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Problem. Declining referrals from inpatient to outpatient Inpatient education service discontinued Hospital staff not familiar with Joslin services. Data. Patients with Diabetes account for 30% of hospital admissions 85% of outpatient follow-ups referred by our Joslin endocrinologists
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Problem Declining referrals from inpatient to outpatient • Inpatient education service discontinued • Hospital staff not familiar with Joslin services
Data • Patients with Diabetes account for 30% of hospital admissions • 85% of outpatient follow-ups referred by our Joslin endocrinologists • Endocrinology consults make up only 20% of all consults (inpatient)
Solutions • Educate PCPs, Hospitalists and Nursing • Diabetes Care Collaborative Team participation • Diabetes Nurse Champion on each inpatient unit • Simplify referral process • Develop education DVD (potential routing mechanism to Joslin outpatient)
Outcomes Pre • Average referral about 2/month Post • Average referral ranging between 10 and 16/month
The Western Pennsylvania Hospital Forbes Regional Campus DIABETES EDUCATION PRESCRIPTION NAME______________________________SSN________________________DOB____________ PHONE (H)______________________(W)_____________________(C)____________________ TYPE OF CONSULTATION: Comprehensive Diabetes Education : FBS________ HbA1C______ Group______ or Individual________ Insulin Instruction Type________ Dose_________________ Medical Nutrition Therapy/Non Diabetes Reimbursement Requirements: To meet Medicare and other insures’ regulations, please complete all sections Diagnosis: DIABETES:TYPE 1 ____ TYPE 2 ___ GESTATIONAL ___ Obesity/Weight Management ______ Hypertension ________ Lipid Disorder______ Pre Diabetes_______ Other __________ Referral to Endocrinologist (only if specifically ordered): Dr.Rajupet____ Dr. Sharma ____ Dr. Tal _____ Current Complications: Retinopathy___ Neuropathy___ Nephropathy___ Cardiac___ Medicare provides coverage for DSMT services when a provider providers a referral certifying that DSMT services are needed I certify that DSMT services are needed under a comprehensive plan for this patient’s diabetes care. Physician Signature_________________________________________________Date______________________ Print Physician Name__________________________________________________________________________ The Joslin Diabetes Education program has met the American Diabetes Association National Standards for Diabetes Education Programs
