Care Redesign

My Favorite Slide: The ICU and the Human Care Bundle

Infographic · April 5, 2018

Care Design - The H-Evolution of Intensive Care Units - ICU and Human Care Bundle Human-Centered Care Model

  Click To Enlarge.

Since February 2014, the International Research Project for the Humanization of the Intensive Care Units (Proyecto HU-CI) has been focusing on the need to redesign ICUs around the world. We have been asking patients, families, and professionals (everyday stakeholders) to describe their ideal ICU.

The eight aspects of care shown in the slide are linked to improving the management of the ICU with a human beingcentered care model. Each area has a unique function, but only when they work together can the ICU really be humanized. Each element impacts the others, and coordination is essential to achieve a gold standard of ICU care.

For example, an open-door visitation policy in an ICU encourages families to be involved in the patient’s care, and significantly improve both patient and family well-being. These eight components represent a human care bundle, which aims to improve the health care processes and clinical outcomes.

Among the metrics we are monitoring are ICU length of stay, reduction of readmissions, security of patients, reduction of cost, and satisfaction of patients, families, and professionals.

Our Success Keys

  • Building a human-centered culture involves the development of individual and collective attitudes, competencies, and behavior patterns of the health care stakeholders, and can influence the commitment, style, and mastery of management for an organization.
  • Achieving humanization of the culture will allow us to focus on the needs of the patients, families, and professionals, meeting the real reason of being for the organization. The fundamental elements needed: leadership, teamwork, scientific evidence, communication, and people-centered care.
  • Training for care professionals (and for patients and families, too) in specific humanizing skills enhances patient and provider engagement within the organization, and helps reconnect professionals with their real vocation, and can boost passion and energy even when facing challenging clinical cases.
  • Research allows us to generate scientific evidence to support the hypothesis that these work strategies and specific actions can improve humanization. They are not only feasible, but necessary, to bring value to health care attention by improving results.
  • Innovating can improve attitudes around existing care elements, as well as in hospital design.
  • Continuous evaluation of the humanization of resources and processes and the results of those efforts allows us to track the improvement of the quality of the provided services.

This Project was born in Spain and has spread to more than 20 countries. In Spain, the concept has been adopted beyond the ICU, to include urgent and emergency care, oncology, pediatrics, and neurology. Why not extend this to the whole health care system?

New Call for Submissions ­to NEJM Catalyst

Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

More From Care Redesign
Griffin Myers Head Shot Oak Street Health

Rebuilding Health Care as It Should Be: Personal, Equitable, and Accountable

How Oak Street Health, a full-risk, value-based primary care model and social determinants practice, embeds itself in the community to keep its elderly population, “happy, healthy, and out of the hospital.”

Telemedicine Online Care Group Cleveland Clinic Express Care Online Quality Improvement - Next Steps

Ensuring Clinical Quality in Telemedicine

How Cleveland Clinic and Online Care Group designed a data-driven quality improvement telemedicine ecosystem.

Endless Forms Most Beautiful - Evolving Toward Higher-Value Care Cover Image

Endless Forms Most Beautiful: Evolving Toward Higher-Value Care

How Providence St. Joseph Health devised a Value-Oriented Architecture to guide physician practice.

Standard Treatment Algorithm for Patients with hepatitis C virus HCV at Geisinger Clinic and for Improved Sustained Virologic Response Rates in Geisinger ProvenCare Model

Enhanced Cure Rates for HCV: Geisinger’s Approach

To reduce the burden of hepatitis C in central Pennsylvania, Geisinger Clinic designed a comprehensive assessment and treatment protocol to improve sustained virologic response rates.

The HCD Human-Centered Design Kaiser Permanente Compass

Human-Centered Design and Performance Improvement: Better Together

Kaiser Permanente’s initiatives with combining HCD and PI point to the potential to improve the health care experience and outcomes of patients and providers.

Choi01_pullquote customizable electronic health records

Subscribing to Your Patients — Reimagining the Future of Electronic Health Records

Rather than searching EHRs to check on patients, what would it be like to instead subscribe to Ms. Jones in room 328?

Consensus That Design Thinking Is Useful in Health Care

Survey Snapshot: Design Thinking Is Useful, So Why Aren’t More People Using It?

NEJM Catalyst Insights Council members agree that design thinking is useful, but leadership buy-in and understanding of how to implement it may create barriers.

Artificial Intelligence AI Technologies - 5 Approaches to Augmentation of Health Care Decision-Making

Artificial Intelligence and the Augmentation of Health Care Decision-Making

Artificial intelligence is most likely to improve health care by augmenting the work of human clinicians.

Improving Scores Through Human-Centered Design

Designing and Implementing Better Patient Experiences

An ophthalmology provider with facilities in the greater Mexico City area is using Human-Centered Design to improve both the patient and staff experience.

Joseph04_pullquote_hospital_wellness

Designing Hospitals That Heal as Well as Treat

Hospitals must provide wholesome food, sound sleeping conditions, and human connection to promote healing and wellness.

Connect

A weekly email newsletter featuring the latest actionable ideas and practical innovations from NEJM Catalyst.

Learn More »

Topics

Social Needs

81 Articles

Addiction Is a Community Disease

Partnering with the community to tackle substance use and mental health disorders is the optimal…

Mental Health

27 Articles

Addiction Is a Community Disease

Partnering with the community to tackle substance use and mental health disorders is the optimal…

Coordinated Care

121 Articles

Ensuring Clinical Quality in Telemedicine

How Cleveland Clinic and Online Care Group designed a data-driven quality improvement telemedicine ecosystem.

Insights Council

Have a voice. Join other health care leaders effecting change, shaping tomorrow.

Apply Now