Remote Monitoring Programs for Cardiac Conditions

Key Messages

• These recommendations were developed by the CADTH Health Technology Expert Review Panel (HTERP) to address the implementation of remote monitoring or remote management programs for patients with chronic cardiac conditions.
• The recommendations were developed following HTERP deliberations over multidisciplinary evidence reviewed in a CADTH Health Technology Assessment (HTA) report. The HTA included a realist review conducted to identify key perceived or actual mechanisms of remote monitoring programs, patients’ and caregivers’ expectations and experiences of engaging with remote monitoring programs, and ethical issues raised by the use of remote monitoring for patients with chronic cardiac conditions.
• HTERP recommends that the design and implementation of remote monitoring programs include a broad range of stakeholder voices with considerations across several key domains. In particular, HTERP recommends that:
  • remote monitoring programs for chronic cardiac conditions be flexible and adaptable to a diverse range of patient circumstances
  • if implemented, remote monitoring should be an integral part of the care pathway for chronic cardiac conditions, with processes and policies to support it
  • jurisdictions understand and be transparent about information flow, and keep patient data use and privacy at the forefront of service contract negotiations
  • remote monitoring programs for cardiac conditions avoid creating or exacerbating inequities in health care
  • remote monitoring programs include an evaluation component to ensure program aims are met.