Your role as a telemedicine center (TMZ).
The telemedicine center (TMZ) performs telemonitoring for the primary treating physician (PBA) with the core tasks:
- Data collection, analysis, triage of readings from enrolled patients.
- Notification as well as coordination with PBA
Review of alerts regarding the need for action on the next working day at the latest (optionally also on weekends/holidays as intensified telemonitoring)
- Contacting the PBA with shared decisions for necessary therapy adjustments.
- Review at 3 and 12 months to determine whether the treatment situation continues to qualify for telemonitoring
ProCarement supports you as a service provider in this role with:
- Equipping the enrolled patients with the necessary equipment set for daily measurement and recording of the defined vital parameters
- Provision of the necessary infrastructure for digital data transmission and prepared presentation of all data in the ProPortal
- Viewing of incoming alarms, combined with verification of conspicuous measured values
- Contacting patients with abnormal values (verification through re-measurement requests).
- Sending the daily progress report for patients with abnormal readings
Requirements for the establishment of a TMZ
According to the G-BA decision, the function of TMZ can be assumed by all physicians licensed according to § 95 SGB, licensed medical care centers, authorized physicians or authorized facilities. Further requirements are:
- Approval by the responsible Association of Statutory Health Insurance Physicians in accordance with QSV for rhythm implant control (§ 135 Abs 2 SGB V)
- Licensed specialist for internal medicine and cardiology (for billing with statutory health insurance)
The PBA may enroll for heart failure telemonitoring all patients who meet the following requirements:
- Heart failure according to NYHA-II or NYHA-III
- Ejection fraction < 40%
- inpatient treatment for cardiac decompensation in the past year or carrier:in of an implanted cardiac aggregate (ICD, CRT-P or CRT-D pacemaker)
- Guideline-based treatment of heart failure
- No endangerment/prevention of the transmission of the monitoring data
- Ensuring self-management of patients (knowledge of the German language, possession of a smartphone)
- These requirements must be checked 3 and 12 months after the start of telemonitoring
Source: Resolution of the Federal Joint Committee (G-BA) on an amendment to the Guideline on Methods for the Treatment of Patients with Heart Failure: Telemonitoring in heart failure dated December 17, 2020.