Reorganizing adult critical care delivery: The role of regionalization, telemedicine, and community outreach

American Journal of Respiratory and Critical Care Medicine

Volumn 181, Issue 11, 2010, Pages 1164-1169

  Nguyen, Yên Lan ^a   Kahn, Jeremy M ^b   Angus, Derek C ^a,c  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Delivery of health care; Intensive care; Regional health planning

Indexed keywords

ADULT; COMMUNITY CARE; COST EFFECTIVENESS ANALYSIS; EMERGENCY HEALTH SERVICE; FAMILY; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FINANCING; HEALTH CARE QUALITY; HEALTH PRACTITIONER; HUMAN; INFORMATION TECHNOLOGY; INTENSIVE CARE; INVESTMENT; LAW; MODEL; PARENT; PATIENT CARE; PRIORITY JOURNAL; REGIONALIZATION; REVIEW; SURVIVAL; TELEMEDICINE; ARTICLE; HEALTH CARE PLANNING; INTENSIVE CARE UNIT; MORTALITY; NONBIOLOGICAL MODEL; ORGANIZATION AND MANAGEMENT; PRACTICE GUIDELINE; PUBLIC RELATIONS; RESEARCH; UNITED STATES;

ADULT; COMMUNITY-INSTITUTIONAL RELATIONS; CRITICAL CARE; EFFICIENCY, ORGANIZATIONAL; HEALTH PLAN IMPLEMENTATION; HOSPITAL MORTALITY; HUMANS; INTENSIVE CARE UNITS; MODELS, ORGANIZATIONAL; PRACTICE GUIDELINES AS TOPIC; QUALITY OF HEALTH CARE; REGIONAL HEALTH PLANNING; REGIONAL MEDICAL PROGRAMS; RESEARCH; TELEMEDICINE; UNITED STATES;

EID: 77954707946     PISSN: 1073449X     EISSN: 15354970     Source Type: Journal    
DOI: 10.1164/rccm.200909-1441CP     Document Type: Review

References (51)

1. 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: 1016-1024.
2. Halpern NA, Pastores SM, Greenstein RJ. Critical care medicine in the United States 1985-2000: an analysis of bed numbers, use, and costs. Crit Care Med 2004;32:1254-1259.
3. Pronovost PJ, Rinke ML, Emery K, Dennison C, Blackledge C, Berenholtz SM. Interventions to reduce mortality among patients treated in intensive care units. J Crit Care 2004;19:158-164. (Pubitemid 39299182)
4. Wunsch H, Angus DC, Harrison DA, Collange O, Fowler R, Hoste EA, de Keizer NF, Kersten A, Linde-Zwirble WT, Sandiumenge A et al. Variation in critical care services across North America and Western Europe. Crit Care Med 2008;36:2787-2793, e1-9.
5. Ewart GW, Marcus L, Gaba MM, Bradner RH, Medina JL, Chandler EB. The critical care medicine crisis: a call for federal action: a white paper from the critical care professional societies. Chest 2004;125: 1518-1521.
6. Kelley MA, Angus D, Chalfin DB, Crandall ED, Ingbar D, Johanson W, Medina J, Sessler CN, Vender JS. The critical care crisis in the United States: a report from the profession. Chest 2004;125:1514-1517. (Pubitemid 38501371)
7. Thompson DR, Clemmer TP, Applefeld JJ, Crippen DW, Jastremski MS, Lucas CE, Pollack MM, Wedel SK. Regionalization of critical care medicine: task force report of the American College of Critical Care Medicine. Crit Care Med 1994;22:1306-1313.
8. Barnato AE, Kahn JM, Rubenfeld GD, McCauley K, Fontaine D, Frassica JJ, Hubmayr R, Jacobi J, Brower RG, Chalfin D, et al. Prioritizing the organization and management of intensive care services in the United States: the PrOMIS Conference. Crit Care Med 2007;35:1003-1011.
9. Kahn JM, Goss CH, Heagerty PJ, Kramer AA, O'Brien CR, Rubenfeld GD. Hospital volume and the outcomes of mechanical ventilation. N Engl J Med 2006;355:41-50.
10. Peelen L, de Keizer NF, Peek N, Scheffer GJ, van der Voort PH, de Jonge E. The influence of volume and intensive care unit organization on hospital mortality in patients admitted with severe sepsis: a retrospective multicentre cohort study. Crit Care 2007;11:R40.
11. Lecuyer L, Chevret S, Guidet B, Aegerter P, Martel P, Schlemmer B, Azoulay E. Case volume and mortality in haematological patients with acute respiratory failure. Eur Respir J 2008;32:748-754.
12. Glance LG, Li Y, Osler TM, Dick A, Mukamel DB. Impact of patient volume on the mortality rate of adult intensive care unit patients. Crit Care Med 2006;34:1925-1934. (Pubitemid 43982469)
13. MacKenzie EJ, Rivara FP, Jurkovich GJ, Nathens AB, Frey KP, Egleston BL, Salkever DS, Scharfstein DO. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med 2006; 354:366-378.
14. Cifuentes J, Bronstein J, Phibbs CS, Phibbs RH, Schmitt SK, Carlo WA. Mortality in low birth weight infants according to level of neonatal care at hospital of birth. Pediatrics 2002;109:745-751.
15. Nathens AB, Jurkovich GJ, Cummings P, Rivara FP, Maier RV. The effect of organized systems of trauma care on motor vehicle crash mortality. JAMA 2000;283:1990-1994.
16. Kahn JM, Branas CC, Schwab CW, Asch DA. Regionalization of medical critical care: what can we learn from the trauma experience? Crit Care Med 2008;36:3085-3088.
17. Kahn JM, Linde-Zwirble WT, Wunsch H, Barnato AE, Iwashyna TJ, Roberts MS, Lave JR, Angus DC. Potential value of regionalized intensive care for mechanically ventilated medical patients. Am J Respir Crit Care Med 2008;177:285-291.
18. Jacobs P, Rapoport J, Edbrooke D. Economies of scale in British intensive care units and combined intensive care/high dependency units. Intensive Care Med 2004;30:660-664.
19. Fan E, MacDonald RD, Adhikari NK, Scales DC, Wax RS, Stewart TE, Ferguson ND. Outcomes of interfacility critical care adult patient transport: a systematic review. Crit Care 2006;10:R6.
20. Iwashyna TJ, Kramer AA, Kahn JM. Intensive care unit occupancy and patient outcomes. Crit Care Med 2009;37:1545-1557.
21. Kahn JM, Asch RJ, Iwashyna TJ, Haynes K, Rubenfeld GD, Angus DC, Asch DA. Physician attitudes toward regionalization of adult critical care: a national survey. Crit Care Med 2009;37:2149-2154.
22. Finlayson SR, Birkmeyer JD, Tosteson AN, Nease RF Jr. Patient preferences for location of care: implications for regionalization. Med Care 1999;37:204-209.
23. London JA, Rosengart MR, Jurkovich GJ, Nathens AB. Prospective payments in a regional trauma center: the case for recognition of the transfer patient in diagnostic related groups. J Trauma 2006;60:390-395, discussion 395-396.
24. Taheri PA, Butz DA, Lottenberg L, Clawson A, Flint LM. The cost of trauma center readiness. Am J Surg 2004;187:7-13.
25. Angus DC, Linde-Zwirble WT, Clermont G, Griffin MF, Clark RH. Epidemiology of neonatal respiratory failure in the United States: projections from California and New York. Am J Respir Crit Care Med 2001;164:1154-1160.
26. Macias CA, Rosengart MR, Puyana JC, Linde-Zwirble WT, Smith W, Peitzman AB, Angus DC. The effects of trauma center care, admission volume, and surgical volume on paralysis after traumatic spinal cord injury. Ann Surg 2009;249:10-17.
27. Hartman M, Watson RS, Linde-Zwirble W, Clermont G, Lave J, Weissfeld L, Kochanek P, Angus D. Pediatric traumatic brain injury is inconsistently regionalized in the United States. Pediatrics 2008;122: e172-e180.
28. Iwashyna TJ, Christie JD, Moody J, Kahn JM, Asch DA. The structure of critical care transfer networks. Med Care 2009;47:787-793.
29. Halm EA, Lee C, Chassin MR. Is volume related to outcome in health care? A systematic review and methodologic critique of the literature. Ann Intern Med 2002;137:511-520.
30. Cummings J, Krsek C, Vermoch K, Matuszewski K. Intensive care unit telemedicine: review and consensus recommendations. Am J Med Qual 2007;22:239-250.
31. Rosenfeld BA, Dorman T, Breslow MJ, Pronovost P, Jenckes M, Zhang N, Anderson G, Rubin H. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med 2000;28:3925-3931.
32. Breslow MJ, Rosenfeld BA, Doerfler M, Burke G, Yates G, Stone DJ, Tomaszewicz P, Hochman R, Plocher DW. 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;32:31-38.
33. Zawada ET Jr, Kapaska D, Herr P, Aaronson M, Bennett J, Hurley B, Bishop D, Dagher H, Kovaleski D, Melanson T, et al. Prognostic outcomes after the initiation of an electronic telemedicine intensive care unit (eICU) in a rural health system. S D Med 2006;59:391-393.
34. Vespa PM, Miller C, Hu X, Nenov V, Buxey F, Martin NA. Intensive care unit robotic telepresence facilitates rapid physician response to unstable patients and decreased cost in neurointensive care. Surg Neurol 2007;67:331-337.
35. Thomas EJ, Lucke JF, Wueste L, Weavind L, Patel B. Association of telemedicine for remote monitoring of intensive care patients with mortality, complications, and length of stay. JAMA 2009;302:2671-2678.
36. Morrison JL, Cai Q, Davis N, Yan Y, Berbaum ML, Ries M, Solomon G. Clinical and economic outcomes of the electronic intensive care unit: results from two community hospitals. Crit Care Med 2010;38:2-8.
37. Scales DC, Dainty K, Hales B, Pinto R, Fowler RA, Adhikari NK, Zwarenstein M. An innovative telemedicine knowledge translation program to improve quality of care in intensive care units: protocol for a cluster randomized pragmatic trial. Implement Sci 2009;4:5.
38. Berenson RA, Grossman JM, November EA. Does telemonitoring of patients-the eICU-improve intensive care? Health Aff (Millwood) 2009;28:w937-947.
39. Kuzniewicz MW, Vasilevskis EE, Lane R, Dean ML, Trivedi NG, Rennie DJ, Clay T, Kotler PL, Dudley RA. Variation in ICU risk-adjusted mortality: impact of methods of assessment and potential confounders. Chest 2008;133:1319-1327.
40. Ontario Critical Care LHIN Leadership Table. Inventory of critical care services. Toronto: Ontario Ministry of Health and Long Term Care; 2006.
41. Ferrer R, Artigas A, Levy MM, Blanco J, Gonzalez-Diaz G, Garnacho-Montero J, Ibanez J, Palencia E, Quintana M, de la Torre-Prados MV. Improvement in process of care and outcome after a multicenter severe sepsis educational program in Spain. JAMA 2008;299:2294-2303.
42. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355:2725-2732. (Pubitemid 46021509)
43. Werner RM, Bradlow ET. Relationship between Medicare's hospital compare performance measures and mortality rates. JAMA 2006;296: 2694-2702.
44. Lilford R, Mohammed MA, Spiegelhalter D, Thomson R. Use and misuse of process and outcome data in managing performance of acute medical care: avoiding institutional stigma. Lancet 2004;363: 1147-1154.
45. Thomas JW, Hofer TP. Research evidence on the validity of risk-adjusted mortality rate as a measure of hospital quality of care. Med Care Res Rev 1998;55:371-404.
46. Schwamm LH, Fonarow GC, Reeves MJ, Pan W, Frankel MR, Smith EE, Ellrodt G, Cannon CP, Liang L, Peterson E, et al. Get with the guidelines-stroke is associated with sustained improvement in care for patients hospitalized with acute stroke or transient ischemic attack. Circulation 2009;119:107-115.
47. Grol R, Wensing M. What drives change? Barriers to and incentives for achieving evidence-based practice. Med J Aust 2004;180:S57-S60. (Pubitemid 38372219)
48. Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR. Why don't physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:1458-1465.
49. McNicoll L, DePalo VA, Cornell M, Rocha JM, Adams LL. The Rhode Island ICU Collaborative. The first statewide collaborative four years later. Med Health R I 2009;92:272-273, 276.
50. Jones L, Wells K. Strategies for academic and clinician engagement in community-participatory partnered research. JAMA 2007;297:407-410.
51. Institute of Medicine. Initial national priorities for comparative effectiveness research. Washington, D.C.: National Academies Press; 2009.