Date of Doctor of Nursing Practice Project Completion
2026
Faculty Advisor
Lisa Thomas, DNP
Abstract
Improving Remote Monitoring Compliance for Pediatric and Adult Congenital Electrophysiology Patients with Cardiac Implantable Electronic Devices (CIEDs)
Purpose
The purpose of this scholarly project was to implement a quality improvement (QI) project to improve patient safety by improving cardiac implantable electronic device remote monitoring (RM) which has traditionally failed to achieve published benchmarks.
Background
The project was implemented at a healthcare institution in Houston, Texas. The practice area includes pediatric and adult patients with cardiac implantable electronic devices (CIEDs) in an outpatient setting. Current compliance with 14-day post-implementation enrollment (44%) and ongoing compliance (60%) did not meet published benchmarks.
Methodology
This QI initiative used the Six Sigma DMAIC (Define, Measure, Analyze, Improve, Control) methodology to systematically identify workflow gaps, implement targeted interventions, and develop methods to sustain improvements in RM enrollment and compliance. This framework provided an approach to systematically improve practice. Interventions included increasing portal information, developing primary language templates, and auto-scheduling.
Results
Following implementation of the quality improvement intervention, enrollment in remote monitoring within 14 days after CIED implantation increased to 82%.
Overall adherence to remote monitoring also increased from 60% pre-implementation to 87% post-implementation on a caseload of 226 patients.
Implications
Significant gains were realized in both initial and ongoing CIED compliance through the implementation of standardized tools and processes.
Key interventions, including automated scheduling and patient portal document uploads, were particularly effective in improving compliance outcomes. Although sustaining these improvements can be challenging, continued clinician engagement and ongoing optimization of wireless monitoring technologies have proven effective.
Keywords
cardiac implantable electronic device, remote monitoring, congenital heart disease
Recommended Citation
Christine Meliones, "Improving Remote Monitoring Compliance for Pediatric and Adult Congenital Electrophysiology Patients with Cardiac Implantable Electronic Devices (CIEDs)" (2026). Doctor of Nursing Practice Final Project Abstract. 199.
https://digitalcommons.library.tmc.edu/dnp_abstract/199
Improving Remote Monitoring Compliance for Pediatric and Adult Congenital Electrophysiology Patients with Cardiac Implantable Electronic Devices (CIEDs)