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p<0.01).Overall, elective surgery hospital mortality decreased from 1.78% in Phase 1 to 1.44% in Phase 2 (NS). Conclusions: The strategy of safely moving surgical elective patients from ICU to IMCU has been successful. The majority of the elective surgical cases now go directly to IMCU and overall HLOS is lower by transitioning patients to IMCU post operatively instead of ICU. There are positive trends for decreases in transfers from IMCU to ICU and morality rates. Though the Intermediate Care Unit concept is popular, the literature on safety and efficient remains mixed. We attribute our improvement to careful planning, good case selection and monitoring.

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