This episode of The Pulse delivers a practical playbook for leading and scaling an effective cardiac device clinic. Originally presented by Dr. Poku at the 2025 Electrophysiology IEP Fellows and Early Attendings Leadership Foundations conference in Austin, Texas, this talk offers impactful advice on building a data-driven, high-performing practice. This content is especially valuable for fellows and early-career EPs, as it offers real-world perspectives and insights not typically included in traditional training.

Missy Allen, CCT, LMR, and Tara Mudd, MSN, APRN, NP-C, from Norton Heart & Vascular Institute, are a “tag team” of seasoned electrophysiology (EP) leaders with decades of combined experience. In this episode, they share their journeys through the evolution of EP device management—from manual checks to managing thousands remotely. They offer insights into working with sophisticated devices, balancing automation with essential clinical skills, and the critical role of physician collaboration in enhancing patient care.

Murj’s senior leadership team—CEO Todd Butka, COO Reed Gaither, and Chief Experience Officer (CXO) Chris Irving—kick off this episode with a celebration of the company’s 10th anniversary. The executives discuss Murj's journey and philosophy, highlighting the importance of taking care of clinical providers, overcoming challenges, and the evolution of integration and analytics in CIED care. Plus, the trio looks ahead to 2025 and what’s on the horizon for Murj in the new year.

Dr. Mazzola shares his journey and experiences in electrophysiology (EP), the evolution of his practice, and his experiences delivering enhanced patient care through meticulous clinical practices and advanced technology. Plus, Iglesias offers her perspective on how the Murj Clinical Services team’s collaboration with South Heart Clinic has helped drive significant patient care improvements.

With Amy Kleinhans, DNP, AGNP-C, FHRS, Lead Nurse Practitioner and Advanced Program Manager for Electrophysiology, HonorHealth Todd Butka, Co-founder and CEO, Murj Chris Irving, Co-founder and Chief Experience Officer (CXO), Murj Mark Pederson, Director of Product Management, Murj Kleinhans shares insights on implementing new technologies—including devices and management systems—across multiple EP programs to improve patient outcomes. Kleinhans is the Lead Nurse Practitioner in the Arrhythmia Service Line at HonorHealth. She has nearly 20 years of cardiac electrophysiology nursing experience. Kleinhans’ primary role is in program development, which includes clinical oversight of the cardiac device clinic.

Discover how the Murj Dedicated Heart Failure Platform boosts efficiency, accuracy, and collaboration in data management for heart failure (HF) and electrophysiology (EP) teams. With Murj, these teams can now monitor patients in parallel, utilizing dedicated workflows and essential cross-functional communication tools for effective CIED patient co-management. Jackie Arrasmith and Kara Jackson share insights from their clinic’s successful implementation, including hybrid workflow enhancements.

Jude Hebert, Executive Vice President of Nursing Services at Cardiovascular Institute of the South (CIS), discusses the ever-evolving landscape of CIED care with Murj CEO Todd Butka and Chief Experience Officer (CXO) Chris Irving. Topics include CIS’ journey to proactive patient care, the impact of digital transformation, and the shift from fee-for-service to value-based care models.

Join the Murj senior leadership team—CEO Todd Butka, COO Reed Gaither, and Chief Experience Officer (CXO) Chris Irving—as they discuss significant company milestones and accomplishments in 2023. The co-founders also share insights into Murj’s vision and plans for the upcoming year.

Explore the Murj implementation journey with Sirena Bridges, FNP-BC, MSN, MSPH, CCDS, an electrophysiology nurse practitioner at Centennial Heart. With a tight two-week implementation window, delve into how Bridges and her team seamlessly transitioned to Murj. Gain valuable insights into achieving team buy-in and maintaining a high standard of care when introducing new software. Additionally, Murj's Director of Customer Success Marty Predmesky sheds light on the crucial management aspects that drive successful software adoption.

Murj Chief Experience Officer (CXO) and Co-founder Chris Irving chats with Cara Schaaf, R.N., and Electrophysiologist Dr. Jeff Senfield, both from Upstate Cardiology in Greenville, S.C., about the importance of teamwork in the CIED clinic. Schaff and Dr. Senfield offer insight into the nurse-physician-software vendor dynamic and how it impacts patient care.

Mike Silva, RN, RCES, CCDS, clinic manager at WellSpan Health, talks about the importance of implementing best practice standards for documentation, policies, and procedures in the cardiac device clinic. Silva also shares his perspective on how WellSpan is closing the care gap, improving staff training, and committing to continuous process improvement.

Laurie Racenet, MSN, FNP, FHRS, CEPS, CCDS, a retired nurse practitioner previously with Alaska Heart & Vascular Institute, shares wisdom and lessons learned from 45 years in medicine. Racenet discusses how CIED technology has evolved over the years, as well as what she thinks the future holds for the industry.

This episode is hosted by Reed Gaither, Murj Co-Founder & COO. Zayd Eldadah, M.D., Ph.D., Director of Cardiac Electrophysiology at MedStar Heart & Vascular Institute, offers insight into building relationships to ensure CIED care is impactful for all patients and clinical staff. Dr. Eldadah is an industry leader that participated in Murj’s educational fireside chat session during MedAxiom’s CV Transforum Fall’22. Watch the full session here: https://bit.ly/3tvldJv

Kelli Shifflett, Assistant VP of Growth and Business Development at HCA Physician Services Group, discusses the importance of establishing solid communication and collaboration across teams to effectively implement CIED workflow technology. Shifflett is an industry leader that participated in Murj’s educational fireside chat session during MedAxiom’s CV Transforum Fall’22. Watch the full session here: https://bit.ly/3tvldJv

Jim Wetzel, Director of Clinical Systems at the Oklahoma Heart Hospital, shares his approach to evaluating innovative CIED workflow technologies that benefit both the patient and provider. Wetzel is an industry leader that participated in Murj’s educational fireside chat session during MedAxiom’s CV Transforum Fall’22. Watch the full session here: https://bit.ly/3tvldJv

Gopi Dandamudi, MD, MBA, FHRS, Executive Medical Director of the Center for Cardiovascular Health at Virginia Mason Franciscan Health, offers his perspective on how technology can fundamentally improve how CIED care providers diagnose and treat patients. Dandamudi highlights the use of automation and real-time data analysis in both implantable and wearable device care can create better long-term patient outcomes.

Murj Founder & CEO Todd Butka chats with Arrhythmia Diagnostic Center Supervisor at Parkview Physicians Group Cardiology Tina Allmandinger, RN about the challenges of implementing technology to optimize CIED clinical operations. Transforming a clinic with entrenched paper-based workflows isn’t exactly a walk in the park. Allmandinger shares her experiences in getting administrative buy-in to adopt new tools, as well as alleviating staff concerns around new technology.

Murj Founder & CEO Todd Butka talks with Bradley Clark, M.D., director of pediatric electrophysiology at the Children’s Hospital at Montefiore in the Bronx, N.Y. Dr. Clark shares how implementing CIED workflow technology empowers staff, streamlines and scales remote monitoring operations, improves quality of care, and creates superior patient experiences.

Todd Butka, founder & CEO of Murj talks with Nikki Tibbs, RN, IBHRE, CCDS, electrophysiology specialty care nurse coordinator at WVU Heart & Vascular, to explore how shifting mindsets and adopting modern cardiac device workflow technology can help improve remote reimbursements.