{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:27:18Z","timestamp":1768447638373,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The use of cardiac implantable electronic devices (CIEDs) continues to grow. Despite the presence of implanted hardware, patient compliance with in\u2010clinic visits and remote transmissions is poor. We performed a quality improvement (QI) initiative to assess and optimize CIED follow\u2010up in the New England area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A regional network of eight pediatric institutions was created. All patients with CIEDs were identified starting in 2016. Noncompliance was defined as: no in\u2010person evaluation within 1 year, or no remote transmission within 6 months. Interventions performed included automated texts\/emails, certified letters, and personal phone calls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 612 patients were identified, with the total number of patients increasing over the 5\u2010year QI period as patients had devices implanted and removed. Initial noncompliance with in\u2010person annual follow\u2010up was 29%. If patients were noncompliant, a personal phone call was made, reminding them to return to clinic. If the patient could not be reached for 3 months, a certified letter was sent. The noncompliance rate decreased to 5% over the first year and remained around this level over the QI period (3%\u20139%). For remote transmissions, 54% of patients were noncompliant. Interventions were performed on subgroups of patients. Automated texts\/emails were trialed in 126; after 6 months, 41% of these patients remained noncompliant. Phone calls were then trialed on 87 patients. Over 6 months, noncompliance decreased to 11%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with CIEDs have poor compliance with regular follow\u2010up. Patients have a limited response to automated measures (texts\/emails). Personal phone calls had the greatest impact in improving compliance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16594","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T13:51:22Z","timestamp":1739281882000},"page":"842-847","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Quality Improvement Initiative to Optimize Follow\u2010Up in the New England Area for Pediatric Patients With Cardiovascular Implantable Electronic Devices"],"prefix":"10.1111","volume":"36","author":[{"given":"Zoe","family":"Schefter","sequence":"first","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William P.","family":"Knapp","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elsie","family":"Helou","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Jay","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael R.","family":"Epstein","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Maine Medical Center, Tufts University School of Medicine Portland Maine USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8360-9820","authenticated-orcid":false,"given":"Edward","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Pediatrics, Division of Cardiology Maine Medical Center, Tufts University School of Medicine Portland Maine USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicia","family":"Tam","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Connecticut Children's Medical Center, University of Connecticut School of Medicine Hartford Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shailendra","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Connecticut Children's Medical Center, University of Connecticut School of Medicine Hartford Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridget","family":"Boss","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Children's Hospital at Dartmouth\u2010Hitchcock Medical Center, Geisel School of Medicine at Dartmouth Lebanon New Hampshire USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niels","family":"Giddins","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology, University of Vermont Children's Hospital University of Vermont Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey","family":"Dionne","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Pediatrics, Division of Cardiology, University of Vermont Children's Hospital University of Vermont Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerry","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology, University of Vermont Children's Hospital University of Vermont Burlington Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen M.","family":"Rotondo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Hasbro Children's Hospital, The Warren Alpert Medical School at Brown University Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth S.","family":"DeWitt","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Pediatrics, Division of Cardiology Hasbro Children's Hospital, The Warren Alpert Medical School at Brown University Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kane","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"},{"name":"Department of Pediatrics, Division of Cardiology UMass Memorial Children's Medical Center, University of Massachusetts Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Tsirka","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Cardiology Baystate Medical Center, UMass Chan Medical School Springfield Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9374-2171","authenticated-orcid":false,"given":"Douglas Y.","family":"Mah","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Division of Electrophysiology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2004.02.020"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.112.974337"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-013-0774-5"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S104795112100425X"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2021.07.038"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.04.033"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2014.10.009"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-023-03348-x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-022-01207-y"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2012.08.002"}],"container-title":["Journal 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