The purpose of this project is to study the appropriateness and cost-effectiveness of regionalized intensive care or critical care medicine (CCM). The potential of regionalization to improve patient outcome will be explored. This is both an observational and analytic study, and will be the first to describe CCM by disease category and severity. The investigators will describe the delivery of CCM within a multi-hospital system, and develop analytic models to determine the potential impact of regionalization on outcomes such as functional status, mortality, and cost. The specific objectives are to: (1) describe the delivery of critical care medicine within a multi-hospital system of care; (2) determine the appropriateness of care; and (3) project the potential impact of critical care regionalization on outcomes. This study will provide the ground work for further research in this area and is expected to complement the SUPPORT study which is a randomized controlled trial of the effect of patient preferences on individual decision making (not changes at the system level). Results will be disseminated in academic journals and to the broader health care delivery and policy community.
Amount Awarded $396,561.00
Awarded on: 8/25/1993
Time frame: 9/1/1993 - 12/31/1995
Grant Number: 20082