Feature | February 20, 2014| Holly Ingram, analyst for IHS Technology

How Healthcare Providers Can Cut Cardiology Expenditures

Heath IT can improve efficiency

Cardiac PACS Information Technology IT

February 20, 2014 — Healthcare expenditure has been increasing throughout the last decade, and is beginning to become unmanageable. The American Heart Association has estimated that, in 2010, spending on cardiovascular disease (CVD) reached $273 billion dollars; a figure expected to rise with an increasing burden of disease. High healthcare expenditure is rooted in inefficient healthcare systems. Both physician’s and nurse’s time is taken up with administrative tasks and analysis of patient data through multiple appointments with patients over the course of their treatment, reducing the time they have available for valuable patient care.

As a result, there are numerous initiatives designed to reduce healthcare expenditure, including using healthcare IT to improve efficiency, and cost-effective medical devices such as remote cardiac event monitors.

Cardiac event monitoring is a form of remote monitoring used to identify arrhythmias and silent myocardial infarction. The device, fitted by a physician, allows patients to remotely transfer information for up to 30 days, either back to their physician or to a central center for patient monitoring. These devices are the answer to many hospitals’ problems of too few beds, not enough staff and an increasing number of CVD patients. Remote data transfer saves time for the patient and reduces the time physicians spend aggregating and analyzing data, increasing productivity and return-on-investment per patient.

The United States is currently the biggest user of remote monitoring, with spending in this market estimated at $699.6 million in 2012 (including compulsory services), according to IHS. Physicians here recognize the benefits of remote monitoring in its efficiency, ability to transfer patient data for central analysis and the lack of face-to-face follow ups required unless necessary.

Despite the merits of this technology, Holter ECG monitoring is still preferred in the United States due to the lack of costly 24 hour analysis required by reimbursement policies, as seen with event monitoring. This has limited growth potential in the U.S. market. In Western Europe, the use of event monitoring is far less than in the United States, despite a similar drive to save costs and boost efficiency. Incomplete reimbursement, costly supporting infrastructure and security of patient data during transfer are obstacles that must be overcome for remote monitoring to become widely used.

The idea behind this type of monitoring in cardiology is not a new one. However it has not had the impact that was expected. Other areas of healthcare have been prioritized where the return-on-investment is seen more quickly; with remote monitoring, the return on investment may not be seen for years due to necessary investment in supporting infrastructure. With limited healthcare budgets and a number of market inhibitors, there is little focus on implementing remote cardiac monitoring as standard outside the United States.

However, increasing CVD incidence is seen globally, and will require more diagnostic testing, with more patients filling hospital beds, further increasing the burden on hospitals. Despite the seemingly stalwart barriers to the widespread use of remote cardiac monitoring, demand is there and is growing. With easing healthcare budget restrictions, improving economies and the increasing burden of a disease that still plagues developed nations, the advantages of remote monitoring are becoming increasingly attractive.

For more information: www.ihs.com

Related Content

Sci-image, Scimage, CVIS, CIIMS, Cpacs c-pacs, cardiovascular information system

Today's cardiovascular information systems need to incorporate all facets of the cardiology department, including subspecialties, to allow a complete picture of a patient's record. These data also need to be able to be shared with enterprise data systems, such as the electronic medical record (EMR). This image is from ScImage, illustrating the various aspects that integrate to make up a complete CVIS. 

 

Feature | September 29, 2016 | Val Kapitula, RT(R), PMP, CIIP
Cardiovascular Information and Imaging Systems (CVIS) have existed for many years in the dedicated sub-specialty area
ACC, American College of Cardiology, Google search, heart conditions, Health Knowledge Graphs
News | Information Technology| September 23, 2016
A Google search for heart conditions will now prominently display important questions patients should ask their doctor...
Robert M. Califf, FDA commissioner, future of cardiovascular medicine, JACC column
News | Business| September 23, 2016
Technology advances coupled with increased use of social media and personal devices could offer new possibilities for...
Sponsored Content | Videos | Inventory Management| September 21, 2016
With bundled payments putting increased pressure on hospitals to manage supply costs while providing quality patient
Dr Bertolet
Sponsored Content | Webinar | Cardiac PACS| September 16, 2016
Managing care across multiple facilities and care settings is made more difficult when images and data are managed an
don woodlock, GE Healthcare, EP CVIS, electrophyiology
Sponsored Content | Webinar | Cardiac PACS| September 16, 2016
Cardiac rhythm management (CRM) data is becoming increasingly important in the management of patients with implantabl
bundled payments for cardiology, CMS cardiac reimbursements
Feature | Business| September 13, 2016 | John W. Meyer, MPH, FACHE
The movement away from traditional Medicare fee-for-service reimbursement and into bundled payment models by the Depa
News | Venous Therapies| September 12, 2016
Veniti Inc. has closed on $25 million in Series D equity financing from Boston Scientific Corp. The funds will allow...
AMA, American Medical Association study, EMRs, electronic medical records, physician burnout
News | Electronic Medical Records (EMR)| September 07, 2016
Technological and administrative obstacles are significantly cutting into available time for physicians to engage with...
Overlay Init