tracking and compliance reporting, and enabling the high efficiencies mentioned above, such as batch approval and quick access to prior device events.

Question:
Megan, did you retain your team post go live with Murj or did you have to reduce staff?

Answer:
Before and during the adoption of Murj, ProMedica had lost four staff members. We were able to replace those four staff, and have retained all staff to this day.

Question:
What sets your company apart from other available remote monitoring companies

Answer:
Murj sells software for remote monitoring, our goal is not to replace your remote monitoring teams, but to enable them with great software.  And we will never solicit your staff — we hope to empower them to achieve the very best in patient care with deep clinical insight, unparalleled efficiency, and full fee capture and retention, with no more stress and no need for new staff. This belief that technology can bring about big gains is certainly a differentiator. Equally important, Murj is different because of our commitment to care providers and their well being. We encourage you to reach out to Murj customers on MedAxiom message boards to hear first-hand accounts of what it’s like to work with us. 

Question: 
Who takes the Tech Fee? Murj or Clinic?

Answer:
The clinic retains and receives all technical fees. Murj does not bill payors nor take reimbursement fees from the clinic. Murj licenses its software on a fee per patient per year basis.

Question:
Is Murj supporting your in office device workflow also?

Answer:
Yes, Murj understands device care can’t just be remote. Murj elegantly supports in-office and remote care in a unified workflow, delivering true population insight across all care modalities.

Question: 
Who is point for patient tech challenges/questions?

Answer:
The clinic is responsible for all patient engagement and Murj provides tools that assist in managing patients that may need assistance. Murj does offer temporary services to assist in a transition to remote care, including backlog transmission review, new transmission review and patient outreach. If long-term services are needed, Murj has partners across the USA that are ready to provide full-time remote monitoring services. 

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