Approaching hospital administration about adopting cooling technologies Journal Article
| Authors: | Kirkland, L. L.; Parham, W. M.; Pastores, S. M. |
| Article Title: | Approaching hospital administration about adopting cooling technologies |
| Abstract: | The purpose of this article is to provide intensivists with information and examples regarding cooling technology selection, cost assessment, adaptation, barriers, and presentation to hospital administrators. A review of medical and business literature was conducted using the following search terms: technology assessment, organizational innovation, intensive care, critical care, hospital administration, and presentation to administrators. General recommendations for intensivists are made for assessing cooling technology with descriptions of common new technology implementation stages. A study of 16 hospitals implementing a new cardiac surgery technology is described. A description of successful implementation of an induced hypothermia protocol by one of the authors is presented. Although knowledgeable about the applications of new technologies, including cooling technology, intensivists have little guidance or training on tactics to obtain a hospital administration's funding and support. Intensive care unit budgets are usually controlled by nonintensivists whose interests are neutral, at best, to the needs of intensivists. To rise to the top of the large pile of requisition requests, an intensivist's proposal must be well conceived and aligned with hospital administration's strategic goals. Intensivists must understand the hospital acquisition process and administrative structure and participate on high-level hospital committees. Using design thinking and strong leadership skills, the intensivist can marshal support from staff and administrators to successfully implement cooling technology. © 2009 Lippincott Williams & Wilkins, Inc. |
| Keywords: | review; methodology; evidence based medicine; organization and management; evidence-based medicine; technology assessment, biomedical; intensive care; hospital; hospital care; cost effectiveness analysis; financial management; economics; psychological aspect; utilization review; intensive care unit; pilot study; pilot projects; communication; organization; cooperative behavior; interpersonal communication; administration; physician attitude; program development; leadership; physician's role; funding; needs assessment; cost; critical care; technology; cost benefit analysis; hospital purchasing; cardiac arrest; cooling; design; disruptive; hypothermia; marketing; presentation; vendor; economic aspect; heart arrest; heart surgery; hospital management; induced hypothermia; information technology; organizational restructuring; policy; product development; biomedical technology assessment; budget; cooperation; cryoanesthesia; hospital administrator; mass communication; professional standard; public relations; budgets; diffusion of innovation; hospital administration; hospital administrators; hypothermia, induced; interprofessional relations; marketing of health services; organizational innovation; professional staff committees; purchasing, hospital |
| Journal Title: | Critical Care Medicine |
| Volume: | 37 |
| Issue: | SUPPL. 7 |
| ISSN: | 0090-3493 |
| Publisher: | Lippincott Williams & Wilkins |
| Date Published: | 2009-07-01 |
| Start Page: | S290 |
| End Page: | S294 |
| Language: | English |
| DOI: | 10.1097/CCM.0b013e3181aa6331 |
| PUBMED: | 19535961 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Export Date: 30 November 2010" - "CODEN: CCMDC" - "Source: Scopus" |
