The Mount Sinai Health System is a quaternary care health system spanning 6 hospital campus locations in the greater New York Metropolitan area. It is affiliated with the Icahn School of Medicine at Mount Sinai. The health system has a capacity of 3919 beds and 144 operating rooms with over 40,000 employees and services over 4 million patients annually.

The Institute for Critical Care Medicine (ICCM) developed in 2016 with the integration of the 5 intensive care units (ICUs) at Mount Sinai Hospital under a unified administrative and management structure. Over the subsequent decade it has expanded its mandate to include management of 15 ICUs across 6 campuses of the Mount Sinai Health System with a capacity of over 200 critical care beds ( Table 1 ). ICCM has over 100 board-certified intensivists as part of its critical care faculty. Additionally, ICCM employs over 100 board certified intensivists as clinical faculty along with over 300 nursing personnel and advanced care practitioners. ICCM provides specialized critical care services including neurosurgical, cardiac, cardiothoracic, transplant, surgical and medical critical care management. Beyond the ICUs, ICCM is responsible for operating

• The rapid response service responding to clinical decompensation across the hospital

• Central intensivist service responsible for coordinating interhospital ICU transfers

• The VAS service responsible for providing vascular access for patients depending on their specific clinical needs

• The difficult airway response team to manage critical airway related issues

ICCM serves as the training ground for house staff across a range of disciplines including medical students and residents from surgical medical and anesthesia programs, as well as being the site for the largest dedicated critical care training fellowship in the county. ICCM also provides oversight of all research trials and protocols that are conducted in the ICU setting. In regard to its organizational reach and impact, ICCM stands among the largest CCOs in the world.