2.b.i: Ambulatory ICUs
Project Objective: To create Ambulatory ICUs for patients with multiple co-morbidities including nonphysician interventions for stabilized patients with chronic care needs.
Project Description: An Ambulatory ICU will create a multi-provider team for patients with complex medical, behavioral conditions and social complexities. An Ambulatory ICU will also include communitybased non-physician care, complex specialty care (e.g., housing, rehab, etc.), for stable patients in need of additional social services. Clinical interoperability within the Ambulatory ICU will allow for efficient identification of patients and connect those patients in need of complex services by allocating levels of service only as needed.
It is expected that the applicant will implement this project at one or more sites consistent with the NukaModel which is endorsed by the Institute for Healthcare Improvement. The relationship-based Nuka System of Care is comprised of organizational strategies and processes; medical, behavioral, dental and traditional practices; and supporting infrastructure that work together - in relationship - to support wellness. Applicants should refer to the Nuka Model in developing the response: http://www.cmcgc.com/media/handouts/29IH01/M22_NukaModel_Eby.pdf
PMO: Suehanie Sanchez
Community Co-Lead: Debbie Lester, Urban Health Plan
BLHC Co-Lead: Jeffrey Levine, MD & Rachel Wolfe, PHD