Successful Implementation of Low-Cost Tele-Critical Care Solution by the U.S. Navy: Initial Experience and Recommendations

Military Medicine
Konrad L DavisJeremy Pamplin

Abstract

Intensivist physician involvement has been shown to improve outcomes for critically ill patients. Unfortunately, the number of Intensivists nationally is unable to meet the current demand. Similar to the civilian community, the Navy critical care workforce is limited by available resources. Tele-critical care (TCC) has recently been shown to improve outcomes for critically ill patients, and has been suggested as a suitable means of extending Intensivist expertise. Naval Hospital Camp Pendleton (NHCP) is a small community hospital located 41 miles north of Naval Medical Center San Diego (NMCSD). NHCP operates a relatively low-volume six-bed medical-surgical intensive care unit. The Intensivist staffing of NHCP has been variable, ranging from 3 Intensivists to periods of time with no on-site Intensivists. This intermittent staffing has led to (1) network disengagements, (2) unnecessary transfers to NMCSD, and (3) adverse outcomes for critically ill patients cared for at NHCP without Intensivist involvement. In early 2014, NMCSD established a TCC system to address this staffing challenge. Through the TCC program, the tele-Intensivist at NMCSD provides 24/7 coverage for patients located at NHCP using low-cost, off-the-shelf, synchr...Continue Reading

Citations

Jun 28, 2019·Military Medicine·Robert D McLeroyJeremy Pamplin
Apr 11, 2018·Military Medicine·Jan-Michael Van GentMatthew D Tadlock
Sep 3, 2020·BMC Health Services Research·Joanna KhoMelinda Martin-Khan
Jan 28, 2021·Military Medicine·Kristina M IeronimakisJeremy C Pamplin
Aug 26, 2019·Critical Care Clinics·Gilbert Seda, John S Parrish

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