title: Different systems and formats for tele-ICU coverage: designing a tele-ICU system to optimize functionality and investment.
abstract: Technology always changes, yet change or evolution within the tele-ICU has been slow. In developing a modern telemedicine system to manage acute illness, there are several concepts the developer/administrator should consider to include "scalability," centralized/decentralized systems, open/closed architecture, inclusivity of the medical community, mobile technology, price set, and governmental regulation. The intent of this manuscript is to apply these concepts to current tele-ICU technology, explain the concepts in some depth, and finally, to speculate as to how the future tele-ICU might look.
authors.affiliation: University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. HNeal.Reynolds@gmail.com
authors.forename: H Neal
authors.initials: HN
authors.lastname: Reynolds
authors.forename: Joseph
authors.initials: J
authors.lastname: Bander
authors.forename: Mary
authors.initials: M
authors.lastname: McCarthy
mesh_terms: D003362:Cost-Benefit Analysis; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007449:Investments / Q000191:economics; D007902:Length of Stay / Q000191:economics; D008297:Male; D009746:Nursing, Team / Q000458:organization & administration; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration; D016730:Program Development; D011786:Quality Control; D017216:Telemedicine / Q000458:organization & administration*; D014481:United States