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A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine

The study’s objective was to assess facilitators and barriers of Tele-Critical Care (TCC) perceived by SCCM members. By utilizing a survey distributed to SCCM members, a cross-sectional study was developed to analyze survey results from December 2019 and July 2020. SCCM members responded to the surv...

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Autores principales: Laudanski, Krzysztof, Scruth, Elizabeth, Winterbottom, Fiona, Rastrepo, Mariana, Dugar, Siddharth, Herasevich, Vitaly, Villanueva, Israel, Armaignac, Donna Lee, Scott, Benjamin K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408319/
https://www.ncbi.nlm.nih.gov/pubmed/36011102
http://dx.doi.org/10.3390/healthcare10081445
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author Laudanski, Krzysztof
Scruth, Elizabeth
Winterbottom, Fiona
Rastrepo, Mariana
Dugar, Siddharth
Herasevich, Vitaly
Villanueva, Israel
Armaignac, Donna Lee
Scott, Benjamin K.
author_facet Laudanski, Krzysztof
Scruth, Elizabeth
Winterbottom, Fiona
Rastrepo, Mariana
Dugar, Siddharth
Herasevich, Vitaly
Villanueva, Israel
Armaignac, Donna Lee
Scott, Benjamin K.
author_sort Laudanski, Krzysztof
collection PubMed
description The study’s objective was to assess facilitators and barriers of Tele-Critical Care (TCC) perceived by SCCM members. By utilizing a survey distributed to SCCM members, a cross-sectional study was developed to analyze survey results from December 2019 and July 2020. SCCM members responded to the survey (n = 15,502) with a 1.9% response rate for the first distribution and a 2.54% response rate for the second survey (n = 9985). Participants (n = 286 and n = 254) were almost equally distributed between non-users, providers, users, and potential users of TCC services. The care delivery models for TCC were similar across most participants. Some consumers of TCC services preferred algorithmic coverage and scheduled rounds, while reactive and on-demand models were less utilized. The surveys revealed that outcome-driven measures were the principal form of TCC performance evaluation. A 1:100 (provider: patients) ratio was reported to be optimal. Factors related to costs, perceived lack of need for services, and workflow challenges were described by those who terminated TCC services. Barriers to implementation revolved around lack of reimbursement and adequate training. Interpersonal communication was identified as an essential TCC provider skill. The second survey introduced after the onset pandemic demonstrated more frequent use of advanced practice providers and focus on performance measures. Priorities for effective TCC deployment include communication, knowledge, optimal operationalization, and outcomes measurement at the organizational level. The potential effect of COVID-19 during the early stages of the pandemic on survey responses was limited and focused on the need to demonstrate TCC value.
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spelling pubmed-94083192022-08-26 A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine Laudanski, Krzysztof Scruth, Elizabeth Winterbottom, Fiona Rastrepo, Mariana Dugar, Siddharth Herasevich, Vitaly Villanueva, Israel Armaignac, Donna Lee Scott, Benjamin K. Healthcare (Basel) Article The study’s objective was to assess facilitators and barriers of Tele-Critical Care (TCC) perceived by SCCM members. By utilizing a survey distributed to SCCM members, a cross-sectional study was developed to analyze survey results from December 2019 and July 2020. SCCM members responded to the survey (n = 15,502) with a 1.9% response rate for the first distribution and a 2.54% response rate for the second survey (n = 9985). Participants (n = 286 and n = 254) were almost equally distributed between non-users, providers, users, and potential users of TCC services. The care delivery models for TCC were similar across most participants. Some consumers of TCC services preferred algorithmic coverage and scheduled rounds, while reactive and on-demand models were less utilized. The surveys revealed that outcome-driven measures were the principal form of TCC performance evaluation. A 1:100 (provider: patients) ratio was reported to be optimal. Factors related to costs, perceived lack of need for services, and workflow challenges were described by those who terminated TCC services. Barriers to implementation revolved around lack of reimbursement and adequate training. Interpersonal communication was identified as an essential TCC provider skill. The second survey introduced after the onset pandemic demonstrated more frequent use of advanced practice providers and focus on performance measures. Priorities for effective TCC deployment include communication, knowledge, optimal operationalization, and outcomes measurement at the organizational level. The potential effect of COVID-19 during the early stages of the pandemic on survey responses was limited and focused on the need to demonstrate TCC value. MDPI 2022-08-01 /pmc/articles/PMC9408319/ /pubmed/36011102 http://dx.doi.org/10.3390/healthcare10081445 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Laudanski, Krzysztof
Scruth, Elizabeth
Winterbottom, Fiona
Rastrepo, Mariana
Dugar, Siddharth
Herasevich, Vitaly
Villanueva, Israel
Armaignac, Donna Lee
Scott, Benjamin K.
A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine
title A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine
title_full A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine
title_fullStr A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine
title_full_unstemmed A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine
title_short A Survey of Tele-Critical Care State and Needs in 2019 and 2020 Conducted among the Members of the Society of Critical Care Medicine
title_sort survey of tele-critical care state and needs in 2019 and 2020 conducted among the members of the society of critical care medicine
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408319/
https://www.ncbi.nlm.nih.gov/pubmed/36011102
http://dx.doi.org/10.3390/healthcare10081445
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