Different systems and formats for tele-ICU coverage: Designing a tele-ICU system to optimize functionality and investment

Critical Care Nursing Quarterly

Volumn 35, Issue 4, 2012, Pages 364-377

  Reynolds, H Neal ^a   Bander, Joseph ^b   McCarthy, Mary ^c  

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

^b ST JOSEPH MERCY HOSPITAL   (United States)

^c EASTERN MAINE MEDICAL CENTER   (United States)

Author keywords

architecture; centralized; decentralized; investment; regulatory guidance; scalability; systems; tele ICU

Indexed keywords

ARCHITECTURE; ARTICLE; HEALTH CARE SYSTEM; HEALTH PROGRAM; INTENSIVE CARE; INTENSIVE CARE UNIT; INVESTMENT; MEDICAL TECHNOLOGY; TELEMEDICINE; TELEMEDICINE INTENSIVE CARE UNIT; VIDEOCONFERENCING;

COST-BENEFIT ANALYSIS; FEMALE; HEALTH CARE COSTS; HUMANS; INTENSIVE CARE UNITS; INVESTMENTS; LENGTH OF STAY; MALE; NURSING, TEAM; ORGANIZATIONAL INNOVATION; PATIENT CARE TEAM; PROGRAM DEVELOPMENT; QUALITY CONTROL; TELEMEDICINE; UNITED STATES;

EID: 84866014789     PISSN: 08879303     EISSN: 15505111     Source Type: Journal    
DOI: 10.1097/CNQ.0b013e318266bc26     Document Type: Article

References (80)

1. Angus DC, Kelley Ma, Schmitz RJ, Whiet A, Popovich J. Current and projected workforce requirements for care of the critical Ill and patients with pulmonary disease: Can we meet the requirements of an aging population? JAMA. 2000;284:2762-2770.
2. Health Resources and Services Administration Report to Congress: The critical care workforce -a study of the supply and demand for critical care physicians. Requested by Senate Report 108-81. http://bhpr.hrsa.gov/ healthworkforce/reports/studycriticalcarephys.pdf. Accessed June 17, 2012.
3. Kelley MA, Angus DC, Chalfin DB, et al. The critical care crisis in the United States: A report from the profession. Crit Care Med. 2004;32:1219-1222.
4. Grover A, Critical care workforce: A policy perspective. Crit Care Med. 2006;34(suppl:S7-S11.
5. Krell K. Critical care workforce. Crit Care Med. 2008;36:1350-1353.
6. Reynolds HN, Haupt MT, Carlson R. Impact of critical care physician staffing on patients with septic shock in a university medical care unit. JAMA. 1988;260(33:3446-3450.
7. Li TC, Phillips MC, Shaw L, et al. On site physician staffing in a community hospital intensive care unit: Impact on test and procedure use and on patient outcome. JAMA. 1984;252:2023-2027.
8. Young M, Birkmeyer J. Potential reduction in mortality rates using an intensivist model to manage intensive care units. Eff Clin Pract. 2000;3:284-289.
9. Engoren M. The effect of prompt physician visits on intensive care unit mortality and cost. Crit Care Med. 2005;33:727-732.
10. Breslow MJ, Rosenfeld BA, Doerfler M, 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;32:31-38.
11. Rosenfeld BA, Dorman T, Breslow MJ, et al. Intensive care unit telemedicine: Alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000;28:3925-3931.
12. Breslow MJ. Remote ICU care programs: Current status. J Crit Care. 2007;22(1: 66-76.
13. McCambridge M, Jones K, Paxton H, et al. Association of health information technology and teleintensivist coverage with decreased mortality and ventilator use in critically ill patients. Arch Int Med. 2010;170(7;648-653.
14. New England Healthcare Institute. Tele-ICUs: Remote Management in Intensive Care Units. Cambridge, MA: Massachusetts Technology Collaborative and Health Technology Center; 2007.
15. Garingo A, Friedlich P, Tesoriero L, Patil S, Jackson P, Seri I. The use of mobile robotic telemedicine technology in the neonatal intensive care unit. J Perinatol. 2012;32(1:55-63.
16. 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 costs in a neuro-intensive care. Surg Neurol. 2007;67(4:331-337.
17. Lilly CM, Cody S, Zhao H, et al. Hospital mortality, length of stay, and preventable complications among critically ill patients before and after tele-ICU reengineering of critical care processes. JAMA. 2011;301(21:2175-2183.
18. Chu-Weininger MY, Wueste L, Lucke JF, et al. The impact of tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Healthc. 2010;19(6:1-5.
19. Young LB, Chan PS, Cram P. Staff acceptance of tele-ICU coverage: A systemic review. Chest. 2011;139(2:279-288.
20. Forni A, Skeham N, Hartman CA, et al. Evaluation of the impact of a tele-ICU pharmacist on the management of sedation in critically ill mechanically ventilated patients. Ann Pharmacother. 2010;44(3:432-438.
21. Patel B, Kao L, Thomas E, et al.: Improving compliance with surviving sepsis campaign guidelines via remote electronic ICU monitoring. Crit Care Med. 2007;35:A275.
22. Giessel GM, Leedom B. Centralized, remote ICU intervention improves best practices compliance. Chest. 2007;132:444a.
23. Youn BA. ICU process improvement: Using telemedicine to enhance compliance and documentation for the ventilator bundle. Chest. 2006;130:226S.
24. Badawi O, Shemmeri E. Greater collaboration between remote intensivists and on-site clinicians improves best practice compliance. Crit Care Med. 2006;34(12:A20.
25. Rincon T, Bourke G, Ikeda D. Centralized, remote care improves sepsis identification, bundle compliance and outcomes. Chest. 2007;132:557S-558S.
26. Aaronson M, Zawada ET, Herr P. Role of a telemedicine intensive care unit program (TISP on glycemic control (GC in seriously ill patients in a rural health system. Chest. 2006;130(suppl:226S.
27. Meyer BC, Raman R, Hemmen T, et al. Efficacy of siteindependent telemedicine in the STRoke Doc trial: A randomized, blinded, prospective study. Lancet Neurol 2008;7:787-795.
28. Youn BA. Utilizing robots and an ICU telemedicine program to provide intensivist support for rapid response teams. Chest. 2006;130:102s.
29. Latif A, Romig M, Barasch N, Pronovost P, Sapirstein A. A consultative tele-ICU service improves compliance with best practice guidelines in a highly staffed ICU. Paper presented at: 40th Society of Critical Care Medicine Symposium; 2011; San Diego, CA.
30. National Rural Health Association. Health Care Workforce Distribution and Shortage Issues in Rural America. 2003. http://www.NRHArural.org. Accessed July 24, 2012.
31. Zawada ET, Kapasla D, Herr P, et al. Prognostic outcomes after the initiation of an electronic telemedicine intensive care unit in a rural health system. South Dakota Med. 2006;59:391-393.
32. Zawada E, Aaronson ML, Herr P, Erickson EK. Relationship between levels of consultative management and outcomes in a telemedicine intensivist staffing program (TISP in a rural health system. Chest. 2006;130:226S.
33. Zawada E, Herr P, Erickson D, Hitt J. Financial benefit of a teleintensivist program to a rural health system. Chest. 2007;132(4:444.
34. The Leapfrog Group Fact Sheet. Four leaps in hospital quality, safety and affordability. http://www. leapfroggroup.org/about-leapfrog/leapfrog-factsheet. Accessed August 27, 2011.
35. Dill MJ, Salsberg SE. The Complexities of Physician Supply and Demand: Projections Through 2025. Washington, DC: Association of American Medical Colleges, Center for Work Force Studies; 2008.
36. Kirch DG. How to fix the doctor shortage. Wall Street Journal. January 4, 2010.
37. Nursing Shortage. http://www.aacn.nche.edu/media-relations/fact-sheets/ nursing-shortage. Accessed November 16, 2011.
38. Facts on nursing shortage in North America. http://www.nursingsociety. org/Media/Pages/shortage. aspx. Accessed November 16, 2011.
39. Polcha K. Age wave (Or the Gray Tsunami: The growth in Utah's elderly population. http://www. imakenews.com/cppa/e article000407680.cfm? x=b11,0,w. Accessed November 16, 2011.
40. Shah Y. Gray tsunami: Challenges and solutions of global aging. http://www.dmu.edu/magazine/summer-2011/my-Turn-summer-2011/gray- Tsunamichallenges-and-solutions-of-global-aging/.Accessed November 17, 2011.
41. Bashshur RL, Shannon GW, et al. National telemedicine initiatives: Essential to healthcare reform. Telemed J E Health. 2009;15(6:600-610.
42. Grundy BL, Crawford P, Jones PK, et al. Telemedicine in critical care: An experiment in health care delivery. JACEP. 1977;6(10:439-444.
43. Grundy BL, Jones PK, Lovitt A. Telemedicine in critical care: Problems in design, implementation, and assessment. Crit Care Med. 1982;10(7:471-475.
44. Philips VISICU. http://www.healthcare.philips.com/wpd.aspx?p=/us en/products/patient monitoring/products/eicu/index.wpd&. Accessed November 17, 2011.
45. Cerner Critical Care. http://www.cerner.com/solutions/Hospitals and Health Systems/Critical Care. Accessed July 26, 2011.
46. Metavision for Critical Care. http://www.imd-soft. com/critical-care. Accessed November 17, 2011.
47. Polycom Health Care Solutions. http://www. polycom.com/solutions/ industry/healthcare.html. Accessed November 17, 2011.
48. Hospital Solutions. http://www.globalmed.com/solutions/hospital.php. Accessed November 17, 2011.
49. Healthcare. http://www.vidyo.com/solutions/healthcare. Accessed November 17, 2011.
50. Video Conferencing. http://www.tandberg.com/index5.jsp. Accessed November 17, 2011.
51. InTouch Health Applications. http://www. intouchhealth.com/applications. html. Accessed November 17, 2011.
52. Reynolds HN, Rogove H, Bander J, McCambridge M, Cowboy E, Niemeier M. A working lexicon for the tele-ICU: We need to define tele-ICU to grow & understand it. Telemed e-Health. 2011.
53. Reynolds HN. The tele-ICU: Why, how and what. What the future may look like. In: Rifat Latifi, ed. Telemedicine for Trauma, Emergencies, and Disaster Management. Norwood, MA: Artech House Publishers; 2011: Chapter 21.
54. Ma Bell. http://www.briefing.com/GeneralInfo/Investor/ToolBox/ LearningCenter/edu Scalable Models.htm. Accessed November 14, 2011.
55. Scalability. What does scalability mean? http://www.investopedia.com/ terms/s/scalability.asp# ixzz1dhQyWO2R. Accessed November 14, 2011.
56. Andŕe B. Bondi. Characteristics of scalability and their impact on performance. In: Proceedings of the 2nd International Workshop on Software and Performance, Ottawa, Ontario, Canada 2000; 195-203.
57. Hill MD. What is scalability? In: ACM SIGARCH Computer Architecture News. 1990;18(4:18-21.
58. Duboc L, Rosenblum DS, Wicks T. Doctoral symposium: Presentations: A framework for modelling and analysis of software systems scalability. In: Proceeding of the 28th International Conference Software Engineering ICSE '06. 2006:949-952.
59. Michael M, Moreira JE, Shiloach D, Wisniewski RW. Scale-up x scale-out: A case study using Nutch/Lucene. In: Parallel and Distributed Processing Symposium (IPDPS, 2007, IEEE. Accessed March 26, 2007.
60. The Business Model Data Base. http://tbmdb. blogspot.com/2009/02/ scalable-business-models. html. Accessed November 14, 2011.
61. Horizontal Scalability. http://searchcio.techtarget. com/definition/ horizontal-scalability. Accessed November 14, 2011.
62. Vertical Scalability. http://searchcio.techtarget.com/definition/ vertical-scalability. Accessed November 17, 2011
63. Reynolds EM, Grujovski A, Wright T, Foster M, Reynolds HN. Utilization of robotic "remote presence" technology within North American Intensive Care Units (ICUs [published online ahead of print June 27, 2012]. Telemed J E Health. doi:10.1089/tmj.2011.0206
64. Definition: Mobile. http://dictionary.reference.com/browse/mobile. Accessed November 15, 2011.
65. United States Federal Communications Commission. What is Broadband? The National Broadband Plan. http://www.fcc.gov/encyclopedia/218-219-mhz-service. Accessed July 24, 2012.
66. Definition: 3G (third generation of mobile telephony. http://searchtelecom.techtarget.com/definition/3G. Accessed November 15, 2011.
67. 4G (fourth-generation wireless. http://searchmobilecomputing.techtarget. com/definition/4G. Accessed November 17, 2011.
68. Telemedicine/Telehealth Terminology: American Telemedicine Association. http://www. americantelemed.org/files/public/standards/glossaryofterms.pdf. Accessed November 15, 2011.
69. Estimated Bandwidth for Telemedicine and Network Applications. Utah Telehealth Network, 2009. https://wiki.internet2.edu/confluence/download/ attachments/10682402/0260+Utah+Bandwidth+ Matrix+for+Telemedicine.pdf?version= 1& modificationDate=1302559985681. Accessed November 15, 2011.
70. Video Compression Tutorial, WAVE Report, December 29, 2010. http://www.wave-report.com/blog/? p=81. Accessed November 15, 2011.
71. Blanchard Colin. Security for the third generation (3G mobile system. http://www.isrc.rhul.ac.uk/useca/OtherPublications/3G UMTS%20Security.pdf. Accessed November 15, 2011.
72. Global Care Quest Mobile Solutions. http://www.globalcarequest.com/ portable.html. Accessed November 17, 2011.
73. Airstrip Patient Monitoring. http://www.airstriptech. com/Portals/default/Skins/AirstripSkin/Corporate/AboutUs/tabid/75/Def ault.aspx. Accessed November 17, 2011.
74. 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(24:2671-2678.
75. Morrison JL, Cai Q, Davis N, et al,. Clinical and economic outcomes of the electronic Intensive Care Unit: Results from two community hospitals. Crit Care Med. 2010;38:2-8.
76. Fifers S, Everett W, Adams M, Vincequere J. Critical care, critical choices: The case for the tele-ICUs in intensive care. http://www.nehi.net/ publications/49/critical care critical choices the case for teleicus in inte nsive-care. Accessed November 18, 2011.
77. Setting Competitive and profitable Prices. http://www.entrepreneur.com/ article/167198. Accessed November 16, 2011.
78. Loss Leader Strategy. http://www.investopedia. com/terms/l/lossleader. asp#ixzz1dtaisOe6. Accessed November 16, 2011.
79. Code of Federal Regulations 21 Part 880, Docket No. FDA-2008-N-0106.
80. Goran SF. A new view: Tele-intensive care unit competencies. Crit Care Nurse. 2011;31(5:17-28.