The ICU Paradigm Shift

A Templated and Siloed Approach

A Holistic and Interconnected Approach

• 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

• 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

• 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

• 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