ICU Telemedicine Program Financial Outcomes

Lilly, Craig M.; Motzkus, Christine; Rincon, Teresa; Cody, Shawn; Landry, Karen; Irwin, Richard S.

doi:10.1016/j.chest.2016.11.029

Cited by 66 publications

(30 citation statements)

References 20 publications

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“…Indeed, cost is a major barrier to adoption (28). A 2013 systematic review estimated the cost to implement an ICU telemedicine program for one year was between $50,000 and $123,000 (in 2011 US dollars) per monitored ICU bed, with subsequent operating costs of up to $3 million annually (15,37,38).…”

Section: Factors Influencing Icu Telemedicine Adoptionmentioning

confidence: 99%

Telemedicine Coverage of Intensive Care Units: A Narrative Review

2018

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Telemedicine coverage of intensive care units (ICUs) is an organizational innovation that has been touted as a means to improve access to and quality of critical care. The purpose of this narrative review is to discuss the different organizational models of ICU telemedicine and factors that have influenced its adoption, and to review the existing literature to consider whether it has lived up to its promise. We conclude by suggesting future directions to fill in some of the existing gaps in the evidence.

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Section: Factors Influencing Icu Telemedicine Adoptionmentioning

confidence: 99%

Telemedicine Coverage of Intensive Care Units: A Narrative Review

2018

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“…Patients located in a remote ICU are monitored and cared for in a real-time partnership between providers at the remote hospital and intensive care specialists located at a centralized monitoring center. 8 Some tele-ICU’s also function as a logistic center, managing patient flow within a hospital or health system 9 . Since its emergence, multiple studies have attempted to outline the effect of this intervention on patient survival, best practices and cost effectiveness, with variable outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Since its emergence, multiple studies have attempted to outline the effect of this intervention on patient survival, best practices and cost effectiveness, with variable outcomes. 9–15 …”

Section: Introductionmentioning

confidence: 99%

Impact of Telemedicine Monitoring of Community ICUs on Interhospital Transfers*

Pannu

Sanghavi

Sheley

et al. 2017

Critical Care Medicine

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Background Tele-ICU programs are increasingly utilized to fill resource gaps in caring for critically ill patients. How such programs impact population and bed management within a healthcare system are not known. Mayo Clinic serves as quaternary referral care center for hospitals in the region within the Mayo Clinic Health System (MCHS). In August of 2013, we implemented tele- ICU monitoring at six MCHS hospital intensive care units. Objectives To study the effects tele-ICU monitoring on inter-hospital transfers from community-based ICU’s to the quaternary care hospital at Mayo Clinic, Rochester, MN. Methods This is a retrospective review of data on inter-hospital transfers comparing trends prior to tele-ICU implementation to those following implementation. Results Inter-hospital transfers significantly increased post institution of tele-ICU (p=0.040) and was attributed primarily to transfer from less specialized ICUs, (p=0.037) as compared to more resource intensive ICU’s (p=0.88). However, for such patient transfers, there were no significant differences in before and after severity of illness scores, ICU mortality, or in- hospital mortality. Conclusion In a regional health care system, implementation of a tele-ICU program is associated with an increase in inter-hospital transfers from less resourced ICU’s to the referral center, a trend that is not readily explained by increased severity of illness.

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“…), although more recent research has identified potentially large savings to hospitals (Lilly et al. ).…”

mentioning

confidence: 99%

“…Tele-ICU implementation is correlated with reductions in ICU and hospital LOS and mortality (Rosenfeld et al 2000;Breslow et al 2004;Zawada et al 2006Zawada et al , 2009McCambridge et al 2010;Franzini et al 2011;Lilly et al 2011Lilly et al , 2014Young et al 2011;Goran 2012;Kohl et al 2012;Wilcox and Adhikari 2012;Willmitch et al 2012;Kumar et al 2013;Sadaka et al 2013). Evidence on cost reductions from tele-ICUs for hospitals has been mixed (Franzini et al 2011;Goran 2012;Coustasse et al 2014), although more recent research has identified potentially large savings to hospitals (Lilly et al 2017).…”

mentioning

confidence: 99%