So, I think this is, as I said, and maybe I didn't articulate it particularly well, but I think this is an interesting tension that we're seeing between sort of some of these very higher level, very big picture complicated issues, but also some of the unit-based, bedside-based, seemingly less complex issues. But if it were, if this was totally uncomplicated, we would have solved a lot of our problems years ago. We're still running into the same problems over and over again, and this, I think, has more to do with the complexities of human behavior than anything else in many cases. But nonetheless, we're going to shift gears here a little bit away from some of the larger data discussions, although, of course, data is going to be a part of the next discussions. But we'll talk about the use of the EHR for effective ICU management. So I'd like to welcome our speakers, Valerie Dinesh, who is a research scientist and a registered nurse at Baylor Scott and White Health, and Matthias Merkel, who is a senior associate CMO at OHSU, an anesthesia intensivist like I am. Matthias and I know each other. We met through the ICU Liberation Collaborative, and I've had the pleasure of visiting him at OHSU, and we've gotten to know each other. I will say, I'm just going to show you things, and this is sort of a credit to Matthias. We actually, one of the reasons we visited OHSU from UCSF was to talk about throughput and flow and capacity management centers. And so we are launching ours, and this will be sort of coming up in the next couple months. We've had, this is the growth process. I think some of you may have a similar center at your institution. And again, we are placing a lot of faith in data. We are placing a lot of faith in data to reduce our length of stay, to deliver the right care at the right time. I think there's some things that we already do quite well with the use of this data. I also think, back to the human behavior question, there are some reasons why we continue to struggle all the time. And we can have all the dashboards in the world, but if certain behaviors persist, and I think we talked a lot about this with Matthias, if certain behaviors persist and there's not accountability in the system, you can have all the data in the world that points out why you're struggling to manage your ICU effectively or manage your throughput effectively. But if you don't require certain stakeholders to be accountable for their behaviors and their actions, you're just looking at a dashboard that's telling you why you're doing poorly. So we hope that this will, as we go forward with our dashboards and our bed huddles using data, that we will move forward. But I'm very interested to hear from both of our speakers about their experience, both in managing ICUs effectively, managing throughput effectively, but also delivering the right kind of care at the right time and identifying patients who need that care quickly in many cases of deterioration.

complex high-level issues

bedside-based issues

healthcare

data

ICU management