TeleICU Interdisciplinary Care Teams - 09/05/19

Doi : 10.1016/j.ccc.2019.02.008

Cindy Welsh, RN, MBA ^a,^⁎ , Teresa Rincon, PhD, RN, CCRN-K ^b,^{^{1
Present address: 100 Front Street, 1st, floor, 114H Worcester, MA 01608.}}, Iris Berman, MSN, BSN, RN, CCRN-K ^c, Tom Bobich, MBA ^d,^{^{2
Present address: 2040 Main Street, Suite 240, Irvine, CA 92614.}}, Theresa Brindise, MS, BSN, RN ^e,^{^{3
Present address: 1400 Kensington Road, Oak Brook, IL 60523.}}, Theresa Davis, PhD, RN, NE-BC ^f
^a Adult Critical Care, eICU, AdvocateAuroraHealth, 1400 Kensington Road, Oak Brook, IL 60523, USA
^b TeleHealth, UMassMemorial Health Care, 100 Front Street 1st floor, 114H, Worcester, MA 01608, USA
^c Telehealth Services, Northwell Health, 15 Burke Lane, Syosset, NY 11791, USA
^d Marketing, Advanced ICU Care, 2040 Main Street Suite 240, Irvine, CA 92614, USA
^e AdvocateAuroraHealth, eICU, 1400 Kensington Road, Oak Brook, IL 60523, USA
^f enVision eICU Inova Telemedicine, 8110 Gatehouse Road Suite 600 West, Falls Church, VA 22042, USA

^∗Corresponding author. 1400 Kensington Road, Oak Brook, IL 60523.1400 Kensington RoadOak BrookIL60523

Résumé

Telehealth in intensive care units (TeleICU) is the provision of critical care using audio-visual communication and health information systems across varying clinical and geographically dispersed settings. The optimal structure of a TeleICU team is one that leverages expert clinical knowledge to address the needs of critical care patients, regardless of hospital location or availability of an onsite intensivist. Information related to the optimal TeleICU team structure is lacking. This article examines the optimal TeleICU team composition, which is one that incorporates the use of an interdisciplinary approach, leverages technology, and is cognizant of varying geographic locations.

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Keywords : Interdisciplinary, TeleICU, Staffing, Work flow, Remote ICU, TeleICU team, Intensive care

Plan

Key points

Introduction

The essential TeleICU team structure

TeleICU team members

Getting teams to work together: the Synergy Model

Communication is key

Varying intensive care unit environments

Potential team extensions

One or multiple hub sites?

Additional uses of the TeleICU team/technology

As Mentors

In Other Care Settings

Summary

C. Welsh, I. Berman, T. Bobich, and T. Brindise have no commercial or financial conflicts to disclose. T. Rincon has received travel support (no honorarium) by Philips Healthcare for advisory and speaking roles. T. Davis is a Director on the AACN Board of Directors.