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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

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


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


Survey summary december 2008
Survey Summary(December 2008)


Respondents
Respondents

  • 63 hospitals sent invitation

  • 33 hospitals opened survey

  • 32 hospitals completed survey

    Response Rate = 50.8%


Current status in implementing an inpatient glycemic management program igmp
Current Status in implementing an inpatient glycemic management program (IGMP)

N=33 hospitals answered this question


Current Status in implementing an inpatient glycemic management program (IGMP) by large/urban and small/rural hospitals

N=33 hospitals answered this question


Igmp elements in place
IGMP Elements in Place management program (IGMP) by large/urban and small/rural hospitals

N=25 hospitals answered this question


Policies in place
Policies in Place? management program (IGMP) by large/urban and small/rural hospitals

Hospital-wide glycemic management

ICU glycemic management

N=31

N=32


By large urban and small rural
By Large/Urban and Small/Rural management program (IGMP) by large/urban and small/rural hospitals

% Hospital-wide glycemic management

% ICU glycemic management


Glycemic management program
Glycemic Management program management program (IGMP) by large/urban and small/rural hospitals

Formed a team

Barriers that need addressing

N=31

N=32


Hospital formed a glycemic management program by small rural and urban large hospitals
Hospital formed a Glycemic Management Program by Small/Rural and Urban/Large Hospitals

N=32 hospitals answered this question


Correction insulin sliding scale used by itself
Correction insulin (sliding scale) used by itself and Urban/Large Hospitals

N=33 hospitals answered this question



All areas where insulin iv infusion protocols may be used
All areas where insulin IV infusion protocols may be used and Urban/Large Hospitals

N=32 hospitals answered this question


All areas where diabetes order sets for subq basal bolus administration may be used
All areas where diabetes order sets for SubQ basal-bolus administration may be used

N=32 hospitals answered this question


All areas where hypoglycemia policy protocol may be used
All areas where hypoglycemia policy/protocol may be used administration may be used

N=32 hospitals answered this question



Facility use a proprietary vendor program for iv infusion protocols
Facility use a proprietary vendor program for IV infusion protocols

N=33 hospitals answered this question


Facility use a proprietary vendor program for IV infusion protocols by Small/Rural and Urban/Large Hospitals

N=33 hospitals answered this question



Insulins
Insulins that Hospitals are using

Devices currently used

All insulins on your fomulary

N=32

N=26


OUTCOME MEASURES that Hospitals are using



Useful tools for your igmp
Useful “tools” for your IGMP that Hospitals are using

N=32 hospitals answered this question


Interested
Interested that Hospitals are using

Participating in a IGMP Collaborative

Sharing de-identified data in IGMP Collaborative

N=29

N=30


Top priorities
Top Priorities that Hospitals are using

  • Standardized protocols/policies/order sets

  • Education initiatives

  • Outcomes/Metrics


Recommendations
Recommendations that Hospitals are using

  • 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


SURVEY QUESTIONS that Hospitals are using


Questions
Questions that Hospitals are using


Questions1
Questions that Hospitals are using


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