Abstract		2
Table of Contents		2
Take‐Home Messages		4
Section 1 Introduction		4
1.1	Preamble	4
1.2	Document scope and rationale	4
1.3	Editorial independence	5
1.4	Organization of the writing committee	5
1.5	Evidence review and formulation of recommendation	5
1.6	Class of recommendation and level of evidence	6
1.7	Document review and approval	6
1.8	Document updates	7
1.9	Relevant clinical practice	7
Section 2 General concepts		7
2.1	Definitions	7
2.2	Remote monitoring considerations	8
	Synopsis	8
	Recommendation‐specific supportive text	9
2.3	Remote monitoring payment/reimbursement models	9
	Synopsis	9
	Recommendation‐specific supportive text	10
Section 3 Administrative and nonclinical staff		10
3.1	Patient enrollment techniques	10
	Synopsis	10
	Recommendation‐specific supportive text	10
3.2	Managing and updating manufacturer websites	11
	Synopsis	11
	Recommendation‐specific supportive text	11
3.3	Techniques to optimize patient connectivity	11
	Synopsis	11
	Recommendation‐specific supportive text	11
Section 4 Staffing of remote monitoring clinics		11
4.1	Recommended staffing requirements for remote monitoring	12
	Synopsis	12
4.2	Staff credentialing and qualifications for remote monitoring	15
	Synopsis	15
	Recommendation‐specific supportive text	15
Section 5 Technical considerations in remote monitoring		15
5.1	Devices with noncontinuous remote monitoring	16
	Synopsis	16
	Recommendation‐specific supportive text	16
5.2	Site‐based remote monitoring	16
	Synopsis	16
	Recommendation‐specific supportive text	18
Section 6 Alert‐based remote monitoring		18
	Synopsis	19
	Recommendation‐specific supportive text	19
Section 7 Programming considerations for optimal remote monitoring		19
7.1	Manufacturer and device‐specific knowledge	20
	Synopsis	20
	Recommendation‐specific supportive text	20
7.2	Programming for clinical indications with different types of cardiovascular implantable electronic devices	20
	Synopsis	21
	Recommendation‐specific supportive text	21
7.3	Special programming considerations for implantable loop recorders	23
	Synopsis	23
	Recommendation‐specific supportive text	24
Section 8 Managing alerts		25
8.1	Defining high‐priority alerts	25
	Synopsis	25
	Recommendation‐specific supportive text	25
8.2	Programming considerations to minimize inappropriate alerts	27
	Synopsis	27
	Recommendation‐specific supportive text	27
8.3	Timeline recommendations for alert management	27
	Synopsis	27
	Recommendation‐specific supportive text	27
Section 9 Remote monitoring reporting		28
9.1	Communication of the remote monitoring report to patients	28
	Synopsis	29
	Recommendation‐specific supportive text	29
9.2	Components of a comprehensive report	29
9.3	Techniques for incorporating reports into electronic health records	29
	Synopsis	29
	Recommendation‐specific supportive text	29
Section 10 Patient education for remote monitoring		31
10.1	Patient education for participation and compliance	31
	Synopsis	31
	Recommendation‐specific supportive text	32
10.2	Patient education of clinic‐specific policies	33
	Synopsis	33
	Recommendation‐specific supportive text	33
Section 11 Manufacturer responsibilities with remote monitoring		33
11.1	Manufacturers’ role to optimize individual patient care	33
	Synopsis	34
	Recommendation‐specific supportive text	34
11.2	Manufacturers’ role in the management of patient safety advisories via remote monitoring	34
	Synopsis	35
	Recommendation‐specific supportive text	35
11.3	Support surrounding implantation from manufacturers	35
	Synopsis	35
	Recommendation‐specific supportive text	36
Section 12 Third‐party resources for remote monitoring		36
12.1	Use of third‐party resources in remote monitoring	36
	Synopsis	36
	Recommendation‐specific supportive text	37
Section 13 Pediatric considerations with remote monitoring		37
Section 14 Geographic differences with remote monitoring practices		38
14.1	Availability of remote monitoring	38
	Synopsis	38
	Recommendation‐specific supportive text	38
Section 15 Knowledge gaps and future needs		38
15.1	Remote monitoring can “shorten” large geographic distances	38
15.2	Remote programming	38
15.3	Inequitable access to cardiovascular implantable electronic device remote monitoring	39
15.4	Reimbursement reform for remote monitoring	39
15.5	Better information, not more information	39
15.6	Direct patient access to device information	40
15.7	Summary: Further research about remote monitoring	40
15.8	Summary: Past, present, and future	40
	References	40
	Appendix	48