Aurora Health Care employs telehealth across their enterprise; hear about their use in the hospital

Описание: http://www.usa.philips.com/healthcare... reduce hospital mortality rate; critical care telemedicine; Benefits of telehealth; ICU telemedicine; philip telehealth; philips telehealth; telehealth hospitals; sepsis compliance; saved lives; intensivists; improve patient mortality, shock; sepsis; triage patients; My name is Ahmed Bogazia. I’m an intensivist at Aurora Health Care in Wisconsin. Our system is 15 hospitals with 20 ICU’s. Our bed capacity is north of 200 patients and we manage every single ICU in our system. Our census range from 120 to 200 patients with an average around 150-160 patients, and they’re all managed by us.

We use the EICU very effectively within the system and the initial goals were, of course, to improve patient mortality and patient management and patient outcomes. And then we branched to quality measures and improving the quality of ICU that gets delivered to the patients. It also helps us in teaching residents and staff and then we started establishing our quality measures from the [00:01:58] volume to the [00:02:00] bundle to the stress ulcer and DVD prophylaxis to insulin glucose control. So we use this for all aspects of ICU care.

The most important thing is finding the real sick patient, taking care of him, specifically patients in shock or in severe sepsis or patients in the early phases of admission where the intervention really improves mortality. And we know as time passes the impact of our medical care have less and less improvement in mortality. So seeing these new admits who have a red sign really made a difference in the way we triage patients. Because when you have 150-160 patients you’re taking care of although we have great nurses and great nurses support, it can be overwhelming. So triaging patients is a skill that needs a lot of training and I think the technology helps with that.

Everything else that we do from our compliance with the surviving sepsis compliance with the ARDS Network, compliance with the CMS guidelines from our prophylaxis is really something that we’re really proud of. So it’s a very useful tool and I feel that we are making the most out of it, and we’re still striving to use it better and more effectively.

I work both at the bedside and in the EICU, and I really feel that I’ve saved as many lives in the EICU as I’ve saved at the bedside.