Focus On: How iCare Saves Lives
More than 5,400 people predicted to die survive
From 2007 to 2012, there were 5,446 intensive care unit (ICU) patients in Banner Health hospitals who, based on a national database of ICU patient experience, were predicted to die, but survived.
These people were saved through a technology that enabled collaboration between ICU specialists at the bedside and their colleagues working from a remote center who are able to provide an extra layer of care.
The iCARE ICU program at Banner Health covers 430 ICU beds throughout 18 of Banner’s 23 hospitals. It is likely the largest such program in the country. The program utilizes eICU technology that provides 24/7 lifesaving support to patients and their physicians through live video imaging of the patient and sensitive monitors in the remote center that can pick-up potentially life-threatening signs in very early stages when treatments can be more effective. In addition, ICU physician and nurse specialists staff the remote center and work with their hospital-based colleagues.
“We are grateful to be able to offer this exta layer of care and safety to our patients through the iCARE program,” said Banner Health Executive Vice President and Chief Medical Officer John Hensing, MD.
“Over the past four years iCARE has been instrumental in saving lives and reducing the time that patients stay in an ICU before moving into less acute areas of care.”
The majority of ICUs in the country measure patient care performance using a predictive model called Acute Physiology of Chronic Health Evaluation, or APACHE. Based on data from millions of ICU patients, APACHE predicts outcomes of patients under similar circumstance. Mortality is one of the predicted outcomes.
The APACHE system also predicts the amount of time that patients with similar circumstances will stay in an ICU. Banner Health ICU patients over the same four year period patients stayed 26,287 fewer days in the ICU and were therefore able to be tranferred to less acute settings where the risk of mortality and complications is significantly decreased.
“Implementing eICU technology throughout Banner’s ICUs has proven to be a substantial benefit to our patients and their families,” Hensing stated. “Very often these patients are discharged from the ICU sooner than anticipated and, more importantly, they’re healthier, too.”