title: Options for tele-intensive care unit design: centralized versus decentralized and other considerations: it is not just a "another black sedan".
abstract: This article seeks assist physicians or administrators considering establishing a Tele-ICU. Owing to an apparent domination of the Tele-ICU field by a single vendor, some may believe that there is only one design option. In fact, there are many alternative design formats that do not require the consumer to possess high-level technical expertise. As when purchasing any major item, if the consumer can formulate basic concepts of design and research the various vendors, then the consumer can develop the Tele-ICU system best for their facility, finances, availability of staff, coverage model, and quality metric goals.
authors: Division of Critical Care Medicine, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA. Electronic address: HNeal.Reynolds@gmail.com.
authors: H Neal
authors: HN
authors: Reynolds
authors: St Joseph Mercy Health System-Ann Arbor, 5301 McAuley Drive, Ypsilanti, MI 48197, USA.
authors: Joseph J
authors: JJ
authors: Bander
mesh_terms: D002497:Centralized Hospital Services / Q000191:economics / Q000458:organization & administration*; D006749:Hospital Design and Construction; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D012051:Reimbursement Mechanisms / Q000191:economics; D017216:Telemedicine / Q000458:organization & administration*
keywords: Design; ICU; Technology; Tele-ICU