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2022 CMS Changes for eCQM The 2022 final rule from CMS brings the adoption of two electronic clinical quality measures (eCQMs) for the management of inpatient diabetes in the hospital setting. This rule will standardize when and how hospitals report inpatient hyperglycemia and inpatient hypoglycemia and will directly impact how hospitals publicly rank according to these quality standards. Specifically, hospitals...

In late December, the American Diabetes Association (ADA) released the 2019 Standards of Medical Care in Diabetes. The standards, which were first introduced in 1989, have been updated every year to reflect the current state of diabetes practice. While multiple changes have been made to clarify recommendations and align with new evidence in the 2019 edition, here’s a high-level overview...

Historically, diabetes care in the hospital setting has been hard to measure for many organizations. When it comes to glucose metrics, many keep track of their hypoglycemia as “never events,” but measurement of hyperglycemia has not been as much of a priority. This, however, may be changing for hospitals across the country. Reporting glucose metrics, as part of improved medication...

At this year’s EndoTool User Group Meeting, taking place October 18th in Charlotte, North Carolina, Caroline Isbey, Associate Director Accreditation and Disease-Specific Care Certification at The Joint Commission, will be presenting on the Advanced Inpatient Diabetes Care Certification. In a Q&A with Caroline, we discuss the certification program and what attendees can plan to learn more about during her presentation...

In part 2 of this series dedicated to the Patient Safety Movement Pledge, we educated our readers on the performance gap and explained that hospitals and healthcare systems will have to take action in specific leadership, practice, and technology plans in order to predict and prevent severe hypoglycemia episodes. Below are the suggested plans. Leadership Plan Must include the fundamentals...

In part 1 and part 2 of this series, we provided answers to questions regarding the safety and improvement of inpatient glycemic control, as well as the recommended glycemic targets and how to achieve them. Today, we will explain the cost effectiveness of treatment, and the optimal strategies for the transition to outpatient care. Improving the inpatient glycemic control protocol...

In part 1 of this series, we provided answers to questions regarding the safety and improvement of inpatient glycemic control. Today, we will address recommended glycemic targets and how to achieve those targets. What glycemic targets can be recommended in different patient populations? Different glycemic targets are advised for different patient scenarios. For example, glucose targets are higher for patients...

In healthcare today, patients with diabetes are not only more likely to be hospitalized than patients without diabetes, they are also more likely to have longer durations of hospital stay. According to the American Diabetes Association, twenty-two percent of all hospital inpatient days were acquired by patients with diabetes. Hospital inpatient care accounted for half of the U.S. medical expenses...

The Society of Hospital Medicine (SHM) recognizes the importance of successful glycemic control in hospitalized patient populations as well as the unfortunate gap in best practice and standard procedures in most hospitals today. Further, it recognizes that hypoglycemia is a common outcome of current attempts to control hyperglycemia in inpatient settings. SHM provides a step-by-step guide for addressing these issues...