MY EFFICIENCY SECRET WEAPON: MEDTRONICS CLINICAL TEAM
MY EFFICIENCY “SECRET” WEAPON:
MEDTRONIC’S CLINICAL TEAM
BY ELIZABETH NARDACCI, MS, FNP-BC, CDE
EXPANDING YOUR BANDWIDTHMaking changes to achieve greater efficiencies starts with a thorough assessment of your needs. In my experience, Medtronic Diabetes’ clinical team is extremely flexible about the support and services that they can provide. They are available to help as little or as much as you like, and you can customize your approach to complement your practice’s structure and your internal resources. In the practice where I worked previously, I used to train patients on their devices. As an NP with a number of other responsibilities, including ordering and analyzing lab work and prescribing drug therapy, I soon realized that I did not have the bandwidth to also do insulin pump training. While in some situations this may have been a delegable task, the DEs that I worked with did not have the availability or direct experience to assume this task. I then looked to Medtronic’s clinical staff to provide all of the pump training, which was a win for our patients as well as our internal team. On the other hand, in my new practice, the DEs do have the availability and experience to perform the initial pump training and education. Therefore, we work with Medtronic’s clinical team in a different manner. They follow up individually with patients and meet with them as needed for advanced training—most commonly for infusion site and sensor issues. They also assist by downloading and reviewing CareLink® Therapy Management Software reports for patients on the MiniMed® 530G with Enlite® system. They help us go deep when it comes to analyzing the CareLink Daily Detail Reports. The representatives also can do an iPro® study when I do not have a unit available or when the study is not covered by a patient’s insurance. Not only do the Medtronic liaisons have more time to do these tasks than I (or the DEs in my office) do—they have expertise to share that helps us fine-tune therapy and deliver optimal care. The Medtronic clinicians are flexible about scheduling. They are in my office at dedicated times and also see patients for urgent issues. Not only do they assist me with educating patients, they also educate and train new providers and students about insulin pump/CGM technology.
WORKING TOGETHER—FOR PATIENTSIn my experience, the Medtronic liaisons do not have a predetermined list of responsibilities. They will happily work with you and your practice to customize their role to accommodate your specific needs. After all, as a DE, you—not just the patients—are their customer. So determine your needs and mutually define how they can best serve you and your patients. Some specific ways in which you might want to call on Medtronic’s clinical team, if you aren’t already, include:
- Observe a diabetes clinical manager (DCM) perform training and a follow-up visit to learn clinical pearls from each other.
- Request a DCM to observe you do training and follow up to ensure a continued high level of competence and skill.
- Schedule case review meetings to review CareLink reports to get other management ideas, since different sets of eyes are always helpful.
- Reach out to the DCM if troubleshooting is needed, especially with CGM use. Medtronic clinical team members have resources that allow them to effectively flag key issues that need to be addressed.