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Volume 3 Supplement 1

ESICM LIVES 2015

  • Poster presentation
  • Open Access

Critically Ill Setting / Productivity Grid (CISPG): Proposal For Distribution of Productive Time of Intensivists in a Critical Care Medicine Department (CCMD) Considering 'Outreach’

  • 1,
  • 2,
  • 3,
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Intensive Care Medicine Experimental20153 (Suppl 1) :A481

https://doi.org/10.1186/2197-425X-3-S1-A481

  • Published:

Keywords

  • Public Health
  • Risk Management
  • Emergency Room
  • Clinical Management
  • Specific Productivity

Introduction

The distribution of intensivists productive time is a classical controversial subject. However it is true that such a professional can practice their profession both within and outside (outreach) the ICU. It is also true also that intensivists serve patients, teaching and research, as well as consider the clinical management (CM) and the risk management (RM).

Objectives

To propose a CISPG to distribute the productive time of intensivists both in the ICU and outreach.

Methods

Setting - CCMD A) level III, 14 beds; and CCMD B) level IIb, 10 beds.

Definition of ‘productivity’: 1. Assistance (1.1. ICU assistance and 1.2. SDU assistance. 2. Teaching. 3. Research. 4. Risk management (RM). 5. Clinical management (CM).

CCMDs features:

CCMD A: 8 ICU beds and 6 SDU beds. ICU assistance, outreach assistance, teaching, experimental and epidemiological research, RM, and CM.

CCMD B: 6 ICU beds and 4 SDU beds. ICU assistance, outreach assistance, teaching, epidemiological research, RM, and CM.

CISPG:

Abscissas (productivity between 08:00 and 17:00): ICU assistance, outreach, teaching, research, RM, and CM.

Ordinates (setting): ICU, SDU, hospital ward (pre and postcritically iIl), emergency room (precritically ill and CIP)

3 medical professional job categories: senior, chief clinical (CC) and head of CCMD (HD).

Physician on call are not considered.

Annual working time per physician: 1750 hours

Times adjusted to each specific productivity (sum total % = 100).

It is established 1 HD, 1 CC for attending CCMDs a and B, and respectively, 4 and 3 seniors.

Results

Conclusions

The MAPEC facilitates the distribution of specific work time for intensivists attending both the setting and structured productivity.
Table 1

CISPG.

Setting

Hours

Assistance %

Teaching %

Research %

CM %

RM %

ICU Assistance Teaching Research CM RM

ICU - 8050 Assist - 3675 Teach - 875 Resear- 875 CM - 1225 RM - 1400

Senior 1 60 Senior 2 60 Senior 3 60 Cl. chief 20 Head Dp 20

Senior 1 10 Senior 2 10 Senior 3 10 Cl. chief 10 Head Dp 10

Senior 1 10 Senior 2 10 Senior 3 10 Cl. chief 10 Head Dp 10

Senior 1 5 Senior 2 5 Senior 3 5 Cl. chief 15 Head Dp 40

Senior 1 15 Senior 2 15 Senior 3 15 Cl. chief 20 Head Dp 15

SDU Assistance Teaching Research CM RM

SDU -1487 Assist -787 Teach - 175 Resear- 175 CM - 87 RM - 262

Senior 4 30 Cl. chief 10 Head Dp 10

Senior 4 10

Senior 4 10

Senior 4 5

Senior 4 15

Hosp. ward

Hosp. ward 525

Senior 4 15 Cl. chief 10 Head Dp 5

    

Emergency

Emergency 437

Senior 4 15 Cl. chief 10 Head Dp 5

    

Global hours

10500

5425

1050

1050

1312

1662

Authors’ Affiliations

(1)
Quirón Salud Hospital Universitario Sagrat Cor, Critical Care Department, Barcelona, Spain
(2)
Hospital Clinic de Barcelona, Critical Care Department, Barcelona, Spain
(3)
Moncloa Hospital Universitario, Critical Care Department, Madrid, Spain
(4)
Hospital Can Misses, Critical Care Department, Ibiza, Spain
(5)
Hospital Universitario Móstoles, Critical Care Department, Móstoles, Spain

References

  1. Weiss M, Marx G, Vagts DA, Schleppers A, Leidinger W, Sehn N, et al: Calculation of personnel requirement “intensive care medicine” 2012 - Revision of the 2008 calculation tool for the medical profession. Anasthesiologie und Intensivmedizin. 2012, 53 (3): S50-S62.Google Scholar
  2. Ruiz J: Asignatura 'Gestión Clínica en Medicina Intensiva', especialidad 'Atención Integral al Enfermo Crítico y Emergencias', Master Universitario en Investigación Clínica Facultad de Medicina, Universidad de Barcelona. 2015, Edición 2014-2015.Google Scholar

Copyright

© Ruiz Moreno et al.; 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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