UH Deploys Systems Engineering Approach to Improve ICU Management

CLEVELAND – University Hospitals announced today the implementation of a real-time surveillance technology system, Advanced Clinical Guidance (ACG)-Remote View ICUTM, to support higher acuity patient care. Utilizing mobile technology, ACG-Remote, is manufactured by Talis Clinical and facilitates seamless integration of all patient monitoring equipment in the ICU environment.

“COVID-19 has exposed gaps in the healthcare chain such as the disconnected nature of critical care, separated monitoring services and the shortage of highly trained skilled clinicians to care for the surge of patients requiring ventilator support,” said Dan Simon, MD, Chief Clinical & Scientific Officer at University Hospitals and President, UH Cleveland Medical Center. “With the technology developed by Talis and the evidence-based clinical protocols developed by UH, we can link ICU data capturing patient monitor waveforms, ventilator waveforms, EMR details and updated lab values to better enable standards across our health system. Additionally, in a COVID-care environment, this mobile-enabled platform allows us to quickly stand up a remote monitoring command center which reduces clinician virus exposure, preserves PPE and optimizes our resources.”

UH is among the first in the nation to implement this Talis solution that offers workflow orchestration and ensures patients on mechanical ventilation receive life-saving lung protective care. “While there are other technologies in the market that can connect some ICU devices, they are limited in the number of devices they can connect,” explained Harish Lecamwasam MD, Chief Innovation Officer at Talis. “They also require a fixed command center operation, and don’t help clinicians with process improvement. Our technology is accessible through any mobile device and data can be analyzed from anywhere. Talis also helps clinicians ensure that every patient is managed according to hospital best practice at all times.”

UH has planned a phased implementation of the ACG-Remote View ICUTM system with initial ICUs readied in the next few weeks and full scale deployment expected over the next several months.

“At UH we continue to expand our web of technology supporting our patients from the ICU to the home, which allows them to optimally heal and provides us the earliest opportunity to identify changes needing quick intervention. The COVID pandemic has focused a spotlight on how ICU care is delivered across the country,” noted Jeffrey Sunshine, MD, PhD, Chief Medical Information Officer at University Hospitals. “A silver lining in all of this is that we are establishing a platform that sets us up for more success as we manage the COVID response, even if we face a late surge. We now have the ability to rapidly scale the most state-of-the-art ICU care.”

Peter Pronovost, MD, PhD, FCCM, UH’s Chief Clinical Transformation Officer, serves in an advisory capacity with Talis Clinical.