Nancy Zismann, RN, BSN, MSOL, Sr RN Director Clinical Director Clinical Performance, and Mikaela Mackey, MBA, MSL, BSIE, SSBB, Senior Director Clinical Performance Assessment and Improvement, Banner Health. Delirium is an acute organ dysfunction of the brain. Banner Health designed technology to support delirium evidence-based clinical practices, such as the Spontaneous Awakening Trial and Spontaneous Breathing Trial, which transformed processes and culture. Comprehensive investment in delirium returned $20.3M cost avoidance and over 80% delirium and coma free days.