Abbott P100045 CardioMEMS HF System User Guide

MERLIN.NET™ PATIENT
CARE NETWORK (PCN)
for the CardioMEMS™ HF System

P100045 CardioMEMS HF System

HOW TO USE MERLIN.NET™ PCN
A visual guide to key screens and settings

NOTIFICATIONS LIST

Focus on the patients who need your attention by using the Notifications List. It’s the first page that displays after logging in to the system, and effectively triages your patients. It serves as your “inbox” for managing CardioMEMS™ HF System patients.

TAKING ACTIONS

Quickly and easily intervene or document patient actions, including sending a message to a patient based on their communication preferences.

Actions menu
Click on the three vertical dots by a patient’s name to access the actions menu.

Add intervention
Easily make an intervention and communicate with the patient at the same time. Send either a brief, standard message (e.g., “Call the clinic”) via voice or text, or send a more detailed, custom message to a patient’s myCardioMEMS™ mobile app.

Recent interventions
Recent interventions made by you or another clinician display on the patient’s Activity page. A green check mark indicates if a patient has acknowledged the intervention.

PATIENT SETTINGS

Ensure your patients are set up for effective remote monitoring by customizing their settings— including their PA pressure goal, thresholds and notification settings. To modify a patient’s settings, click on a patient’s name and then the Settings tab.
Complete the patient’s details
Ensure a patient’s details are entered in the Patient Profile. Here you can also select a patient’s messaging preferences— voice, text or the myCardioMEMS™ mobile app. Establish a pressure goal and threshold
Establish a patient’s pressure goal and threshold by selecting their:

• Primary metric: PA Diastolic or PA Mean.
• Management phase: Optimization or Management.
• PA pressure goal: Enter a single number, which will automatically populate a threshold that can then be adjusted.
  While a goal isn’t required, setting a threshold is what triggers your notifications.

Select notifications
Decide how and when you want to receive patient notifications by checking the boxes for:

• Primary notifications:
  Get notifications related to changes in a patient’s PA pressure threshold, e.g., X readings below optimal range.

• Administrative notifications:
  Get notifications related to monitoring status, e.g., no pressure reading for X days.

Customize myCardioMEMS™ mobile app settings
For patients registered to use the myCardioMEMS™ mobile app, turn medication management “on” if you’d like to display a list of their medications and send medication changes to the app.

PATIENT ACTIVITY

Get the whole picture of the patient quickly. Review a patient’s activity by clicking on a patient’s name. Then click the Activity tab.
The patient at a glance
Pertinent patient details are found at the top of the patient’s detail page.

DirectTrend™ viewer
Track a patient’s readings over time with the interactive DirectTrend™ viewer. Reading list
Review each reading in more detail.

CLINIC SETTINGS

Based on recommended best practices, Merlin.net™ PCN comes with default settings that you may customize based on your clinic’s preferences. Subscribe to useful reports, customize messaging for your patients, and add and remove users.

Clinic menu
Settings. Establish clinic-wide defaults for newly enrolled patients, including the Primary Metric your clinic prefers to use (such as PA Diastolic or PA Mean), thresholds for PA pressure or notifications you want to receive. After a patient is enrolled, their settings can bemanaged on an individual basis.
Users and locations. Add new Merlin.net™ PCN users or additional clinic locations.
History. See a complete history of actions taken throughout the site.
Drugs and medical conditions. In addition to those provided for you, add drugs or medical conditions that your clinic frequently uses when updating a patient’s profile.

Reports Settings > Clinic Profile
Receive reports by email about patients who meet certain conditions, delivered to users on the days you specify.
Notifications List Report. Contains patients who are on the Notifications List at the time the report is generated.
Patients of Interest Report. Contains patients whose average PA Diastolic pressures are rising but not enough to trigger a notification.

Patient messaging
Settings > Patient Messaging
Customize (on a clinic-wide basis) how your patients receive phone or text messages.

PA pressure default settings
Settings > PA Sensor Patient Default Settings
Select whether your clinic prefers to monitor most patients by PA Diastolic or PA Mean. Set default optimal ranges for patients.

Notifications
Settings > Notifications
Select the types of notifications that will be turned on by default for new patients.

ALL PATIENTS

See all of your CardioMEMS™
HF System patients—not just those with notifications—on the All Patients list. This list is especially helpful in determining which patients are ready to be reviewed or billed.

GETTING STARTED

New clinic checklist
Clinic > Settings > Clinic Profile

• Verify or complete information about the clinic.
• Customize the voice messages and text messages that patients will receive based on their communication preferences.
• Select the days users in your clinic will receive the Notifications List Report and the Patients of Interest Report.
• Pick a primary metric—either PA Diastolic or PA Mean— by which you will monitor most patients.
• Set default ranges for the primary metric that will auto-populate based on a patient’s PA pressure goal.
• Set defaults for other metrics that you’d like to monitor for most patients—like heart rate.
• Choose the notifications you’d like to receive for most patients.

New user checklist
User Settings (your initials in the navigation bar)

• Subscribe to the Patients of Interest Report and Notifications List Report (if desired).

All Patients

• Subscribe to the patients you want to follow by clicking on the green star next to the patient’s name. Following a patient means that they’ll be shown to you on the Notifications List. Patients without a subscribing clinician will be shown to all users in your clinic so they don’t fall through the cracks.

Other resources
Find help. Download the Merlin.net™ PCN Help Manual from the Help link in the navigation bar.
Get started with the myCardioMEMS™ mobile app.
The myCardioMEMS™ mobile app helps patients stay engaged with their health.

YOU’VE GOT THEIR NUMBER.
LEARN MORE AT CARDIOVASCULAR.ABBOTT/CARDIOMEMS

Abbott
6101 Stoneridge Dr., Pleasanton, CA 94588 USA, Tel: 1 925 847 8600
Cardiovascular.Abbott/CardioMEMS
Rx Only
Brief Summary: Prior to using these devices, please review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions, potential adverse events and directions for use.
CardioMEMS™ HF System Indications and Usage: The CardioMEMS™ HF System is indicated for wirelessly measuring and monitoring pulmonary artery pressure and heart rate in NYHA Class II or III heart failure patients who either have been hospitalized for heart failure in the previous year and/or have elevated natriuretic peptides. The hemodynamic data are used by physicians for heart failure management with the goal of controlling pulmonary artery pressures and reducing heart failure hospitalizations.
CardioMEMS™ HF System Contraindications: The CardioMEMS HF System is contraindicated for patients with an inability to take dual antiplatelet or anticoagulants for one month post implant. CardioMEMS™ HF System Potential Adverse Events: Potential adverse events associated with the implantation procedure include, but are not limited to, the following: air embolism, allergic reaction, infection, delayed wound healing, arrhythmias, bleeding, hemoptysis, hematoma, nausea, cerebrovascular accident, thrombus, cardiovascular injury, myocardial infarction, death, embolization, thermal burn, cardiac perforation, pneumothorax, thoracic duct injury and hemothorax.
myCardioMEMS™ Mobile App Limitations: Patients must use their own Apple‡ or Android‡  mobile device to receive and transmit information to the myCardioMEMS™ Mobile App. To do so the device must be powered on, app must be installed and data coverage (cellular or Wi-Fi‡ ) available. The myCardioMEMS™ App can provide notification of medication adjustments and reminders, requests for lab work and acknowledgement that the PA pressure readings have been received. However there are many internal and external factors that can hinder, delay, or prevent acquisition and delivery of the notifications and patient information as intended by the clinician. These factors include: patient environment, data services, mobile device operating system and settings, clinic environment, schedule/configuration changes, or data processing.

™ Indicates a trademark of the Abbott group of companies.
‡ Indicates a third-party trademark, which is property of its respective owner.
© 2023 Abbott. All Rights Reserved.
MAT-2209432 v2.0 | Item approved for U.S. use only.

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