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Program Summary The following is a critique of an article titled, “A Health System- Based Critical Care Program with a Novel Tele-ICU: Implementation, Cost, and Structure Details”. ICU leadership attended regular meetings every three months to discuss various issues, such as to critical care medicine, staff, and contract issues. Resource Requirement While reviewing the article, the author mentioned the program is smaller than other tele-ICU programs. Fortis mentioned, “low “per-monitored bed” charged to remote facilities if all the ICUs use the same existing EMR technology and cost of tele-ICU physicians are defrayed” (2014). Paying additional licensing fees required to install required software. Improvement Areas
A major improvement area that can be addressed is reimbursement. Fortis stated, “payment for professional work by the intensivist staff is currently reimbursed only when provided directly at the bedside (Fortis, 2014). Exploring and modifying a program to gain reimbursement must be implemented. Consistency of care is another area of improvement. The tele-intensivists are full time faculty in the medical school. Without consistency of care, this can be dangerous to the safety of the patients.
