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October 05, 2022

The ICU Paradigm Shift

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ICUs are currently viewed as a critical, yet expensive, component of hospitals. However, with a shift in mindset and approach, critical care programs can become strategic assets to their facilities.

OLD PARADIGM

A Templated and Siloed Approach

NEW PARADIGM

A Holistic and Interconnected Approach

Operational Assessments

 

 

  • General overview of program size and scope
  • Questionnaire about performance data, operations, credentialing, and scheduling

 

 

  • In-depth questionnaire
  • Dialogue with clinical and ancillary teams
  • Onsite collaborative rounding for real-time discovery
  • Dynamic goal setting
  • Validating data abstraction
Staffing

 

 

  • Fractional ICU coverage
  • Reliance on short-term staffing (i.e. locums)
  • Lack of consistent specialized training or support
  • Inadequate level of scope and support for APPs
  • 24/7 intensivist-led care
  • Optimized physician and APP coverage
  • Integrated telemedicine
  • Specialty training for clinical staff

 

 

Access

 

 

  • Disjointed communication and clinical care
  • Increased ICU hold times in the ED
  • Delayed transfers out of the ICU
  • Geographical barriers to intensivist expertise
  • Strong medical director presence & leadership
  • Utilized admission and discharge criteria
  • Targeted care when and where it is needed
  • Keeping patients closer to home

 

 

With the shift to the new paradigm, the entire hospital experiences multiple benefits to cost and quality metrics.

Quality Costs
  • Enhanced interdisciplinary communication and collaboration
  • Decreased ICU and inpatient mortality and length of stay
  • Increased throughput into and out of ICU

 

  • Cross-subsidizing of costs and impacts
  • Integrated staffing coverage
  • Decreased staffing turnover and increased retention
  • Increased documentation accuracy
  • Increased CMI for reimbursement
Related Topics
  • Admissions
  • Care Delivery
  • Clinical Staffing
  • Communication
  • Critical Care
  • Operational Advancement
  • Patient Satisfaction
  • Post-Acute Care
  • Throughput

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