Oral Presentation

(V10-03) Improving Metrics with the Addition of “Tele” to the ICU (and Why It Works)

Tuesday, April 25
11:25 AM - 11:45 AM
Location: W230 BC

The digital nature of acute care telemedicine provides the opportunity for consistent capture and analysis of processes and outcomes. Without relying on a harried care provider to make a manual note or update a checklist, the digital integration of EMR, bedside, lab, and pharmacy systems with the tele-ICU platform enables robust capture of patient conditions, specific interventions, protocol compliance, and clinical outcomes. In many cases, the implementation of the tele-ICU provides the means to report on and analyze the performance of the ICU for the very first time within the hospital.

With its decision to implement a tele-ICU system beginning in mid-2014, Adventist Health System (AHS) established 3 primary objectives:
- Provided standardized, critical care excellence 24/7/365
- Support the onsite providers and clinicians
- Institute measureable quality and safety improvements aligned with national benchmark standards

Using a 2-year dataset, AHS rigorously evaluated the impact of the tele-ICU overlay. In addition, quarterly reviews examine performance metrics on a more real-time basis. Its measurement and analysis of the results provide the foundation for this useful presentation for those who have or are contemplating tele-ICU or other clinical telemedicine efforts. Participants will understand the measurement process, become familiar with what key metrics can be expected to improve and why, and benefit from insights from hands-on administrators. In addition, there will be specific focus on insights that go beyond the typical mortality and ICU length of stay analyses. For example, the ability to reduce ICU length of stay while at the same time admitting patients that had a higher average acuity will be highlighted, as will the impact of the tele-ICU on the significant reductions in the rate of hospital-associated complications for the most acutely ill patients.

Learning Objectives:

Jean C. Turcotte

Director of Tele-ICU, Adventist Health System
Adventist Health System

Jean Turcotte is a registered nurse and experienced healthcare administrator with an extensive background in Critical Care as a bedside Nurse and has held leadership roles in Critical Care, Cardiac Surgery, Thoracic Transplantation, and Emergency Services. He is certified in Critical Care (CCRN) and Cardiac Surgery (CSC) and is a certified instructor in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). As the Director of Tele-ICU for Adventist Health System, Jean provides direct oversight of the Tele-ICU program and collaborates with Hospital Medical and Leadership teams to enhance the delivery of Critical Care Services and monitor Critical Care outcomes. Turcotte has been recognized repeatedly for his leadership and management excellence in nursing and tele-ICU.

Prior to joining Adventist Health Systems in 1994, he gained extensive and varied nursing and leadership experience in his native Canada.Turcotte received his BS in Nursing from Walden University (Baltimore, MD) and an MA in Leadership and Training from Royal Road University (Victoria, British Columbia).

Adventist Health System is a faith-based organization with hospitals, nursing homes and home health agencies in 9 states supported by over 80,000 employees.


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David M. Nierman

Regional Medical Director
Advanced ICU Care

Dr. David Nierman is a practicing tele-intensivist who is board certified in Internal Medicine, Pulmonary Disease and Critical Care Medicine. His career-long dedication to innovation and excellence in the practice of medicine is what drew him to Advanced ICU Care, where he has served as a Regional Medical Director since February, 2014.

Dr. Nierman has published numerous articles in peer-reviewed medical journals, has contributed to a number of books, and continues to speak frequently about both critical care medicine and the business of medicine around the country.

Prior to joining AICU, Dr. Nierman served for over seven years as Chief Medical Officer and Vice President of Medical Affairs of Mount Sinai Queens, the Queens County campus of the Mount Sinai Medical Center in New York City. For the 15 years before that, Dr. Nierman was Director of the Medical Intensive Care and Respiratory Care Units at Mount Sinai Hospital, and Associate Professor of Medicine and Surgery at the Mount Sinai School of Medicine.

Dr. Nierman received his medical degree from the New York State Program at the Sackler School of Medicine, Tel Aviv University, Israel. He completed his Pulmonary Medicine fellowship at St. Luke’s Roosevelt Hospital Center, New York, and his Internal Medicine residency at Long Island Jewish Medical Center, New Hyde Park, New York. Dr. Nierman also holds a Masters of Medical Management degree from Tulane University.


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(V10-03) Improving Metrics with the Addition of “Tele” to the ICU (and Why It Works)

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