0
Editorials: POINT/COUNTERPOINT EDITORIALS |

Rebuttal From Dr McCambridge et alRebuttal From Dr McCambridge et al

Matthew M. McCambridge, MD, FCCP; Joseph A. Tracy, MS; George A. Sample, MD, FCCP
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine (Dr McCambridge) and Division of Telehealth Services (Mr Tracy), Lehigh Valley Health Network, and Surgical Critical Care Services (Dr Sample), Washington Hospital Center.

Correspondence to: George A. Sample, MD, FCCP, Surgical Critical Care Services, Washington Hospital Center, 110 Irving St, NW, Ste 4B42, Washington, DC 20010; e-mail: george.a.sample@medstar.net


Financial/nonfinancial disclosures: The authors have reported to CHEST the following conflicts of interest: Dr McCambridge is supported by the Dexter and Dorothy Baker Family Foundation. Dr Sample is a member of the American Medical Association CPT Advisory Committee, Society of Critical Care Medicine. The opinions expressed in this editorial are the personal opinions of Dr Sample and not necessarily those of the Society of Critical Care Medicine. Mr Tracy has reported that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(4):851-852. doi:10.1378/chest.11-1556
Text Size: A A A
Published online

Extract

We read with interest Dr Hoffman’s comments and appreciate his acknowledgment that there are a number of good reasons to expand ICU telemedicine (tele-ICU) services. We continue to believe that physicians should be reimbursed for tele-ICU services and would like to comment on Dr Hoffman’s four reasons not to do so.

First, Dr Hoffman wrote, “this service is of uncertain benefit, and additional studies to determine the efficacy of tele-ICU monitoring are necessary before a CPT [Current Procedural Terminology]category 1 code should be created.”1 We disagree. To date, there have been 14 studies evaluating tele-ICU clinical outcomes, eight of which have been published in the peer-reviewed literature. We believe that these studies are sufficient to meet the CPT category 1 code requirement that the clinical efficacy of the service/procedure be well established and documented in US peer-reviewed literature. When several of these studies are taken together and evaluated using meta-analysis techniques, a total of 41,374 patient outcomes (15,667 pre-tele-ICU and 25,707 post-tele-ICU) have been reported.2 The largest tele-ICU study to date, as with prior studies, again showed significantly lower mortality and length of stay.3 When all studies are considered together, tele-ICUs clearly show decreased ICU mortality and length of stay.

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Guidelines
Critical care in pregnancy.
American College of Obstetricians and Gynecologists | 7/10/2009
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543