Four Leading U.S. Health Systems Sign On To Improve ICU Care With Philips Enterprise Telehealth Programs

Royal Philips announced four leading U.S. health systems have signed multi-year telehealth agreements with Philips to implement its remote intensive care unit (eICU) program.

These new population health management engagements include agreements with Westchester Medical Center Health Network in New York, Baptist Memorial Health Care in Tennessee and BJC HealthCare in Missouri and will further extend Philips’ eICU reach by hundreds of beds and thousands of ICU cases each year. Over the past 15 years, the program has been implemented in more than 50 health systems and 500 hospitals in the U.S. to deliver care throughout 3.5 million ICU patient stays [1].

“As health systems seek to improve patient outcomes while lowering costs, healthcare leaders often first look at the ICU since it can account for 50 percent of mortality and a third of hospital costs,” said Derek Smith, General Manager, Hospital to Home at Philips. “The level of care required by these patients demands continuous monitoring. The explosive growth of telehealth in recent years proves the need for these unique delivery models that provide the best care, while addressing the demand to reduce costs.”

The conditions of ICU patients can deteriorate rapidly. The eICU program’s telehealth team of remote specialists continuously monitor patients to support the bedside team and proactively identify issues and intervene before they become significant problems. The eICU telehealth team has access to Philips advanced analytics that can process large amounts of data from more than 150 patients, along with data visualization tools that allow clinicians to focus on those patients who need their attention first.

“Ensuring the best care possible for patients takes on a new meaning when their condition is critical,” said Corey Scurlock, M.D., Medical Director for the Westchester Medical Center Health Network’s eHealth Center. “While our on-site staff is exceptionally capable, the additional support that a specialized telehealth program like Philips offers empowers us to oversee a larger population and have a deeper insight into those at the greatest risk of needing intervention immediately.”

Ultimately, this type of proactive care can help improve clinical and financial outcomes. Compared to patients receiving usual ICU care, patients who received ICU care from a hospital with an eICU program were 26% more likely to survive and discharged from the ICU 20% faster [2]. Additionally, on average, tele-ICUs result in USD 5,000 in cost savings per patient [3], and USD 1.2 million in savings due to reduced transfers [4].

As the population in the U.S. ages, demand for critical care is rising at a time when the industry is facing a chronic shortage of intensivists. According to The Journal of the American Medical Association, the intensivist shortage will become increasingly challenging, with supply meeting only 22 percent of the demand for services by 2020 [5]. Consequently, ICU patients are often cared for by non-specialists.

Telehealth enables intensivists to cover wider geographies and provide access to care to more people, while patients stay in their local hospitals. This helps them avoid both transportation costs and the stress of transferring to other critical care centers, while still giving them access to the specialized care they need.

The Philips eICU program is part of a suite of enterprise telehealth solutions delivered by Philips Hospital to Home to help improve outcomes, provide better value and expand access to care. Programs help address multiple cohorts within a population ranging from highest cost patients with intensive ambulatory care and acute needs, to discharge transition and chronic patient management, to prevention and wellness for the general population. These programs use a proactive care model to clinically transform the delivery of care to address growing clinician shortages while improving patient outcomes.

[1]	Data are rounded figures based on a query of the eICU Research Institute database conducted in December 2015.
[2]	Lilly CM, et al. A Multi-center Study of ICU Telemedicine Reengineering of Adult Critical Care. CHEST. 2014 Mar 1; 145(3): 500-7.
[3]	TeleICUproject with University of Massachusetts Memorial Medical Center. November 17, 2008.
[4]	Zawada, et al.  Impact of an Intensive Care Unit Telemedicine Program on a Rural Health Care System. Postgrad Med J, 2009; 121(3):160-70.
[5]	Angus DC, et al. Current and Projected Workforce Requirements for Care of the Critically Ill and Patients With Pulmonary Disease. JAMA. 2000 Dec 6; 284(21): 2762-70.
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Nucleus Independent Living Enables Rapid Response to Care with CellTrak™

New solution platform enables apps that make data actionable.

Nucleus Independent Living a Non-Profit Health Service Provider of Community Support Services, serves the communities of Mississauga, Oakville, South Etobicoke, and 2 Supportive Housing sites in Toronto. Funded by Mississauga Local Health Integration Network and the Ontario Ministry of Health and Long Term Care, Nucleus embraces and has adopted the fundamental concepts of the Independent Living philosophy.

Nucleus was seeking a trusted partner to provide technology that would link resources and real-time alerts while delivering care. The technology needed to allow staff to link back to experts in the office to give rapid response to care issues. The strategy was that the staff in the field would link back to the office to direct them or contact resources to deliver the right care seamlessly with a simple to use mobile application that would work in and out of cellular coverage areas.

Beverley John, CEO/Executive Director, Nucleus Independent Living sat down for a post implementation interview to share her thoughts. "While technologies provide many benefits they can be disruptive in their implementation. Working with the CellTrak team we were able to get up and running with an easy to use solution for the entire Seniors Division care staff. It was important to us to leverage the current investment we have made in technologies that we use and add on new capabilities that would provide actionable data and improved workflow for our care team".

Home and community care is at the forefront of improving the access to healthcare across the care continuum and continues to be a major focus area for growth in staff and focus across healthcare. Homecare services include both medical and skilled nursing services and personal care services; including bathing, condition management, wellness, nutrition, and transportation services. Home health care can also include other services such as medical equipment and supplies, physical therapy and psychological services. The new CellTrak solution provided many benefits for Nucleus including but not limited to the following;

Fully mobilized workforce; Safety for staff; Improved quality; Late visits better managed; No shows are identified and managed immediately; Real two-way communication; Status change- new info can be shared and received in real time; Instant