A new model for delivering critical care services is gaining momentum within academic centers across North America as institutions respond to health care market demands for greater efficiency, lower cost, and more accountability. The University of Pittsburgh Department of Critical Care Medicine is one of the first of a growing group of integrated Critical Care Organizations (CCO), which create a single leadership structure and consolidate resources to better meet these challenges. Critical Care academic programs are poised to integrate in conjunction with the integration of clinical services.
Jason Moore, MD, MS, is a member of the Society of Critical Care Medicine’s Academic Leaders in Critical Care Medicine taskforce that was charged with producing a toolkit for the integration of academic programs within developing CCOs. The taskforce was made up of successful leaders of Critical Care Organizations across North America, including Derek Angus, MD, MPH, chair of the Department of Critical Care Medicine at the University of Pittsburgh.
“We’ve tapped into the experience of institutions that have adopted the Critical Care Organization model and created a toolkit for integrating different aspects of academic programs,” said Jason Moore, who is associate professor and director of the Critical Care Internal Medicine fellowship program at the University of Pittsburgh. “Our Multidisciplinary Critical Care Training Program is a wonderful example of successfully integrating physicians from diverse training programs into one academic fellowship education program within a Critical Care Organization.”
Moore added that critical care fellows at Pitt hail from residencies in anesthesiology, emergency medicine, internal medicine, surgery, and neurology, yet all undergo their critical care education together. Fellows work and learn with peers from diverse medical backgrounds on a daily basis, resulting in a shared identity as intensivists and a broad set of critical care skills and knowledge. Moore’s education expertise focuses on professional and leadership development of trainees to prepare them for success as future leaders of critical care medicine.
The taskforce has developed a summary of the benefits and barriers to adopting the Critical Care Organization model. It also provides specific recommendations for integrating five different aspects of academic programs: patient care and safety, quality improvement, research, education, and professional development programs. Moore is the first author of the abstract and paper of the taskforce’s full report. The paper, Critical Care Organizations: Building and Integrating Academic Programs, is available online ahead of print in the Critical Care Medicine journal.