Financial Implications of Poor Glycemic Management & Improvement Strategies for Optimal Outcomes Presentation IHI Annual National Forum on Quality Improvement in Health Care Date December 2018 Authors Mary Gaines, Damon Tanton, Richard Pratley BACKGROUND Approximately one-third of all hospitalized patients have diabetes, prediabetes or hyperglycemia. Numerous studies have observed that patients with poor glucose control have longer hospital stays, higher …
June 11, 2017
Safely Converting From Sliding Scale to Basal Bolus Insulin Across an Entire Medical Center via Implementation of the eGlycemic Management System
Safely Converting From Sliding Scale to Basal Bolus Insulin Across an Entire Medical Center via Implementation of the eGlycemic Management System Reduction in Hypoglycemic Events: 2,434 fewer hypoglycemic events with GM versus UC, resulting in savings of $7,141,356 over the first year, or $2,934 per event. Reduction in Average Length of Stay: 1.67 fewer days, resulting in savings over the …
May 19, 2017
Implementation of the eGlycemic Management System A Medical Center Case Study
Implementation of the eGlycemic Management System: A Medical Center Case Study Presentation International Hospital Diabetes Meeting Date May 2017 Authors Rosalina Newsom, Christopher Patty, Emma Camarena, Thomas Gray, Regina Sawyer, Brian Brown, Raymie McFarland BACKGROUND Hyperglycemia affects up to 40% of hospitalized patients and is associated with poor outcomes, including increased mortality, length of stay and surgical site infections. The …
April 23, 2017
Hospitalization Costs and Clinical Outcomes in CABG Patients Treated with Intensive Insulin Therapy
Hospitalization Costs and Clinical Outcomes in CABG Patients Treated with Intensive Insulin Therapy Publication Journal of Diabetes and Its Complications Date April 2017 Authors Saumeth Cardona,1 Francisco J. Pasquel,1 Maya Fayfman,1 Limin Peng,2 Sol Jacobs,1 Priyathama Vellanki,1 Jeff Weaver,3 Michael Halkos,4,5 Robert A. Guyton,4,5 Vinod H. Thourani,4,5 Guillermo E. Umpierrez1 ABSTRACT Background: The financial impact of intensive (blood glucose [BG] …
June 12, 2016
The Frequency of Hypoglycemia in Hospitalized Patients Treated With Insulin Increases Overall Costs Associated with Hospitalization and Length of Stay
The Frequency of Hypoglycemia in Hospitalized Patients Treated With Insulin Increases Overall Costs Associated with Hospitalization and Length of Stay Presentation American Diabetes Association Scientific Sessions Date June 2016 Authors Joseph Aloi,1 Jagdeesh Ullal,2 Amy Henderson,3 Raymie McFarland3 BACKGROUND Hyperglycemia during hospitalization is associated with poor patient outcomes, as well as increased costs, due to impact on length of stay, …
January 19, 2016
Use of a Computer-Based Insulin Infusion Algorithm to Treat Diabetic Ketoacidosis in the Emergency Department
Use of a Computer-Based Insulin Infusion Algorithm to Treat Diabetic Ketoacidosis in the Emergency Department Publication Diabetes Technology & Therapeutics Date January 2016 Authors Jagdeesh Ullal,1 Raymie McFarland,2 Margaret Bachand,3 Joseph Aloi4 Abstract Background: Efforts at improving quality metrics in diabetes focus on minimizing adverse events and avoiding re-admissions to the hospital. Our experience with Glucommander (Glytec, Greenville, SC), a …
October 22, 2015
Finger Stickin’ Good – Improved Glycemic Control in CV Surgery Patients Provides Cost Savings Through Reduction in Point of Care Tests
Finger Stickin’ Good – Improved Glycemic Control in CV Surgery Patients Presentation Annual Diabetes Technology Meeting Date October 2015 Authors Amy Henderson, Andrew Rhinehart, Robby Booth, Raymie McFarland, Tamera Parsons, Lori Hubbard, Randall Ball Objective Glucose control with IV insulin has been shown to provide up to $2,700 in cost savings per patient undergoing cardiovascular surgery with a target of …
May 8, 2015
Use of the eGlycemic Management Solution by Glytec Provides Safe and Effective Glucose Control for Cardiac Surgery Patients Managed on IV Insulin Therapy
Use of the eGlycemic Management Solution by Glytec Provides Safe and Effective Glucose Control for Cardiac Surgery Patients Managed on IV Insulin Therapy Presentation International Hospital Diabetes Meeting Date May 2015 Authors Joseph Aloi, Paul Chidester, Amy Henderson, Raymie McFarland, Robby Booth, Melanie Mabrey Objective Patients undergoing cardiovascular (CV) surgery and requiring intravenous (IV) insulin infusions challenge the clinician with …
June 15, 2014
Hospitalization Costs, Resource Utilization, and Clinical Outcome in Patients Undergoing CABG Receiving Intensive Versus Conservative Glucose Control
Hospitalization Costs, Resource Utilization, and Clinical Outcome in Patients Undergoing CABG Receiving Intensive Versus Conservative Glucose Control Presentation American Diabetes Association Scientific Sessions Date June 2014 Authors D Smiley,1 S Cardona,1 J Weaver,2 K Register,2 L Peng,3 F Pasquel,1 G Umpierrez1 Background It is estimated that 50-90% of patients undergoing coronary artery bypass (CABG) develop hyperglycemia during the hospital course …
April 5, 2014
Effectively Identifying the Inpatient With Hyperglycemia to Increase Patient Care and Lower Costs
Effectively Identifying the Inpatient With Hyperglycemia to Increase Patient Care and Lower Costs Publication Hospital Practice Date April 2014 Authors Melanie Mabrey,1 Raymie McFarland,2 Sandra Young,3 Penny Cooper,1 Paul Chidester,4 Andrew Rhinehart5 Abstract Recent years have seen an increased focus on merging quality care and financial results. This focus not only extends to the inpatient setting but also is of …
May 4, 2013
Treatment of Diabetic Ketoacidosis in the Emergency Department Utilizing a Web Based Insulin Infusion Algorithm
Treatment of Diabetic Ketoacidosis in the Emergency Department Utilizing a Web Based Insulin Infusion Algorithm Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2013 Authors Joseph Aloi,1 Raymie McFarland,2 Margaret Bachand,3 Courtenay Harrison3 Objective Ongoing efforts at improving quality metrics in the care of persons with diabetes frequently focus on avoiding unnecessary hospitalizations, decreasing length of …
May 2, 2008
Use of a Computerized Intravenous Insulin Algorithm Within a Nurse-Directed Protocol for Patients Undergoing Cardiovascular Surgery
Use of a Computerized Intravenous Insulin Algorithm Within a Nurse-Directed Protocol for Patients Undergoing Cardiovascular Surgery Publication Journal of Diabetes Science and Technology Date May 2008 Authors Paul Davidson,1 R Dennis Steed,2 Bruce Bode,1 Harry Hebblewhite,1 Louis Prevosti,3 Vasundhara Cheekati4 Abstract Background: Several studies have shown the benefits of tight glycemic control in intensive care unit. A large hospital became …
August 11, 2006
Financial Implications of Glycemic Control: Results of an Inpatient Diabetes Management Program
Financial Implications of Glycemic Control: Results of an Inpatient Diabetes Management Program Publication Endocrine Practice Date August 2006 Authors Christopher Newton,1 Sandra Young2 Abstract Objectives: (1) To determine the financial implications associated with changes in clinical outcomes resulting from implementation of an inpatient diabetes management program and (2) To describe the strategies involved in the formation of this program. Methods: …
