Critical illness is a significant driver of health care utilization in the US, with more than 5 million patients admitted annually to intensive care units (ICUs) and associated costs approaching 1% of the US gross domestic product. Costs are increasing due to increased ICU utilization, an aging population, and the rising costs of advanced therapies.
- Economical physiological monitoring technology embedded in ED and non-ICUhospital beds triggers alerts to a mobile ICUteam.
- The mobile ICU team is sufficiently staffed to enable frequent monitoring andtreatment adjustment for non-ICU inpatients of concern to floor nurses, but who donot require major invasive organ support.
- Absent a contrary order from the attending physician, within 24 hours followinghospitalization, the mobile ICU team checks hospital registration data for DNR orcomfort care only designation, discusses such pre-existing designation withattending physicians, and routinely initiates palliative care consults for all patientswith terminal illnesses.