I'm the NP running an outpatient HF clinic. We've placed 10 devices, and are tracking time in management closely to please administration. So far all is VERY VERY good. We HAVE to reduce readmissions in these patients or we will be penalized by Medicare, far more than the cost of this system. We have not added staff to manage the data. Adjustments to diuretics is the most common change. We are quite sure that overall patient interaction is DOWN on these patient, and they are healthier and happier. Our Director was at AHA and they released new data showing even better results in the system. Our sales rep was a CardioMEMS employee and she is great. Quite a bit of training to make sure we are ready to manage based on pressure.