Spectrum Health utilizes evidence and guideline-based protocols as the foundation of their AFib Program. Their advanced practice and RN-run clinic are for early evaluation and treatment of new or recurrent atrial fibrillation. This multi-disciplinary approach leads patients from various referral pathways to the AFib specialists in a timely manner. When the pandemic hit, they were able to quickly pivot and implement telehealth and activate the Zio Home Enrollment program. This flexible care model allowed Spectrum to continue to provide patient care during challenging times. Today, Spectrum Health continues to utilize a hybrid approach of in-patient care and telehealth.