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SC Acute Inpatient Glycemic Management’s (IGMP) Needs Assessment

SC Acute Inpatient Glycemic Management’s (IGMP) Needs Assessment. Sponsors: Diabetes Initiative of South Carolina (DSC) South Carolina Organization of Nurse Leaders (SCONL) South Carolina Association for Healthcare Quality

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SC Acute Inpatient Glycemic Management’s (IGMP) Needs Assessment

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  1. SC Acute Inpatient Glycemic Management’s (IGMP) Needs Assessment Sponsors: Diabetes Initiative of South Carolina (DSC) South Carolina Organization of Nurse Leaders (SCONL) South Carolina Association for Healthcare Quality South Carolina Hospital Association‘s "Every Patient Counts" Initiative

  2. SC Node Supporting Partners American Heart Association BlueCross BlueShield of South Carolina The Carolinas Center for Hospice and End of Life Care The Carolinas Center for Medical Excellence Diabetes Initiative of SC LifePoint, Inc. Mothers Against Medical Errors Palmetto APIC Palmetto Healthcare Liability Insurance Program Qualis Health SC Area Health Education Consortium SC Association for Healthcare Quality SC Chapter of the American Society for Healthcare Risk Management SC Healthcare Association SC Joint Underwriting Association SC Medical Association SC Nurses Association SC Office of Rural Health SC Organization of Nurse Leaders SC Patients’ Compensation Fund SC Pharmacy Association SC Primary Health Care Association SC Society of Health-System Pharmacists SC State Budget & Control Board Office of Research & Statistics SC State Budget & Control Board Insurance Reserve Fund SCHA-SCMA Senior Medical Leadership Council

  3. Survey Summary(December 2008)

  4. Respondents • 63 hospitals sent invitation • 33 hospitals opened survey • 32 hospitals completed survey Response Rate = 50.8%

  5. Current Status in implementing an inpatient glycemic management program (IGMP) N=33 hospitals answered this question

  6. Current Status in implementing an inpatient glycemic management program (IGMP) by large/urban and small/rural hospitals N=33 hospitals answered this question

  7. IGMP Elements in Place N=25 hospitals answered this question

  8. Policies in Place? Hospital-wide glycemic management ICU glycemic management N=31 N=32

  9. By Large/Urban and Small/Rural % Hospital-wide glycemic management % ICU glycemic management

  10. Glycemic Management program Formed a team Barriers that need addressing N=31 N=32

  11. Hospital formed a Glycemic Management Program by Small/Rural and Urban/Large Hospitals N=32 hospitals answered this question

  12. Correction insulin (sliding scale) used by itself N=33 hospitals answered this question

  13. If used in your facility, what area is it found?

  14. All areas where insulin IV infusion protocols may be used N=32 hospitals answered this question

  15. All areas where diabetes order sets for SubQ basal-bolus administration may be used N=32 hospitals answered this question

  16. All areas where hypoglycemia policy/protocol may be used N=32 hospitals answered this question

  17. All areas where an insulin pump patient/protocol may be used N=29 hospitals answered this question

  18. Facility use a proprietary vendor program for IV infusion protocols N=33 hospitals answered this question

  19. Facility use a proprietary vendor program for IV infusion protocols by Small/Rural and Urban/Large Hospitals N=33 hospitals answered this question

  20. Type of proprietary vendor program for IV infusion protocols that Hospitals are using

  21. Insulins Devices currently used All insulins on your fomulary N=32 N=26

  22. OUTCOME MEASURES

  23. Outcome Measures to determine impact of your program

  24. Useful “tools” for your IGMP N=32 hospitals answered this question

  25. Interested Participating in a IGMP Collaborative Sharing de-identified data in IGMP Collaborative N=29 N=30

  26. Top Priorities • Standardized protocols/policies/order sets • Education initiatives • Outcomes/Metrics

  27. Recommendations • DSC (and partners) • Add sessions on inpatient glycemic management (such as best practices and policies) to DSC Educational Programs • Support development & implementation of a public domain calculator • SCHA • Develop protocol/policy samples using experts • Design & develop content for education using experts • Provide “train the trainer” program to use developed content at local sites • Develop/maintain web-site with tools

  28. SURVEY QUESTIONS

  29. Questions

  30. Questions

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