Hey! Author here. Yup, this captures wait events, lock activity, checkpointer and backgroundwriter activity, statement activity, and configuration changes, and like the very excellent pg_wait_sampling (
https://github.com/postgrespro/pg_wait_sampling) it stores those data in the database with views and functions to provide access, but it doesn't send those data out to an APM (though that could be arranged). In fact, it's inspired by pg_wait_sampling, which is very high quality but which as a bona-fide extension is too often missing from managed PostgreSQL platforms. Hence, writing it as an "anti-extension" (thanks Nik Samokhvalov for coining that term).