Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the...

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Kuwait, March 15 Kuwait, March 15 th th , , 2009 2009 A New Age in Collaboration A New Age in Collaboration “Robotic Presence in the ICU” “Robotic Presence in the ICU” One of the One of the World Federation Initiatives World Federation Initiatives Edgar Jim Edgar Jime nez, MD, FCCM nez, MD, FCCM Executive Council - Treasurer Executive Council - Treasurer WFSICCM WFSICCM Associate Professor of Medicine Associate Professor of Medicine University of Florida & Florida State University University of Florida & Florida State University Chairman – Corporate Critical Care Chairman – Corporate Critical Care Orlando Regional Medical Center Orlando Regional Medical Center Health Reform Conference Health Reform Conference Kuwait, March 15 Kuwait, March 15 th th , 2009 , 2009

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Transcript of Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the...

Page 1: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Kuwait, March 15Kuwait, March 15thth,, 2009 2009

A New Age in CollaborationA New Age in Collaboration“Robotic Presence in the ICU”“Robotic Presence in the ICU”

One of theOne of the World Federation Initiatives World Federation Initiatives

Edgar JimEdgar Jimeenez, MD, FCCMnez, MD, FCCM

Executive Council - TreasurerExecutive Council - Treasurer

WFSICCMWFSICCM

Associate Professor of MedicineAssociate Professor of Medicine

University of Florida & Florida State UniversityUniversity of Florida & Florida State University

Chairman – Corporate Critical CareChairman – Corporate Critical Care

Orlando Regional Medical CenterOrlando Regional Medical Center

Health Reform ConferenceHealth Reform Conference

Kuwait, March 15Kuwait, March 15thth, 2009, 2009

Page 2: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Why Intensive Care?

Page 3: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Why Intensive Care?

• Complex

• Expensive

• Team work

• Exportable

• Right care, right now

• Tier stratification and regionalization

Page 4: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

WFSICCMWFSICCM

WWorld orld FFederation of ederation of SSocieties ofocieties of

IIntensive and ntensive and CCritical ritical CCareare

MMedicineedicine

Page 5: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

WFSICCM’s World

>100,000 members in 50 countries>100,000 members in 50 countries

Page 6: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

World Presence®

A World Federation Strategy

• Regionalization• Best practices• Evidence-based guidelines• Tiered stratification of care• Resource utilization• Quality assessments• Education requirements• Research collaboration

Page 7: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

World Presence®

WebsiteWebsite

RegionalizationRegionalization

GPS – VITAL GPS – VITAL CARECARE®

PublicationsPublications

EducationEducationScientific Scientific ForumForum

Page 8: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

The 10The 10thth World Congress World CongressFlorence, ItalyFlorence, Italy

2828thth August – 1 August – 1stst September September20092009

www.wfsiccm-florence2009.it

Fortezza da BassoFlorence, Italy

28th August – 1st September 2009

Page 9: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

RegionalizationRegionalization• Proximity/ethnicity/heritageProximity/ethnicity/heritage• Similar challengesSimilar challenges

– PrioritiesPriorities– ResourcesResources

• WF supported Regional leadershipWF supported Regional leadership– GuidelinesGuidelines– Best practicesBest practices– Integrated careIntegrated care– Vertical and horizontal developmentVertical and horizontal development– Resource utilizationResource utilization

• Preferred publication statusPreferred publication status• Regional Symposium every 1-2 yearsRegional Symposium every 1-2 years• Designated Seat at WFSICCM CouncilDesignated Seat at WFSICCM Council

Page 10: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPS-VITAL CAREGPS-VITAL CARE®®

VVirtual irtual IInteractive nteractive TTechnology echnology AAdvancing dvancing LLeadership, eadership,

CClinical linical AAccess, ccess, RResearch and esearch and EEducationducation

Page 11: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPS-VITAL CAREGPS-VITAL CARE®®

VVirtualirtual IInteractiventeractive TTechnologyechnology AAdvancingdvancing LLeadership,eadership,

CClinicallinical AAccess,ccess, RResearchesearch and and EEducationducation

Page 12: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPS-VITAL CAREGPS-VITAL CARE®®

VVirtual irtual IInteractive nteractive TTechnology echnology AAdvancing dvancing LLeadership, eadership,

CClinical linical AAccess, ccess, RResearch and esearch and EEducationducation

Page 13: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

VVirtual irtual IInteractive nteractive TTechnology echnology AAdvancing dvancing LLeadership, eadership,

CClinical linical AAccess, ccess, RResearch and esearch and EEducationducation

““Leadership”Leadership”

GPS-VITAL CAREGPS-VITAL CARE®®

Page 14: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

VITAL CAREVITAL CARE®® PartnerPartner

Page 15: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPSGPS®®

Technical Technical PartnersPartners

http://upload.wikimedia.org/wikipedia/en/4/48/Sprint_Nextel_logo.svg
Page 16: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

EmphasisEmphasis

• Leadership developmentLeadership development

• QualityQuality

• EducationEducation

• ResearchResearch

• Clinical supportClinical support

Page 17: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPS-VITAL CARE®® Levels• Educational Interactive Lecture ProgramEducational Interactive Lecture Program

– WebexWebex®®

– Primary and secondary centersPrimary and secondary centers

• Quality and Research ProgramQuality and Research Program– TelePresenceTelePresence®® – one on one groups – one on one groups– Best practices and bundle implementationBest practices and bundle implementation– Measurement toolsMeasurement tools– Research coordinationResearch coordination

• Clinical SupportClinical Support– Remote PresenceRemote Presence®® – RP7i – RP7i®®

– Specific case consultationsSpecific case consultations

Page 18: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPS-VITAL CARE®® Levels• Educational Interactive Lecture ProgramEducational Interactive Lecture Program

– WebexWebex®®

– Primary and secondary centersPrimary and secondary centers

• Quality and Research ProgramQuality and Research Program– TelePresenceTelePresence®® – one on one groups – one on one groups– Best practices and bundle implementationBest practices and bundle implementation– Measurement toolsMeasurement tools– Research coordinationResearch coordination

• Clinical SupportClinical Support– Remote PresenceRemote Presence®® – RP7i – RP7i®®

– Specific case consultationsSpecific case consultations

Page 19: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

WebexWebex®®

Page 20: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

WebexWebex®®

iPhoneiPhone®®

Page 21: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

TelePresenceTelePresence®®

Better!Better!

Page 22: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Remote PresenceRemote Presence®®

Page 23: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

ICU LeadershipICU LeadershipOrlando RegionalOrlando RegionalMedical CenterMedical Center

Page 24: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

How does GPS-VITAL CARE® work?

Page 25: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPSGPS

ConsultantConsultant

NetworkNetwork

Strategic Strategic RegionalRegionalHospitalHospital

Page 26: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPSGPS

ConsultantConsultant

NetworkNetwork

Strategic Strategic RegionalRegionalHospitalHospital

World PresenceWorld Presence®®

Page 27: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

GPSGPS

ConsultantConsultant

NetworkNetworkGPSGPS

Technical PartnerTechnical PartnerSupportSupport

Strategic Strategic RegionalRegionalHospitalHospital

World PresenceWorld Presence®®

Page 28: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Affiliated Affiliated

HospitalHospital

GPSGPS

ConsultantConsultant

NetworkNetworkGPSGPS

Technical PartnerTechnical PartnerSupportSupport

Strategic Strategic RegionalRegionalHospitalHospital

Affiliated Affiliated

HospitalHospital

Affiliated Affiliated

HospitalHospital

Affiliated Affiliated

HospitalHospital

Affiliated Affiliated

HospitalHospital

World PresenceWorld Presence®®

Page 29: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Affiliated Affiliated

HospitalHospital

GPSGPS

ConsultantConsultant

NetworkNetworkGPSGPS

Technical PartnerTechnical PartnerSupportSupport

Strategic Strategic RegionalRegionalHospitalHospital

Affiliated Affiliated

HospitalHospital

Affiliated Affiliated

HospitalHospital

Affiliated Affiliated

HospitalHospital

Affiliated Affiliated

HospitalHospital

World PresenceWorld Presence®®

Page 30: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Affiliated Affiliated

HospitalHospital

GPSGPS

ConsultantConsultant

NetworkNetworkGPSGPS

Technical PartnerTechnical PartnerSupportSupport

Strategic Strategic RegionalRegionalHospitalHospital

World PresenceWorld Presence®®

Page 31: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Affiliated Affiliated

HospitalHospital

GPSGPS

ConsultantConsultant

NetworkNetworkGPSGPS

Technical PartnerTechnical PartnerSupportSupport

Strategic Strategic RegionalRegionalHospitalHospital

World PresenceWorld Presence®®

Page 32: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Affiliated Affiliated

HospitalHospital

GPSGPS

ConsultantConsultant

NetworkNetworkGPSGPS

Technical PartnerTechnical PartnerSupportSupport

Strategic Strategic RegionalRegionalHospitalHospital

World PresenceWorld Presence®®

Page 33: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Advantages

• Instead of moving the patient to where care is provided, the care is moved to the bedside

• Appropriate triage– Resource utilization– Availability of adequate care

• Ability to obtain higher level consults without transfers anytime

• Teamwork (up to 3 simultaneous)

Page 34: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Who are the initial Who are the initial membersmembers

of GPS’of GPS’

Intensivist Consultant Intensivist Consultant Panel?Panel?

Consultant PanelConsultant PanelGPSGPS

Page 35: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Consultant PanelConsultant PanelGPSGPS

Page 36: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.
Page 37: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

And now...And now...

Page 38: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

And now...And now...We’re going to visit the Training Center in Santa Barbara, We’re going to visit the Training Center in Santa Barbara,

California...California...

Page 39: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

HereHere

And now...And now...We’re going to visit the Training Center in Santa Barbara, We’re going to visit the Training Center in Santa Barbara,

California...California...

Page 40: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Kuwait

Sta. Barbara, CA

(0.3 sec)

Page 41: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Kuwait

Sta. Barbara, CA

(0.3 sec)

Page 42: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

KuwaitKuwait

Sta. Barbara, CA

(0.3 sec)

GPSGPS

Page 43: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.
Page 44: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

And now...And now...

Page 45: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

And now...And now...We’re going to visit the ICU atWe’re going to visit the ICU at

Orlando Regional Medical Center in Orlando, Florida...Orlando Regional Medical Center in Orlando, Florida...

Page 46: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

And now...And now...We’re going to visit the ICU atWe’re going to visit the ICU at

Orlando Regional Medical Center in Orlando, Florida...Orlando Regional Medical Center in Orlando, Florida...

HereHere

Page 47: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

KuwaitKuwait(0.3 sec)

Orlando, FLOrlando, FL

Page 48: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.
Page 49: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Health Reform ConferenceHealth Reform Conference

Kuwait, March 15Kuwait, March 15thth, 2009, 2009

Page 50: Kuwait, March 15 th, 2009 A New Age in Collaboration “Robotic Presence in the ICU” One of the World Federation Initiatives Edgar Jimenez, MD, FCCM Executive.

Thank You!

Health Reform ConferenceHealth Reform Conference

Kuwait, March 15Kuwait, March 15thth, 2009, 2009


Luis Jimenez

Luis Jimenez

Evidence-Based ICU Sedation Guidelines in 2012: Are We There? · Evidence-Based ICU Sedation Guidelines in 2012: Are We There? Richard R. Riker MD, FCCM Professor of Medicine Tufts

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Cost Considerations When Optimizing Sedation in the ICU John W. Devlin, PharmD, FCCP, FCCM Associate Professor Northeastern University School of Pharmacy.

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Esther Jimenez

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Oracle Financial Services FCCM Analytics User Guide Analytics.pdf · Oracle Financial Services FCCM Analytics User Guide Release 8.0.4.0.0 March 2017. Oracle Financial Services FCCM

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Icu Instruments Quest4a Icu

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Hospital-Acquired Infections, New York State 2013 ... · HOSPITAL-ACQUIRED INFECTIONS New York State 2013 ... ICU Medical ICU Medical Surgical ICU Surgical ICU Neurosurgical ICU Pediatric

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CRRT: Acid-Base and Electrolytes Corrections...CRRT: Acid-Base and Electrolytes Corrections Prof Patrick Honoré,MD,PhD,FCCM -Intensivist-Nephrologist Professor & Co-Director of ICU

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Bradford D. Winters, Ph.D., M.D., FCCM Associate Professor

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How Hight Should MAP Be ? C Martin MD,FCCM,FCCP ICU and Trauma Center Nord University Marseilles France.

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Yesenia jimenez

Yesenia jimenez

Paul E. Marik, MD, FCP(SA), FRCPC, FCCM, FCCP Version …xa.yimg.com/.../885061254/name/EBM+ICU+Protocols.pdf · ARDS Sedation Neuromuscular ... they provide the best means of determining

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John Jimenez

Integrating Palliative Care in the ICU Integrando los cuidados paliativos en la UCI Ruth Kleinpell PhD RN NP FCCM Rush University Medical Center Chicago.

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