1. November 24 th 2004 Feedback and perspectives

2. MEMBERS D. Biarent, L. Bossaert, P. Damas, R. De Jongh, L. Huyghens, E. Installé, T. Sottiaux, K. Vandewoude J.P. Alexander, P. Ferdinande, Y. Maetens, Y. Somers

3. FEEDBACK WEBSITE ICU-LANDSCAPE COMMUNICATION – EDUCATION NON-INVASIVE VENTILATION

4. PROSPECTIVES NOSOCOMIAL INFECTIONS (WIV) SAPI – BALANCED SCORE CARD DATA MANAGER

5. IC College Working Group : ICU landscape in Belgium Ad hoc- L. Huyghens - L. Bossaert J.P. Alexander P. Damas P. Ferdinande P. Reper IT support R. Tielemans (Uniweb) SIZ Quality Improvement Group (Chair E. Installé)

6. Methodology Identification of all ICU directors in Belgium Creation of website (www.iccollege.be)  questionnaire  individual passwordwww.iccollege.be Data collection june 1 st, 2002  july 31st, 2003 Absolute commitment for strict confidentiality Data cleaning (JPA & PF) Report of questions answered by at least 25 % of the participants

7. Report Response rate :58 of 107 ICU directors (= 54 %) 988 ICU beds 1.General information 2.Staffing 3.Architecture 4.Bedside monitoring 5.Communication systems 6.Fire safety 7.Central services

8. Parameters of activity N umber of admissions / ICU / year 20001151,8 ± 881,5(791/306-3993) 20011136,9 ± 850,6(839/384-3767) 20021094,47 ± 870,6(792/303-3995) Number of admissions / ICU bed / year 200075,8 ± 24,2(70,8/43,7-145,2) 200174,9 ± 22,2(71,6/44,3-140,7) 200274,7 ± 24,2(70,4/33,7-134,2) ICU LOS days 20004,16 ± 1,0(4,2/1,92-6,5) 20014,17 ± 1,1(4,0/1,89-7,9) 20024,32 ± 1,2(4,2/2,15-8,2) Occupancy rate % 200083,3 ± 8,1(82,4/65-100) 200182,9 ± 8,2(83/67-98) 200282,9 ± 10,6(83/58-100)

9. Parameters of activity YearReadmissions %ICU mortality % 20005,3 ± 3,3 (4,65/1-14)8,6 ± 4,3 (8,0/0-21) 2001 4,8 ± 3,6 (3,8/1-15)8,9 ± 4,1 (8,1/3,9-23) 20025,0 ± 3,5 (4,55/0,7-15)9,2 ± 4,2 (9/3,5-23)

10. Conclusions Intensive Care Medicine in Belgium is a heterogeneous activity (staff and admitted patients) Both medical and nursing staffing are at the lower edge of the international standards Quality analysis of ICU processes can be done in the perspective of the case mix and outcome parameters, but administrative support for the intensivist in the field is highly desirable