Does telemonitoring of patients - The eICU - Improve intensive care?

Health Affairs

Volumn 28, Issue 5, 2009, Pages

  Berenson, Robert A ^a   Grossman, Joy M ^a   November, Elizabeth A ^a  

^a CENTER FOR STUDYING HEALTH SYSTEM CHANGE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CONTROLLED STUDY; HEALTH CARE COST; HEALTH CARE DELIVERY; HOSPITAL CARE; INTENSIVE CARE; INTENSIVE CARE UNIT; TELEMONITORING; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; COMPARATIVE EFFECTIVENESS RESEARCH; COST SAVINGS; HEALTH PLAN IMPLEMENTATION; HUMANS; INTENSIVE CARE UNITS; ORGANIZATIONAL INNOVATION; QUALITY OF HEALTH CARE; TELEMEDICINE; UNITED STATES;

EID: 70349221150     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.28.5.w937     Document Type: Article

References (21)

1. Breslow MJ, Rosenfeld BA, Doerfler M, Burke G, Yates G, Stone DJ, et al. Effect of a multiple-site intensive care unit telemedicine program on clinical and economic outcomes: an alternative paradigm for intensivist staffing. Crit Care Med. 2004;32(1):31-38 (Pubitemid 38125560)
2. Angus DC, Shorr AF, White A, Dremsizov TT, Schmitz RJ, Kelley MA. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med. 2006;34(4): 1016-1024
3. Angus DC. Caring for the critically ill patient: challenges and opportunities. JAMA. 2007;298(4):456-458 (Pubitemid 47124067)
4. Young MP, Birkmeyer JD. Potential reduction in mortality rates using an intensivist model to manage intensive care units. Eff Clin Pract. 2000;3(6):284-289
5. Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. 2002;288(17):2151-2162 (Pubitemid 35276516)
6. Leapfrog Group. Factsheet: ICU physician staffing (IPS). Washington (DC): Leapfrog Group; revised 2008 Apr 9. [cited 2008 May 14]. Available from: http://www.leapfroggroup.org/media/file/Fact-Sheet-IPS-080327.pdf
7. Levy MM, Rapoport J, Lemeshow S, Chalfin DB, Phillips G, Danis M. Association between critical care physician management and patient mortality in the intensive care unit. Ann Intern Med. 2008;148(11):801-809 (Pubitemid 351786927)
8. Rubenfeld GD, Angus DC. Are intensivists safe? Editorial. Ann Intern Med. 2008;148(11):877-879
9. Pronovost PJ, Waters H, Dorman T. Impact of critical care physician workforce for intensive care unit physician staffing. Curr Opin Crit Care. 2001;7(6):456-459 (Pubitemid 34020411)
10. Angus DC, Kelley MA, Schmitz RJ, White A, Popovich J Jr. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease: can we meet the requirements of an aging population? JAMA. 2000;284(21):2762-2770
11. Rosenfeld BA, Dorman T, Breslow MJ, Pronovost P, Jenckes M, Zhang N, et al. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000;28(12): 3925-3931 (Pubitemid 32044494)
12. A summary of the literature is available in an appendix, online at http://content.healthaffairs.org/cgi/content/full/hlthaff.28.5.w937/DC2.
13. A graphical representation of ICU telemedicine workflow is in an appendix, online as in Note 12.
14. Institute of Healthcare Improvement bundles are sets of simple best practices performed routinely and in sequence.
15. These interviews were conducted before the recent study (see Note 7) challenging the prevailing understanding of the value of intensivists.
16. Shulkin DJ. Like night and day-shedding light on off-hours care. New Engl J Med. 2008;358(20):2091-2093
17. Medicare Payment Advisory Commission. Report to the Congress: promoting greater efficiency in Medicare. Washington (DC): MedPAC; 2007 Jun.
18. Institute of Medicine. Initial national priorities for comparative effectiveness research. Report Brief, 2009 June [cited 2009 Aug 12]. Available from: http://www.iom.edu/cerpriorities
19. Williams MV. Hospitalists and the hospital medicine system of care are good for patient care. Arch Intern Med. 2008;168(12):1254-1256
20. Centor RM. A hospitalist inpatient system does not improve patient care outcomes. Arch Intern Med. 2008;168(12):1257-1258
21. CBO. An analysis of the literature on disease management programs. Washington (DC): CBO; 2004 Oct.