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5 Tips to Build a Winning Business Case for Patient-Specific Insulin Dosing Software

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Paul Chidester, MD

Chief Medical Officer, Monarch Medical Technologies

When clinicians ask me, “How do we move beyond standard insulin protocols and implement a glycemic management software solution without getting stuck in committee?” My answer is simple: pair clinical impact with financial clarity.

Below are five practical tips I’ve seen work, from ICU charge nurses to CMIOs building CFO-ready proposals. We’ll discuss these live during our panel on Tuesday, October 7, 2025 at 1:00 PM ET with leaders from Beacon Health, Trinity Health, VCU Health, UNC Health, and Sharp HealthCare.

Tip 1: Baseline like a CFO

Start with a clear view of your current state. Pull six months of performance for the units in scope.

Include severe hypoglycemia, hypoglycemia, hyperglycemia burden, DKA and HHS with time to resolution, LOS, and readmissions.

Compile this information with sources and data owners so finance can validate quickly.

Provide a clear, concise summary that enables senior leadership to fully understand the scope of the problem.

Tip 2: Put a price on the status quo

Translate today’s results into dollars using your hospital’s standard figures.

Convert events and excess LOS into costs. Add operational drag like overtime, throughput delays, and bed capacity constraints.

Close with a single and defensible ‘Cost of Doing Nothing’ number. This reframes the conversation from new technology expense to avoidable spend.

Tip 3: Show ranges, not hero numbers 

Executives want to see how the financial case holds under different assumptions.

Build a conservative case and stretch scenarios from credible benchmarks compared to your baseline.

For each scenario, show annual savings compared to the cost of a technology solution. If the conservative case shows a break-even quickly, you have done your job.

Tip 4: Plan for a potential implementation

Engage with key clinical stakeholders to obtain their support and commitment to implementing a technology solution.

Make the rollout tangible with clear responses to the “what ifs”.

Propose an implementation plan with clear owners, a straightforward training plan, EMR workflow checkpoints, and regular reviews of early outcomes.

Spell out what success looks like and include a contingency to reassure stakeholders.

Tip 5: Tie benefits to strategy and to the path to yes

Connect outcomes to your system’s goals. Think CMS glycemic reporting readiness, quality scorecards, capacity and LOS, and workforce efficiency.

Map the approval route so committees know what they review and when. Close with a concise ask that includes scope, investment, start date, and the first milestone you will report.

Turn Insight to Approval: Join Us Live

To hear how other industry leading health systems overcame chalallenges iin building their business, join our webinar, “What’s Poor Glycemic Control Really Costing Your Hospital?.”

We will turn these five tips into practice with real case studies from leading health systems.

You will see how teams established baselines, priced the status quo, modeled ROI with credible ranges, and navigated approvals to implement patient-specific insulin dosing.

If you are ready to implement a change for the better to see system-wide results, watch the webinar Tuesday, October 7, 2025 at 1:00 PM ET. Register now to save your spot.

About the author

Paul Chidester, MD | Chief Medical Officer, Monarch Medical Technologies

Dr. Paul Chidester is the Chief Medical Officer for Monarch Medical Technologies. After practicing for two decades as a nephrologist, he assumed a senior leadership role at Sentara Healthcare where he led the implementation of computerized insulin dosing software. He is involved with product development and customer engagement at Monarch Medical Technologies where the focus is to provide precision insulin dosing for patients. His key interest is working to further enhance this precision through the use of technologies such as CGM.

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