Telemedicine for the Intensive Care Unit

  • Ann Marie Huffenberger
  • Niels Douglas Martin
  • C. William HansonIII
Chapter

Abstract

As the healthcare sector in the United States undergoes transformation to ensure sustainability in a coming age of value-based reimbursement, an increasing number of organizations have implemented ICU telemedicine services to support population health management. TeleICU services are well positioned to address an increased demand for intensivist physician coverage, expert critical care nurse reconnaissance, compliance with standardized best practice protocols, and efficient utilization of ICU beds within a hospital network. In a centralized operations center distant from the bedside operations, board-certified intensivist physicians and critical care registered nurses remotely monitor clinical activities in real time through audio, visual, and electronic means. With software applications to enhance their population management efficiencies, teleICU clinicians monitor physiological, laboratory, pharmaceutical, and radiological data to identify and avert impending or worsening conditions that may benefit from early clinical intervention. This chapter summarizes the clinical practice of teleICU operations including the associated models of care and the performance metrics, as well as the challenges and limitations including the complex return on investment valuations.

Keywords

TeleICU Telemedicine Critical care Intensive care ICU Intensivist Registered nurse 

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Copyright information

© Springer International Publishing Switzerland 2016

Open Access This chapter is distributed under the terms of the Creative Commons Attribution Noncommercial License, which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Authors and Affiliations

  • Ann Marie Huffenberger
    • 1
  • Niels Douglas Martin
    • 2
  • C. William HansonIII
    • 3
  1. 1.PENN E-LERT Telemedicine ProgramThe Hospital of the University of Pennsylvania, University of Pennsylvania Health SystemPhiladelphiaUSA
  2. 2.Department of SurgeryUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Perelman Center for Advanced MedicineHospital of University of Pennsylvania, University of Pennsylvania Health SystemPhiladelphiaUSA

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