Health Affairs

Health Affairs, doi: 10.1377/hlthaff.28.5.w937 (Published online August 20, 2009) © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Does Telemonitoring Of Patients--The eICU--Improve Intensive Care?

Robert A. Berenson ^1*, Joy M. Grossman ², Elizabeth A. November ³

¹ Bob Berenson is an institute fellow at the Urban Institute's Health Policy Center in Washington, D.C., and a senior consulting researcher at the Center for Studying Health System Change (HSC), also in Washington.
² Joy Grossman is a senior health researcher at the Center for Studying Health System Change (HSC) in Washington, D.C.
³ Elizabeth November is a health research analyst at the Center for Studying Health System Change (HSC) in Washington, D.C.

^*Corresponding author.

Abstract

Intensive care units are an essential and costly component in most U.S. hospitals. However, little is actually known about what staffing and work-process interventions produce the best balance of quality and costs. We explore the reasons hospitals chose to either adopt or reject an innovative telemedicine approach to supporting delivery of intensive care. Hospital clinical leaders hold strong views but have little objective information on which to judge the worthiness of this innovation. We argue that comparative effectiveness initiatives should emphasize delivery-system and work-process innovations, which are relatively understudied compared to specific drugs, devices, and services. [Health Aff (Millwood). 2009;28(5):w937-47 (published online 20 August 2009; 10.1377/hlthaff.28.5 .w937)]

Key Words: Access To Care, Business Of Health, Consumer Issues, Hospitals, Research And Technology

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