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TRANS TELEPHONIC
MONITORING
Trans Telephonic Monitoring (TTM) is the process of
submitting ECG
strip information by using the telephone. Patients are
provided with a small monitor which they wear for a
monitoring period of 1-3 weeks. When they experience an
"event" (fatigue, palpitation or other signs of an
event) they press a butting on the monitor which results
in the capture of
ECG information prior and post the event.
This
technology improves upon traditional Holter monitoring
since it is event driven and aids in the successful
diagnosis of infrequent symptoms which occur in
developing or underlying heart condition(s).
Introduction
TTM (trans-telephonic monitoring) uses a
small heart monitor that the patient wears until they
have a predefined symptom. The monitor records and
stores in memory pre and post events. A total of 60
seconds are stored in the memory and then transmitted
via a toll free number to MSO. A receiving station which
is open 24 hours, 7 days a week is staffed with
bilingual technicians. The
ECG strips are
then sent to the referring physician via fax and regular
mail for interpretation.
TTM's role in patient
care
It is a known fact that heart disease is the number
one killer in America. Most of the deaths are related to
ventricular
arrhythmia or coronary artery disease with silent
ischemia.
Many of the persons afflicted are relatively young with
no prior symptom or premonition of heart disease. The
changing climate of health care in recent years, with
the growing emphasis on cost containment is forcing
healthcare professions to look for alternative means of
health care delivery.
For these reasons, the use of the TTM
for the diagnostic evaluation and management of a great
number of patients with suspected or documented cardiac
problems can be justifiably regarded as an alternative
to meeting the socioeconomic and the medical challenges.
Reducing Cost of
Care
By using the service,
healthcare professionals generate a savings that is the
result of:
Pre-screening the patient at the primary level,
thus avoiding referrals to specialists and hospital
admissions.
Reduced equipment spending; Physician is provided
with all necessary equipment on a free loan basis - no
need for purchasing or long term lease agreements.
Reduced hospital and ER admissions (diagnose on
time; reduce ER spending for cardiac patients).