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SC Acute Inpatient Glycemic Managements IGMP Needs Assessment

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South Carolina Association for Healthcare Quality ... Palmetto APIC. Palmetto Healthcare Liability Insurance Program. Qualis Health ... – PowerPoint PPT presentation

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Title: SC Acute Inpatient Glycemic Managements IGMP Needs Assessment


1
SC Acute Inpatient Glycemic Managements (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 Associations "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)
N33 hospitals answered this question
6
Current Status in implementing an inpatient
glycemic management program (IGMP) by large/urban
and small/rural hospitals
N33 hospitals answered this question
7
IGMP Elements in Place
N25 hospitals answered this question
8
Policies in Place?
  • ICU glycemic management
  • Hospital-wide glycemic management

N31
N32
9
By Large/Urban and Small/Rural
  • ICU glycemic management
  • Hospital-wide glycemic management

10
Glycemic Management program
  • Barriers that need addressing
  • Formed a team

N31
N32
11
Hospital formed a Glycemic Management Program by
Small/Rural and Urban/Large Hospitals
N32 hospitals answered this question
12
Correction insulin (sliding scale) used by
itself
N33 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
N32 hospitals answered this question
15
All areas where diabetes order sets for SubQ
basal-bolus administration may be used
N32 hospitals answered this question
16
All areas where hypoglycemia policy/protocol may
be used
N32 hospitals answered this question
17
All areas where an insulin pump patient/protocol
may be used
N29 hospitals answered this question
18
Facility use a proprietary vendor program for IV
infusion protocols
N33 hospitals answered this question
19
Facility use a proprietary vendor program for IV
infusion protocols by Small/Rural and Urban/Large
Hospitals
N33 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

N32
N26
22
  • OUTCOME MEASURES

23
Outcome Measures to determine impact of your
program
24
Useful tools for your IGMP
N32 hospitals answered this question
25
Interested
  • Sharing de-identified data in IGMP Collaborative
  • Participating in a IGMP Collaborative

N29
N30
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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