Jefferson Hospital recently invested $150M to upgrade critical care services in center city. This included the addition of 50 new ICU beds to bring the total to over 110, 25 SICU, over 40 NICU, and 15 CTSICU beds, most located in the Gibbon building. The latest addition is a 17 bed MICU on 4 Gibbon which opened on Dec 15, 2010. An additional 8 beds will come online Mar 15, 2011 to bring the total for medical critical care to 25 beds.
The facilities are state-of-the-art with full monitoring capabilities, bedside ultrasound, full spectrum of airway adjuncts including bedside perc traches, availability of a variety of new generation of ventilators including oscillators, ECMO, and wireless "computers on wheels" to facilitate daily rounds.
The overall vision is to create a multidisciplinary critical care "service line" that is efficient, that establishes a uniform evidence-driven approach to critical care services regardless of the specific unit or specialty, encourages an appropriately short length of stay and through-put, and monitors and reports quality outcomes for benchmarking. One overriding goal of critical care service line is to vigorously support and facilitate transfer of patients from outlying smaller community ERs and hospitals for tertiary interventions at TJUH including neurological interventions, organ transplants, ECMO, etc. This requires close coordination of services between JeffStat transport services, ED, the transfer center and critical care units.
The evolving critical care paradigm at TJUH includes training of critical care providers (currently pulm/ccm, trauma surgery ccm, and neuro ccm). In addition, increasing use is being made for critical care physician extenders. There are a variety of institutional quality initiatives led by both physician as well as nursing leadership. There are several institutional forums for regular discussion of critical care issues.
Medical ICU, under the direction of the division of pulmonary & critical within the dept of medicine, plays a pivotal role in the overall institutional critical care climate in facilitating outstanding primary care as well as a consultative role in other ICUs.