Tagged: organization and administration

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Deliberations about Intensive Care Services in the Veterans Health Administration

This study updates information from the 1990 survey of VHA ICUs and provides the first assessment of regional variation in levels of ICU care in the largest integrated health-care system in the United States. In the two articles reporting on ICU organization in the United States from the early 1990s, results were aggregated to the entire United States. The 1991 survey reported in these studies preceded development of ICU levels, so results were not presented by level of care. Subsequent work using databases from existing sources also preceded development of ICU levels, and use of existing databases limits the ability to assess level of ICU.

As a result of the 2004 study we report here, the VHA adopted a system defining four levels of intensive care, rather than the three proposed [...]

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Canadian Health&Care Mall: Outcomes of Intensive Care Services in the Veterans Health Administration

Description of VHA ICUs

A total of 213 ICUs were reported at 126 separate locations (Table 3). Seventy hospitals had one ICU, with a range from one to four ICUs. The South had the largest number of ICUs (n = 90). The mix of ICU types varies by region of the country, with single-specialty ICUs dominating in the South, and mixed ICUs dominating in the other three regions. Half the ICUs were single specialty, mostly surgical.

There was regional variation in the number of beds in each region (Fig 1, Table 3), and in the proportion of beds in each ICU level. The Northeast had the lowest proportion of level 1 beds, followed by the Midwest, the West, and the South. Standardized by the number of patient discharges in a year, the [...]