This three-part course is focused on the care of patients with CIEDS including indications, follow up, trouble shooting, best practices, complications, and remote monitoring.  These sessions were presented as part of the Allied Professionals Forum at HRS Scientific Sessions 2019.  The Allied Professional Forum promotes quality education and inspire attendees to expand scientific discovery to apply it to their daily practice.

Presentations

Part I
To Implant or Not to Implant, That is the Question – Current Limitations of ICD Implantation Guidelines
Christian S. Yacono, MHS, PAC, CCDS, Hospital of the University of Pennsylvania, Springfield, PA

Overview of Peri-operative Strategies to Avoid Device Infections in the EP Lab
Michael Carlozzi, BSN, Beth Israel Lahey Health, Milton, MA

Evaluation and Management of the CRT Non-Responder
Rutuke K. Patel, PAC, Temple University Hospital, Lansdale, PA

Indications, Implant Strategies, and Evolving Role of His Bundle Pacing
Gopi Dandamudi, MD, FHRS, Krannert Institute of Cardiology Indiana University School of Medicine, Indianapolis, IN

Is This Pocket Infected? Assessment and Management of the Subtle Presentations
Robert D. Schaller, DO, FHRS, University of Pennsylvania, Philadelphia, PA


Part II

Identification of High-Risk Lead Extraction Candidates and Complication Prevention Strategies
Julie B. Shea, MS, MSN, FHRS, CCDS, Brigham and Women`s Hospital, Boston, MA

 Best Programming Practices to Avoid Inappropriate Therapies
Robert Hipp, MBA, MS, PA,  University of Pennsylvania, Philadelphia, PA

 Current Role of DFT Testing
Ralph J. Verdino, MD, Univ of Penn Health System, Longboat Key, FL

 Who Gets the SQ-ICD versus a Transvenous System?
Scott W. Kruchan, BSN, CCDS, Cleveland Clinic Foundation, Cleveland, OH

 Best Programming Practices to Avoid Inappropriate Therapies
Melanie T. Gura, MSN, APRN, FHRS, CCDS, NE Ohio Cardiovascular Specialists, Hudson, OH


Part III
Overview of Current Implantable Loop Recorders and Implantation/Programming Techniques
James Armstrong, PAC, St. Elizabeth`s Medical Center, Boston, MA 

Management of Device/Lead Advisories and Recalls
Paul Kohanski, CCRC, CNP, CRNP, FHRS, CCDS, University Hospitals of Cleveland, Cleveland, OH 

Remote Monitoring Best Practices To Maximize Patient / Provider Compliance
Amy Kleinhans, DNP, NP, CEPS, ,Tri-City Cardiology Arrhythmia Center, Chandler, AZ 

Shared Decision Making Strategies for CIEDs
Lori Harvey, CCNS, CNS, CCD, VA, Pine, CO

1. Analyze appropriate indications and follow up of CIEDs
2. Outline best practices to avoid infection and assist in implantation of CIEDs
3. Distinguish best practice strategies in remote monitoring

Nurse
Physician’s Assistant
Technologist

Accreditation Statement
The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Physicians AMA Designation Statement
The Heart Rhythm Society designates this internet enduring activity for a maximum of 5.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM Maintenance of Certification (MOC) Statement 

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 5.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Deadline to Report MOC Points to ABIM 

ABIM MOC Points: Claim your points before December 31, 2021.

Royal College of Physicians and Surgeons of Canada MOC Recognition Statement
Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Other Credit Available
A Credit Certificate (for physicians) or Certificate of Participation (for non-physicians) will be provided to individuals seeking credit from the following organizations which accept AMA PRA Category 1 Credit(s)™. Note that participants are advised to contact their certifying body for specific information regarding credit submissions:
·         American Academy of Family Physicians (AAFP) for elective credit
·         American Academy of Nurse Practitioners Certification Board (AANPCB)
·         American Academy of Physician Assistants (AAPA)
·         American Nurses Credentialing Center (ANCC)
·         American Osteopathic Association (AOA) for Category 2 credit
·         Committee on Accreditation of Continuing Medical Education (Canada)
·         European Board for Accreditation in Cardiology (EBAC)
·         European CME Credits (ECMEC)
·         German Chambers of Physicians
·         National Society of Genetic Counselors
·         Oman Medical Specialty Board
·         Qatar Council for Healthcare Practitioners
·         Royal College of Physicians and Surgeons of Canada (RCPSC)

CME Disclosure Policy

The Heart Rhythm Society is committed to the provision of Continuing Medical Education (CME) that is balanced, objective, and evidence-based. The Heart Rhythm Society adheres to the Standards for Commercial Support (SCS) of the Accreditation Council for Continuing Medical Education (ACCME) which requires that those individuals in a position to control the content of an educational activity (including planners, faculty, authors, committee members, content reviewers, editors, and staff) disclose all relevant* financial relationships (for self and for individual's spouse/partner) with an ACCME-defined commercial interest** from the preceding 12 months.

Any individual who refuses to disclose financial relationships is disqualified from participating in HRS educational activities. Employees and Owners of ACCME-defined commercial interests may have no role in the planning or implementation of CME activities without a special exception from the HRS Chief Learning Officer that is granted only in specific circumstances that meet stringent ACCME requirements.

ACCME Definitions:

 *Relevant financial relationships are financial relationships in any amount, which occurred in the twelve-month period preceding the time that the individual was asked to assume a role controlling content of the CME activity, and which relate to the content of the educational activity, causing a conflict of interest. The ACCME considers financial relationships to create conflicts of interest in CME when individuals have both a financial relationship with a commercial interest and the opportunity to affect the content of CME about the products or services of that commercial interest.

 **A commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests - unless the provider of clinical service is owned, or controlled by, an ACCME-defined commercial interest.

Disclosures:
Chairs
C.C. Chiu-Man, MS, RCES, FHRS, CEPS, CCDS: Nothing relevant to disclose.
N.A. Lee, RN, FHRS, CCDS:  Nothing relevant to disclose.

Speakers
C.S. Yacono, MHS, PAC, CCDS: Nothing relevant to disclose.
M. Carlozzi, BSN: Nothing relevant to disclose.
R.K. Patel, PAC:  Nothing relevant to disclose.
G. Dandamudi, MD, FHRS:  Honoraria/Speaking/Consulting Fee - Medtronic, Inc.; Biotronik
R.D. Schaller, DO, FHRS:  Honoraria/Speaking/Consulting Fee - Medtronic, Inc.; Abbott Vascular; Philips
J.B. Shea, MS, MSN, FHRS, CCDS: Honoraria/Speaking/Consulting Fee - Medtronic, Inc.
R. Hipp, MBA, MS, PA:  Honoraria/Speaking/Consulting Fee - Medtronic, Inc.
R.J. Verdino, MD : Honoraria/Speaking/Consulting Fee - Zoll; SJM
S.W. Kruchan, BSN, CCDS: Nothing relevant to disclose.
M.T. Gura, MSN, APRN, FHRS, CCDS : Nothing relevant to disclose
J. Armstrong, PAC : Nothing relevant to disclose.
P. Kohanski, CCRC, CNP, CRNP, FHRS, CCDS : Nothing relevant to disclose.
A. Kleinhans, DNP, NP, CEPS: Nothing relevant to disclose.
L. Harvey, CCNS, CNS, CCD: Nothing relevant to disclose.

The following content reviewer has nothing to disclose:
M. Berger, MD, FHRS: Nothing  to disclose

The following HRS staff have nothing to disclose:
R. Whrilinich - Nothing to disclose
O. Debela - Nothing to disclose

The Heart Rhythm Society is committed to the provision of Continuing Medical Education (CME) that is balanced, objective, and evidence-based. The Heart Rhythm Society adheres to the Standards for Commercial Support (SCS) of the Accreditation Council for Continuing Medical Education (ACCME) which requires that those individuals in a position to control the content of an educational activity (including planners, faculty, authors, committee members, content reviewers, editors, and staff) disclose all relevant financial relationships with an ACCME-defined commercial interest within the 12 months prior to the disclosure.

The Heart Rhythm Society takes steps to assure its learners and the public that the content of certified activities is accurate and reliable. The following principles are applied to the process of validating CME content. The content is peer-reviewed to ensure the following:

Fair Balance - that content is balanced among various options available for treatment and not biased toward a particular product or manufacturer.

Patient Treatment Recommendations - that patient treatment recommendations contained in the content are evidence-based, are appropriate for the target audience, and that the patient treatment recommendations contribute to overall improvement in patient care.

Scientific Validity - that scientific studies cited in the activity conform to standards accepted by the scientific community.

Learning Objectives - that the educational content supports the learning objectives of the activity, and that the objectives stated for performance-in-practice are actionable and measurable.

Omissions - that no seminal studies, data, or best evidence are missing

CME and CoP Certificates will be awarded and available to download and print following the completion of the course and the course evaluation. Should you have any questions regarding your CME certificate, please contact CME@HRSonline.org.