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

Why Intensive Care?

Why Intensive Care?

• Complex

• Expensive

• Team work

• Exportable

• Right care, right now

• Tier stratification and regionalization

WFSICCMWFSICCM

WWorld orld FFederation of ederation of SSocieties ofocieties of

IIntensive and ntensive and CCritical ritical CCareare

MMedicineedicine

WFSICCM’s World

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

World Presence®

A World Federation Strategy

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

World Presence®

WebsiteWebsite

RegionalizationRegionalization

GPS – VITAL GPS – VITAL CARECARE®

PublicationsPublications

EducationEducationScientific Scientific ForumForum

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

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

GPS-VITAL CAREGPS-VITAL CARE®®

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

CClinical linical AAccess, ccess, RResearch and esearch and EEducationducation


VVirtualirtual IInteractiventeractive TTechnologyechnology AAdvancingdvancing LLeadership,eadership,

CClinicallinical AAccess,ccess, RResearchesearch and and EEducationducation






““Leadership”Leadership”


VITAL CAREVITAL CARE®® PartnerPartner

GPSGPS®®

Technical Technical PartnersPartners

http://upload.wikimedia.org/wikipedia/en/4/48/Sprint_Nextel_logo.svg

EmphasisEmphasis

• Leadership developmentLeadership development

• QualityQuality

• EducationEducation

• ResearchResearch

• Clinical supportClinical support

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

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

WebexWebex®®

WebexWebex®®

iPhoneiPhone®®

TelePresenceTelePresence®®

Better!Better!

Remote PresenceRemote Presence®®

ICU LeadershipICU LeadershipOrlando RegionalOrlando RegionalMedical CenterMedical Center

How does GPS-VITAL CARE® work?

GPSGPS

ConsultantConsultant

NetworkNetwork

Strategic Strategic RegionalRegionalHospitalHospital

GPSGPS


NetworkNetwork


World PresenceWorld Presence®®

GPSGPS


NetworkNetworkGPSGPS

Technical PartnerTechnical PartnerSupportSupport



Affiliated Affiliated

HospitalHospital

GPSGPS






HospitalHospital


HospitalHospital


HospitalHospital


HospitalHospital



HospitalHospital

GPSGPS






HospitalHospital


HospitalHospital


HospitalHospital


HospitalHospital



HospitalHospital

GPSGPS







HospitalHospital

GPSGPS







HospitalHospital

GPSGPS






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)

Who are the initial Who are the initial membersmembers

of GPS’of GPS’

Intensivist Consultant Intensivist Consultant Panel?Panel?

Consultant PanelConsultant PanelGPSGPS

Consultant PanelConsultant PanelGPSGPS

And now...And now...

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...

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...

Kuwait

Sta. Barbara, CA

(0.3 sec)

Kuwait

Sta. Barbara, CA

(0.3 sec)

KuwaitKuwait

Sta. Barbara, CA

(0.3 sec)

GPSGPS

And now...And now...

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...

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

KuwaitKuwait(0.3 sec)

Orlando, FLOrlando, FL



Thank You!



Documents

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