Telemedicine in the ICU
The CCSC has issued a formal statement on the value of telemedicine in improving the quality and safety of critical care, contending that it has “a long-standing interest in understanding and appropriately promoting ICU telemedicine.” With funding from the Agency for Healthcare Research and Quality (AHRQ), representatives of the CCSC gathered for a comprehensive, two-day conference with renowned investigators with expertise in critical care, health services research, health economics, information technology, patient safety and organizational science.
Participants examined the state of the science underlying ICU telemedicine and the important gaps in the assessment of its actual and potential impact. High quality research must involve the use of a common lexicon to describe baseline critical care delivery and new aspects provided through telemedicine be designed with a multicenter focus to determine causation and the mechanism of change, and further identify key features of process, climate, and culture that influence successful adoption of new technology.
The CCSC leadership strongly and unequivocally endorses the “Research Agenda in Intensive Care Unit Telemedicine Consensus Statement” and its call for research funding for developing a comprehensive evidence base to guide the expansion of ICU telemedicine. This endorsement includes comparative effectiveness research funding from the National Heart, Lung, and Blood Institute of the National Institutes of Health, funding for demonstration projects from the Center for Medicare and Medicaid Innovation consistent with the Affordable Care Act, and funding for studies of the effects on quality of care from the Agency for Healthcare Research and Quality.