December 11, 2018

Financial Implications of Poor Glycemic Management & Improvement Strategies for Optimal Outcomes

In by Heather DelCarpini

Financial Implications of Poor Glycemic Management & Improvement Strategies for Optimal Outcomes Presentation IHI Annual National For​um 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 …

November 9, 2018

Evaluating the Impact of eGMS Glucommander on Length of Stay, Hypoglycemia and Glucose Control in a Regional Medical Center

In by Heather DelCarpini

Evaluating the Impact of eGMS Glucommander on Length of Stay, Hypoglycemia and Glucose Control in a Regional Medical Center Presentation Annual Diabetes Technology Meeting Date November 2018 Authors LaTivia Carr, Cheryl Rogers, Daniel Ryan, Raymie McFarland, Nives Bernardi, Kelly Frey, Trisha Haines BACKGROUND Healthcare organizations face numerous challenges when implementing glycemic management improvement initiatives. This study examines differences in outcomes …

Safety and Efficacy of eGlycemic Management System among Labor and Delivery Patients at a Not-for-Profit Hospital in Hawaii

In by Heather DelCarpini

Safety and Efficacy of eGlycemic Management System among Labor and Delivery Patients at a Not-for-Profit Hospital in Hawaii Presentation Annual Diabetes Technology Meeting Date November 2018 Authors Venkataraman Balaraman, Pushpa Rayasam, Raymie McFarland BACKGROUND The American College of Obstetrics and Gynecology recommends tight glycemic control (blood glucose <110 mg/dL) during labor and delivery in patients with type 1, type 2 …

January 1, 2018

Comparison of Computer-Guided Versus Standard Insulin Infusion Regimens in Patients with Diabetic Ketoacidosis

In by Heather DelCarpini

Comparison of Computer-Guided Versus Standard Insulin Infusion Regimens in Patients With Diabetic Ketoacidosis Publication Journal of Diabetes Science and Technology Date January 2018 Authors Jagdeesh Ullal,1 Joseph A. Aloi,2 David Reyes-Umpierrez,3 Francisco J. Pasquel,3 Raymie McFarland,4 Marina Rabinovich,5 Guillermo E. Umpierrez3 ABSTRACT Background: This study was performed to investigate the efficacy of Glucommander (GM) (Glytec®), a computer-based algorithm versus standard …

Safely Converting an Entire Academic Medical Center From Sliding Scale to Basal Bolus Insulin via Implementation of the eGlycemic Management System

In by Heather DelCarpini

Safely Converting an Entire Academic Medical Center From Sliding Scale to Basal Bolus Insulin via Implementation of the eGlycemic Management System Publication Journal of Diabetes Science and Technology Date January 2018 Authors Rosalina Newsom,1 Christopher Patty,1 Emma Camarena,1 Regina Sawyer,1 Raymie McFarland,2 Thomas Gray,1 Melanie Mabrey2 ABSTRACT Objective: Hyperglycemia is common in the inpatient setting and providers frequently rely on …

Risk of Hypoglycemia During Insulin Infusion Directed by Paper Protocol Versus Electronic Glycemic Management System in Critically Ill Patients at a Large Academic Medical Center

In by Heather DelCarpini

Risk of Hypoglycemia During Insulin Infusion Directed by Paper Protocol Versus Electronic Glycemic Management System in Critically Ill Patients at a Large Academic Medical Center Publication Journal of Diabetes Science and Technology Date January 2018 Authors Marina Rabinovich,1 Jessica Grahl,2 Emily Durr,1 Rita Gayed,1 Katleen Chester,1 Raymie McFarland,3 Barbara McLean3 ABSTRACT Background: Insulin infusions are commonly utilized to control hyperglycemia …

June 11, 2017

Safely Converting From Sliding Scale to Basal Bolus Insulin Across an Entire Medical Center via Implementation of the eGlycemic Management System

In by Heather DelCarpini

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

In by Heather DelCarpini

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

In by Heather DelCarpini

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

In by Heather DelCarpini

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, …

May 26, 2016

Comparison of Computer-Guided Versus Standard Insulin Infusion Regimens in Patients with Diabetic Ketoacidosis

In by Heather DelCarpini

Comparison of Computer-Guided Versus Standard Insulin Infusion Regimens in Patients with Diabetic Ketoacidosis Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2016 Authors Joseph Aloi,1 Harry Hebblewhite,2 Robby Booth,2 Bruce Bode,3 Raymie McFarland,2 David Reyes,4 Amy Henderson,2 Francisco Pasquel,4 Jagdeesh Ullal,5 Guillermo Umpierrez4 Background Continuous insulin infusion (CII) is widely accepted as the standard of care …

October 22, 2015

eGlycemic Management System Provides Safe and Effective Glycemic Control for Stroke Patients Requiring Subcutaneous Insulin in the Hospital Setting

In by Heather DelCarpini

eGlycemic Management System Provides Safe and Effective Glycemic Control for Stroke Patients Requiring Subcutaneous Insulin in the Hospital Setting Presentation Annual Diabetes Technology Meeting Date October 2015 Authors Jagdeesh Ullal, Melanie Mabrey, Amy Henderson, Raymie McFarland, Robby Booth, Joseph Aloi Objective Admission hyperglycemia (>130 mg/dL) and persistent inpatient hyperglycemia (>48 hours) have been predictors of poor patient outcomes, including higher …

September 15, 2015

Randomized Controlled Trial of Intensive Versus Conservative Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery GLUCO-CABG Trial

In by Heather DelCarpini

Randomized Controlled Trial of Intensive Versus Conservative Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery: GLUCO-CABG Trial Publication Diabetes Care Date September 2015 Authors Guillermo Umpierrez,1 Saumeth Cardona,1 Francisco Pasquel,1 Sol Jacobs,1 Limin Peng,2 Michael Unigwe,1 Christopher Newton,1 Dawn Smiley-Byrd,1 Priyathama Vellanki,1 Michael Halkos,3 John Puskas,3 Robert Guyton,3 Vinod Thourani3 ABSTRACT Objective: The optimal level of glycemic control …

June 7, 2015

eGlycemic Management System Safely Achieves Rapid and Sustained Glycemic Control in Kidney Transplant Patients and Reduces Risk of Hypoglycemia Compared to Standard Treatment Protocols

In by Heather DelCarpini

eGlycemic Management System Safely Achieves Rapid and Sustained Glycemic Control in Kidney Transplant Patients and Reduces Risk of Hypoglycemia Compared to Standard Treatment Protocols Presentation American Diabetes Association Scientific Sessions Date June 2015 Authors Joseph Aloi,1 Raymie McFarland,2 Jadeesh Ullal,3 Melanie Mabrey,2,4 Kathy Price Ward3 Objective Management of patients with steroid-induced hyperglycemia can be difficult. Intravenous insulin infusions are generally …

December 17, 2014

Tides of Change Improving Glucometrics in a Large Multihospital Health Care System

In by Heather DelCarpini

Tides of Change: Improving Glucometrics in a Large Multihospital Health Care System Publication Journal of Diabetes Science and Technology Date December 2014 Authors Christopher Mulla,1 David Lieb,2 Raymie McFarland,3 Joseph Aloi2 Introduction This study explores the relationship between education for inpatient diabetes providers and the utilization of insulin order sets, inpatient glucometrics, and length of stay in a large health …

June 15, 2014

Hospitalization Costs, Resource Utilization, and Clinical Outcome in Patients Undergoing CABG Receiving Intensive Versus Conservative Glucose Control

In by Heather DelCarpini

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 …

May 17, 2014

Glytec eGlycemic Management System in Combination With Clinical Surveillance Reduces Hypoglycemia and Can Identify Patients at Risk of Increased Length of Stay in Hospitalized Patients With Diabetic Ketoacidosis

In by Heather DelCarpini

Glytec eGlycemic Management System in Combination With Clinical Surveillance Reduces Hypoglycemia and Can Identify Patients at Risk of Increased Length of Stay in Hospitalized Patients With Diabetic Ketoacidosis Presentation American Association of Clinical Endocrinologists Scientific & Clinical Congress Date May 2014 Authors Joseph Aloi,1 Anthony Williams,2 Robby Booth,3 Harry Hebblewhite,3 Raymie McFarland,3 Bruce Bode4 Objective Improving the quality and concomitantly …

May 2, 2008

Use of a Computerized Intravenous Insulin Algorithm Within a Nurse-Directed Protocol for Patients Undergoing Cardiovascular Surgery

In by Heather DelCarpini

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

In by Heather DelCarpini

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: …