Table 2.

Rapidly Developing and Deploying a Tele-ICU Service During a Crisis

People affected by the new approach	Physicians—pulmonary/intensivist Advance practice providers—ICUs Respiratory therapists, bedside nurses Leadership (command center, ICU medical directors, nurse/respiratory therapists managers, project managers) Information technology department (hardware, software, security) Potential vendors Telehealth support individuals Medical students / trainees
Processes/policieschanged to accomplish the new approach	Clinician and/or staff in other part of hospital or at home can assess patient virtually and assist in clinical care with bedside facilitator Pulmonary/intensivist ventilator consults responded in person or virtually as appropriate Cleaned after each use (Tru-D, Sani-Cloth wipes) In-service trainings, multiple educational/training sessions
Technologies implemented for the new approach	Video camera (1080p) with microphone and speaker (loud enough to hear at 10 feet) HIPAA-compliant, secure, and easy to use video platform on desktop and mobile device (tablet, smartphone) Mounts, poles to allow to modify camera angle (toward patient, ventilator, vitals, family, etc.) Easily cleaned with protective/durable cases Specific hospital computers for consultants with cameras/mics and video platform installed Entire system available within 5- to 7-d delivery

HIPAA: Health Insurance Portability and Accountability Act; ICU: intensive care unit.