Telehealth to coordinate daily wake-up and breathing checks for people on ventilators
Official title: Implementation of Coordinated Spontaneous Awakening and Breathing Trials Using Telehealth-Enabled, Real-Time Audit and Feedback for Clinician AdHerence: A Type II Hybrid Effectiveness-Implementation
Funded at Ihc Health Services, INC. · NIH-11187120 · Data updated 2026-11-12
This project uses telehealth and real-time feedback to help ICU teams perform daily coordinated awakening and breathing checks for people on ventilators.
Quick facts
| Grant type | U01 cooperative agreement |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Ihc Health Services, INC. NIH-funded |
| Lab location | 1 site (Murray, UNITED STATES) |
| Project start | September 1, 2021 |
| Project end | August 31, 2026 |
| Funding year | 2025 |
| Award (this year) | $993,929 |
| NIH project number | 5U01HL159878-05 |
| Project ID | NIH-11187120 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults receiving invasive mechanical ventilation for acute respiratory failure in participating Intermountain Healthcare ICUs are the intended candidates.
✕Less likely to help
People who are not on mechanical ventilation or who have medical reasons to avoid daily awakening or breathing trials (for example, unstable airway, uncontrolled agitation, or high sedation needs) are unlikely to benefit.
What this research studies
If you are on a ventilator for acute respiratory failure, this project helps bedside teams by using a remote tele-critical care team that watches patients with real-time audio/video, electronic medical record dashboards, and decision support to spot candidates for coordinated spontaneous awakening and breathing trials (C-SAT/SBT). The system provides real-time audit-and-feedback prompts to clinicians to guide and document these paired wake and breathing trials and tracks adherence across multiple ICUs. The team previously used a similar telehealth approach to boost use of lung-protective ventilation in pilot ICUs and is expanding the method to more hospitals. The goal is to increase consistent use of C-SAT/SBT and thereby improve recovery for ventilated patients.
Why it matters
Potential benefit: If successful, more ventilated patients could have coordinated awakening and breathing trials that may shorten time on the ventilator and reduce complications.
How similar studies have gone: Intermountain's prior telehealth audit-and-feedback work improved lung-protective ventilation adherence to over 90% in pilots, but applying this approach specifically to coordinated SAT/SBT is relatively new.
Where this research is happening
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Ihc Health Services, INC.
Murray, United States Active
Researchers
- Principal investigator: Grissom, Colin Kerst — Ihc Health Services, INC.
- Study coordinator: Grissom, Colin Kerst
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.