caring together, caring for life.. avera eicu care: partnering icus in rural america pat herr rn,...
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![Page 1: Caring Together, Caring for Life.. Avera eICU Care: Partnering ICUs in Rural America Pat Herr RN, CCRN – Director Avera eICU Care Jean Winter RN – Director](https://reader038.vdocuments.mx/reader038/viewer/2022103111/5515766655034674578b51bb/html5/thumbnails/1.jpg)
Caring Together, Caring for Life
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Caring Together, Caring for Life
Avera eICU Care: Partnering ICUs in Rural America
Pat Herr RN, CCRN – Director Avera eICU Care
Jean Winter RN – Director of Nursing Services Avera Marshall
Lois Coudron, RN CCU Lead Avera Marshall
Pat Herr RN, CCRN – Director Avera eICU Care
Jean Winter RN – Director of Nursing Services Avera Marshall
Lois Coudron, RN CCU Lead Avera Marshall
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Caring Together, Caring for Life
Avera System
• Our mission is to make a positive impact on the lives and health of persons and communities
• Improve health care through a regionally integrated network
• Our mission is to make a positive impact on the lives and health of persons and communities
• Improve health care through a regionally integrated network
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Caring Together, Caring for Life
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Caring Together, Caring for Life
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Caring Together, Caring for Life
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Caring Together, Caring for Life
Source: The Advisory BoardSource: The Advisory Board
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Caring Together, Caring for Life
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Caring Together, Caring for Life
DRIVING FORCES: Clinical Issues• IHI Bundles
– Ventilator Bundle– Sepsis Bundle
• Research Driven Interventions– Glucose Management
• IHI Bundles– Ventilator Bundle– Sepsis Bundle
• Research Driven Interventions– Glucose Management
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Driving Forces: Changes in Healthcare Environment
• Nursing Shortages – more inexperienced nurses at bedside
• Demands on Physicians
• Nursing Shortages – more inexperienced nurses at bedside
• Demands on Physicians
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Caring Together, Caring for Life
VISICUVISICU
• Founded in 1998Founded in 1998
• Two Johns Hopkins Two Johns Hopkins IntensivistsIntensivists
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Caring Together, Caring for Life
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Caring Together, Caring for Life
eeI CUICU®® Client SitesClient Sites
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Caring Together, Caring for Life
Avera eICU Care
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A comprehensive program that combines:
1. A remote, centralized, care team that assess and intervene on patients in support of the on-site caregivers
2. Use information technology tools that
transform the care process (virtual team at bedside 24 hrs/day)
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PHASE 1
• Implementation September 2004• 4 Regional Facilities:– Avera McKennan Hospital (490 Beds)– Avera Sacred Heart Hospital (144 Beds)– Avera St. Luke’s Hospital (143 Beds)– Avera Queen of Peace Hospital (120
Beds)
• Implementation September 2004• 4 Regional Facilities:– Avera McKennan Hospital (490 Beds)– Avera Sacred Heart Hospital (144 Beds)– Avera St. Luke’s Hospital (143 Beds)– Avera Queen of Peace Hospital (120
Beds)
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PHASE 2
• September 2005• Expansion to 4 Critical Access Hospitals– Avera Marshall, Marshall, MN– Pipestone Co. Med. Center, Pipestone, MN– Avera St. Anthony’s Hospital, O’Neill, NB– Avera St. Benedict’s Hospital, Parkston, SD
• September 2005• Expansion to 4 Critical Access Hospitals– Avera Marshall, Marshall, MN– Pipestone Co. Med. Center, Pipestone, MN– Avera St. Anthony’s Hospital, O’Neill, NB– Avera St. Benedict’s Hospital, Parkston, SD
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OPERATIONS: Physician Staff
• Specialty Physicians (20 hrs/day)– 2 shifts daily• 12:00 pm – 10:00 pm• 10:00 pm- 8:00 am
– Intensive Care Trained – Pulmonologists, Nephrologists, Cardiologist
• Specialty Physicians (20 hrs/day)– 2 shifts daily• 12:00 pm – 10:00 pm• 10:00 pm- 8:00 am
– Intensive Care Trained – Pulmonologists, Nephrologists, Cardiologist
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Caring Together, Caring for Life
OPERATIONS: eICU Staff
• Nursing Staff (24 hrs/day)– RNs• Require 3 years Critical Care Experience or
CCRN• Cross trained between eICU/ICU• Customer Service skills required
– HCAs (Health Care Assistants – 24 hrs/day)• Cross trained between eICU/ICU• Customer Service skills required
• IT – Availability 24 hrs/day
• Nursing Staff (24 hrs/day)– RNs• Require 3 years Critical Care Experience or
CCRN• Cross trained between eICU/ICU• Customer Service skills required
– HCAs (Health Care Assistants – 24 hrs/day)• Cross trained between eICU/ICU• Customer Service skills required
• IT – Availability 24 hrs/day
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OPERATIONS: Licensing/Credentialing
• Physicians Licensed for each state and credentialed for each facility
• RNs licensed for each state
• Physicians Licensed for each state and credentialed for each facility
• RNs licensed for each state
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OPERATIONS: Levels of Communication
• Category I – Emergency interventions; discuss care with attending prior to other interventions
• Category II – Adjust existing care plan independently
• Category III – Can develop new therapies and orders
• Category I – Emergency interventions; discuss care with attending prior to other interventions
• Category II – Adjust existing care plan independently
• Category III – Can develop new therapies and orders
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OPERATIONS: Communication
• Flow of Information Vital– Daily Updates– Access to Information Systems– PACs System or method for viewing
xrays– Fax
• “Hot Line” in each facility (both ways)• eLert Button
• Flow of Information Vital– Daily Updates– Access to Information Systems– PACs System or method for viewing
xrays– Fax
• “Hot Line” in each facility (both ways)• eLert Button
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OPERATIONS: Algorithms
• Algorithm Development and Sharing
• Research Based
• Examples: Potassium, Glucose Management, Pain Management, Sepsis, Vent Weaning
• Algorithm Development and Sharing
• Research Based
• Examples: Potassium, Glucose Management, Pain Management, Sepsis, Vent Weaning
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Algorithms: Ventilator Weaning
• Vent Rounds daily– Bedside nurse– Respiratory therapist– eDr
• Goal is advance the weaning protocol
• Outcome – decreased vent days from 4.5/per pt. to 2.9/pt.
• Vent Rounds daily– Bedside nurse– Respiratory therapist– eDr
• Goal is advance the weaning protocol
• Outcome – decreased vent days from 4.5/per pt. to 2.9/pt.
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Caring Together, Caring for Life
Algorithms: Glucose Rounds
• Protocol research based
• Goal: Tight Glycemic Control for appropriate patients
• Protocol research based
• Goal: Tight Glycemic Control for appropriate patients
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Algorithms: Sepsis Bundle
• Health quality initiative to reduce mortality due to sepsis by 25% (nationwide)
• Employs early identification and stepwise intervention
• Led to an order set based on protocols for step therapy
• Health quality initiative to reduce mortality due to sepsis by 25% (nationwide)
• Employs early identification and stepwise intervention
• Led to an order set based on protocols for step therapy
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Caring Together, Caring for Life
OPERATIONS: Teaching
• Weekly Critical Care Conference Teleconferenced to remote sites
• FCCS Course
• Newsletters
• Clinical Site for Residents, RT, Pharmacy, Nursing Students
• Weekly Critical Care Conference Teleconferenced to remote sites
• FCCS Course
• Newsletters
• Clinical Site for Residents, RT, Pharmacy, Nursing Students
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Outcomes – APACHE System
• Components: Acute Physiology, Age, Chronic Health Evaluation
• Severity adjusted outcome predictions
• Overall accuracy- 0.90
• Database- over 1 Million ICU patients• Imbedded in e-ICU software
• Components: Acute Physiology, Age, Chronic Health Evaluation
• Severity adjusted outcome predictions
• Overall accuracy- 0.90
• Database- over 1 Million ICU patients• Imbedded in e-ICU software
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Avera Outcomes – ICU Mortality
3rd Quarter 2005Predicted: 6.2%Actual: 1.8%
4th Quarter 2005Predicted: 5.7%Actual: 1.9%
1st Quarter 2006Predicted: 6.6%Actual: 1.0 %
3rd Quarter 2005Predicted: 6.2%Actual: 1.8%
4th Quarter 2005Predicted: 5.7%Actual: 1.9%
1st Quarter 2006Predicted: 6.6%Actual: 1.0 %
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Avera Outcomes – Hosp. Mortality
3rd Quarter 2005Predicted: 11.4%Actual: 5.0%
4th Quarter 2005Predicted: 10.6%Actual: 5.7%
1st Quarter 2006Predicted: 11.0%Actual: 7.0%
3rd Quarter 2005Predicted: 11.4%Actual: 5.0%
4th Quarter 2005Predicted: 10.6%Actual: 5.7%
1st Quarter 2006Predicted: 11.0%Actual: 7.0%
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Avera Outcomes – ICU LOS
3rd Quarter 2005Predicted: 2.9 DaysActual: 2.22 Days
4th Quarter 2005Predicted: 2.85 DaysActual: 2.19 Days
1st Quarter 2006Predicted: 2.9 DaysActual: 2.19 Days
3rd Quarter 2005Predicted: 2.9 DaysActual: 2.22 Days
4th Quarter 2005Predicted: 2.85 DaysActual: 2.19 Days
1st Quarter 2006Predicted: 2.9 DaysActual: 2.19 Days
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Avera Outcomes – Hosp. LOS
3rd Quarter 2005Predicted: 9.16 DaysActual: 6.79 Days
4th Quarter 2005Predicted: 9.04 DaysActual: 6.66 Days
1st Quarter 2006Predicted: 9.34 DaysActual: 6.89 Days
3rd Quarter 2005Predicted: 9.16 DaysActual: 6.79 Days
4th Quarter 2005Predicted: 9.04 DaysActual: 6.66 Days
1st Quarter 2006Predicted: 9.34 DaysActual: 6.89 Days
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Critical Access Hospital Goals
• Different than DRG Hospital Goals
• Keep more Patients in Home Community
• Assist with Triage/Decision Process (decreased costs, increased safety)
• Different than DRG Hospital Goals
• Keep more Patients in Home Community
• Assist with Triage/Decision Process (decreased costs, increased safety)
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Avera Marshall
• Critical Access Hospital– 25 Beds
– 4 Bed ICU
– 2 eICU Beds
• Critical Access Hospital– 25 Beds
– 4 Bed ICU
– 2 eICU Beds
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Rural Hospital Benefits
• Keep More Patients in Home Community
• Enhanced Community Confidence
• Recruiting
• Access to Specialty Physicians
(Pulmonology, Nephrology, Cardiology)
• Keep More Patients in Home Community
• Enhanced Community Confidence
• Recruiting
• Access to Specialty Physicians
(Pulmonology, Nephrology, Cardiology)
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On-Site Physician Benefits
• Attending Physician– Retains control (Selects levels 1-3)– Retains billing (No individual patient charge
for eICU coverage)
• Relief from recurrent night calls
• Peer availability
• Attending Physician– Retains control (Selects levels 1-3)– Retains billing (No individual patient charge
for eICU coverage)
• Relief from recurrent night calls
• Peer availability
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Typical Diagnosis Affected
• Acute Renal Failure• Complicated Pneumonia• Electrolyte Abnormalities• Septic Shock• Congestive Heart Failure• Diabetic Ketoacidosis• Overdoses• Cardiac Arrhythmias
• Acute Renal Failure• Complicated Pneumonia• Electrolyte Abnormalities• Septic Shock• Congestive Heart Failure• Diabetic Ketoacidosis• Overdoses• Cardiac Arrhythmias
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Patient/Family Benefits
• Case Scenarios• Case Scenarios
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Nursing Benefits
• 24 hr Peer Resource
• Pharmacy Resource
• Assistance with Transfers
• 24 hr Peer Resource
• Pharmacy Resource
• Assistance with Transfers
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Technology Issues
• Need T1 Line for transmission of information
• Need compatible cardiac monitors for interface to eICU software
• Other interfaces optional (lab, ADT)• Access to Hospital Information System• Easy to use at remote site
• Need T1 Line for transmission of information
• Need compatible cardiac monitors for interface to eICU software
• Other interfaces optional (lab, ADT)• Access to Hospital Information System• Easy to use at remote site
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Financial Issues
• Start-up Costs– Approx. $30,000/bed for initial
equipment–Mobile Equipment slightly more
expensive
• Monthly Service Fee
• Start-up Costs– Approx. $30,000/bed for initial
equipment–Mobile Equipment slightly more
expensive
• Monthly Service Fee
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Obstacles
• Trust Building
• “Big Brother” Factor
• Individual Resistors
• Lack of Standardization of processes, equipment
• “Camera Shy”
• Trust Building
• “Big Brother” Factor
• Individual Resistors
• Lack of Standardization of processes, equipment
• “Camera Shy”
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Future Expansion
• USDA Grant
• Additional Sites
• eCare Mobile
• eSearch
• USDA Grant
• Additional Sites
• eCare Mobile
• eSearch
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CONCLUSIONS
• The electronic ICU will provide additional supervision of patients
• The electronic ICU allows specialists (in short supply) with greatest experience in care of seriously ill patients to be used as a resource for all hospitals participating in this program
• Proven benefit to patient outcomes while reducing costs and increasing safety/quality
• The electronic ICU will provide additional supervision of patients
• The electronic ICU allows specialists (in short supply) with greatest experience in care of seriously ill patients to be used as a resource for all hospitals participating in this program
• Proven benefit to patient outcomes while reducing costs and increasing safety/quality
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Contacts
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Questions?