Skip to main content

Cost-Benefit Analysis of Implementing Telemedicine in the ICU

  • Chapter
  • First Online:
Telemedicine in the ICU

Abstract

Tele-ICU implementation costs can be significant, and it is important for organizations to understand the various components of the costs involved. A careful cost-benefit analysis is highly recommended given the unique needs and goals of each organization. In the absence of direct commercial revenues from insurers for patient encounters via tele-ICU services, organizations might consider evaluating financial benefits in a more global context factoring in indirect revenue sources, cost avoidance, and cost reductions due to enhanced efficiency of service delivery. In order to demonstrate tangible financial benefits, deep integration into bedside ICU services is essential. This chapter provides an overview of implementation costs, revenue sources, and a framework for cost-benefit analysis for tele-ICU implementation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wilcox M, et al. Do intensivist staffing patterns influence hospital mortality following ICU admission? A systematic review and meta-analysis. Crit Care Med. 2013;41(10):2253–74.

    Article  Google Scholar 

  2. Lilly CM, et al. Hospital mortality, length of stay, preventable complications among critically ill patients before and after tele-ICU re-engineering of critical care processes. JAMA. 2011;202:2175–83.

    Article  Google Scholar 

  3. Wilcox ME, et al. The effect of telemedicine in critically ill patients: systematic review and meta-analysis. Crit Care. 2012;16:R127.

    Article  Google Scholar 

  4. Lilly CM, et al. ICU telemedicine program financial outcomes. Chest. 2017;151(2):286–97.

    Article  Google Scholar 

  5. Rosenfeld BA, et al. Intensive care unit telemedicine: alternate paradigm for providing continuous intensivist care. Crit Care Med. 2000;28(12):3925–31.

    Article  CAS  Google Scholar 

  6. Breslow MJ, 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):31–8.

    Google Scholar 

  7. Yoo B-K, et al. Economic evaluation of telemedicine for patients in ICUs. Crit Care Med. 2016;44:265–74.

    Article  Google Scholar 

  8. Ries M. Evaluating tele-ICU cost – an imperfect science. Crit Care Med. 2016;44(2):441–2.

    Google Scholar 

  9. Celi LA, Hassan E, Marquardt C, Breslow M, Rosenfeld B. The eICU: it’s not just telemedicine. Crit Care Med. 2001;29:N183–9.

    Article  CAS  Google Scholar 

  10. Castlight Leapfrog Group – ICU physician staffing survey. 2016.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sanjay Subramanian .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Subramanian, S., Palmer, C.M. (2019). Cost-Benefit Analysis of Implementing Telemedicine in the ICU. In: Koenig, M. (eds) Telemedicine in the ICU. Springer, Cham. https://doi.org/10.1007/978-3-030-11569-2_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-11569-2_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-11568-5

  • Online ISBN: 978-3-030-11569-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics