Advanced ICU Care: 2019 End of Year Review

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There are Visionaries. There are Doers. WE ARE BOTH. This year we take a look back at 2019 and how Advanced ICU Care and our partners leveraged innovation to elevate acute care.

E X P LO R E O U R E B O O K

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TABLE OF CONTENTS Welcome to our 2019 end-of-year eBook. This year we’ve developed a living, breathing, interactive publication. Be on the lookout for buttons, videos and links.

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Elevating Critical Care Nationwide


2019 Message from Our CEO Hear from CEO Lou Silverman ⊲

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The Promise of Telemedicine When Exceptional Medicine Meets Exceptional Telemedicine, Patients Win ⊲

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Spotlight on Collaboration Working Together to Deliver State-of-the-Art Care ⊲

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Celebrating Our Comprehensive Customer Relationships 2019 Marks a Year of Expanded Care Partnerships ⊲

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Driving the Conversation Advanced ICU Care in the Media ⊲

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Stay Connected ⊲

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2019 M E S S A G E F R O M O U R C E O

Hear from CEO Lou Silverman “Families, hospitals and healthcare systems place their trust in us. We never, ever, take this for granted.” Advanced ICU Care is dedicated to leveraging our extensive clinical, technological, and operational expertise to deliver superior outcomes for the patients, providers, hospitals, and health systems we serve. This translates to nearly 100 current partner relationships, almost half a million patients cared for over our company’s history, and constant innovation to meet the ever-changing demands of contemporary healthcare.

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B AC K TO T H E TA B L E O F CO N T E N T S

CLICK TO PLAY

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THE PROMISE OF TELEMEDICINE

When Exceptional Medicine Meets Exceptional Telemedicine, Patients Win INSPIRED CARE FOR PATIENTS Healthcare, whether in person or via telemedicine, begins and ends with the ability to treat patients, improve their care, and help them back to health. Today, those goals are greatly enhanced by the use of telemedicine to connect patients and bedside care teams with dedicated teams of tele-specialists. These powerful connections are truly driving exceptional care. •

Patients are receiving enhanced access to healthcare, seeing the right provider at the right time

Specialists such as neurologists, intensivists, radiologists, and cardiologists are more readily available even in remote locations

Decreased mortality rates, reduced lengths of stay, and fewer clinical complications highlight improved care

Patients and their families have a better overall experience in the hospital by receiving timely care via telemedicine encounters

Advanced ICU Care: A Year in Review For 2019, as in all prior years, enhancing patient access to quality care, positively impacting clinical outcomes, and enhancing state-of-the-art care delivery in partnership with our clients were both goals and accomplishments. We are proud of what we and our partners achieved.

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B AC K TO T H E TA B L E O F CO N T E N T S

HOSPITALS AND HEALTH SYSTEMS REACHING THEIR FULL POTENTIAL No longer just nice to have, telemedicine solutions have proved to be an integral part of today’s successful health system, helping to address workforce shortages and provider burnout, increase resources and patient satisfaction, and deliver added support throughout the hospital. The results of these telemedicine programs are enabling new levels of service for health systems and the communities and patients they are dedicated to serve. •

Improved work-life balance for care teams on both sides of the camera, elevating provider job satisfaction

Enhanced clinical capabilities and expertise delivered precisely when and where it is needed

Consistent high-quality treatment driven by best practice utilization

Proven ability to consistently justify the investment in telemedicine and improve hospital performance

Cared for 95,000 patients

Staffed 23,000 clinical shifts

Partnered with nearly 100 hospitals

Completed more than 1 million patient interactions

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A D VA N C E D I C U CA R E S P OT L I G H T O N CO L L A B O R AT I O N

Video Appala

Working To

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Spotlight: Advanced ICU Care and achian Regional Healthcare

ogether to Expand State-of-the-Art Care System-Wide in 12 Hospitals

CLICK TO PLAY

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A D VA N C E D I C U CA R E S P OT L I G H T O N CO L L A B O R AT I O N

Healthcare IT News Customer Success Feature: Advanced ICU Care and Valley Health Medical Center Adding tele-ICU care to existing 24/7 intensivist coverage yielded significant positive outcomes and improved staff support.

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B AC K TO T H E TA B L E O F CO N T E N T S

Dr. Glen Bouder, Medical Director of Critical Care at Winchester Medical Center, talks with Healthcare IT News about enhancing care team collaboration and improving patient outcomes As one of the industry’s most authoritative sources covering telemedicine and technology driving next-generation healthcare in the U.S., Healthcare IT News’ Editor Bill Siwicki recently highlighted the success of Valley Health’s partnership with Advanced ICU Care. In the article, Dr. Glen Bouder, Director of Valley Intensivists at Valley Health and Medical Director of Critical Care at Winchester Medical Center, detailed the hospital’s implementation of Advanced ICU Care’s tele-ICU service offering and how the organization’s adoption of high-acuity telemedicine addressed major challenges for the hospital, including intensivist staffing and clinical outcomes analytics. The collaborative care partnership resulted in significant positive outcomes for the hospital. During the first year of tele-ICU at Valley Health, Advanced ICU Care helped Winchester Medical Center save 125 lives, achieve a 35% to 44% reduction in ICU mortality rate, reduce ICU length of stay by 34%, reduce mortality due to sepsis, and achieve measurable improvements on best practice compliance. Dr. Bouder stated, “By looking at the data and letting bedside teams know about performance, it gave the care team a cognitive awareness around the issues. We then started to see improvements in those metrics over time. It is very helpful to have an understanding of your ICU strengths and weaknesses.” He continued, “Advanced ICU Care impressed us with their breadth of clinical experience. They have a strong history of working in different hospital settings and with facilities of various sizes and complexities. It inspired confidence that they knew what they were doing in terms of being able to help us.” ⊲

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C E L E B R AT I N G O U R CO M P R E H E N S I V E C U S TO M E R R E L AT I O N S H I P S

2019 Marks a Year of Expanded Care Partner

Appalachian Regional Healthcare Launches System-Wide, 12-Hospital Implementation

Roper St. Francis Healthcare Three-Hospital Launch Highlights Extension of MUSC Relationship

“Appalachian Regional Healthcare is firmly committed to its mission of improving the health and promoting the well-being of our local population,” said Maria Braman, MD, Chief Medical Officer, Appalachian Regional Healthcare. “We are excited to collaborate with Advanced ICU Care on this system-wide, 12 hospital tele-ICU implementation, leveraging their team’s extensive clinical expertise in order to provide our patients with the gold standard of care.”

“The launch of tele-ICU care at Roper St. Francis Healthcare, Regional Medical Center of Orangeburg, and MUSC Lancaster expands the robust MUSC-Advanced ICU Care partnership,” said Dr. Dee Ford, Telehealth Center of Excellence Program Director (HRSA), Medical University of South Carolina (MUSC). “Our long-term relationship with Advanced ICU Care provides hospitals throughout South Carolina the opportunity to overcome growing intensive care physician shortages and continue to provide state of the art care for critically ill patients.”

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B AC K TO T H E TA B L E O F CO N T E N T S

rships

Growing St. Elizabeth Medical Center Partnership Now Includes Cardiac Telemetry Monitoring System-Wide “St. Elizabeth Healthcare has been a tele-ICU partner with Advanced ICU Care since 2013, and we are excited to expand an initial telemetry pilot to now include our cardiac telemetry monitoring system-wide,” said Benita Anderson, Vice President and Chief Nursing Officer of St. Elizabeth Florence and Ft. Thomas. “Expanding 24/7 surveillance, both in-person and now virtually, into our cardiac areas only strengthens our around the clock monitoring, which will only improve the delivery of healthcare and optimize patient outcomes.”

AdventHealth Extends Multi-Service System Relationship “AdventHealth is pleased to build upon our existing long-term relationship with Advanced ICU Care, extending telemedicine services within our system with the addition of tele-ICU at AdventHealth Dade City,” said Brandi Bryan, Corporate Director of Critical Care and Emergency Medicine at AdventHealth. “Our 5+ year relationship with Advanced ICU Care has grown to include tele-ICU and remote telemetry monitoring services, delivering better patient care and improved clinical outcomes while supporting our bedside doctors and nurses around the clock.”

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A D VA N C E D I C U CA R E I N T H E M E D I A

Driving the Conversation Advanced ICU Care is deeply involved in our industry’s development, spearheading innovations that transform how critical care is delivered, expanding how our hospital partners are leveraging technology-enabled services, and participating in the conversations that inform our telemedicine ecosystem.

Recent Advanced ICU Care Thought Leadership Highlights: How Necessity Helped This St. Louis Company Merge Telemedicine with the ICU “I think that the industry has done itself a disservice by continuing to imply that ‘health’ is distinct from ‘telehealth’ or that ‘medicine’ is distinguishable from ‘telemedicine’.” — Lou Silverman, CEO, Advanced ICU Care ⊲

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How a Remote Cardiac Telemetry Service Can Minimize Health System Resource Burdens and Simplify Care “Cardiac telemetry monitoring is an important evolution which enables hospitals and health systems to maintain outstanding care while focusing nursing resources on needed patient care rather than routine monitoring.“ — Marcia Murphy, Vice President of Clinical Operations and Nursing, Advanced ICU Care ⊲

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B AC K TO T H E TA B L E O F CO N T E N T S

Remote Telemetry Monitoring: Supporting Clinical Care and Clinical Leaders with a Simplified Operating Model “... working with a telemetry partner enables an on-demand monitoring resource supply that flexes based on a hospital’s census and patient risk profile.” — Marcia Murphy, Vice President of Clinical Operations and Nursing, Advanced ICU Care ⊲

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Tele-ICU Programs - The Benefits to Critical Care Teams “Frequently, hospital physicians and nurses who are unfamiliar with tele-ICU care significantly underestimate the full range of care that we can undertake as a remote intensivist.” — Dr. Sriraman (Ram) Srinivasan, Chief Medical Officer, Advanced ICU Care ⊲

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Advancing from Triple Aim to Quad Aim with Improved Critical Care Team Satisfaction “Recognizing that clinician well-being is missing in the Triple Aim structure, the healthcare industry is increasingly embracing the Quadruple Aim (otherwise known as the Quad Aim) to include improving the care team experience/satisfaction in the framework.” — Dr. Sriraman (Ram) Srinivasan, Chief Medical Officer, Advanced ICU Care ⊲

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S TAY CO N N E CT E D

“Healthcare is about people helping people healthcare is about helping the most peop that they did not think were possible. Our service achieves this lofty goal.” – Lou Silverman, CEO, Advanced ICU Care

Since 2016, the WE SEE YOU CARE Awards have been presented by Advanced ICU Care to recognize outstanding telemedicine collaboration by our partner hospitals and health systems. Award recipients have exhibited selfless performance, uncommon dedication and patient impact. Results of the 5th annual program will be announced in mid-2020.

M A K E A N O M I N AT I O N TO D AY !

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B AC K TO T H E TA B L E O F CO N T E N T S

e. Twenty-first century ple possible achieve outcomes technology-enabled tele-ICU

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