CMS Readiness Assessment Form Page - Monarch Medical Technologies

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Is your hospital ready for mandatory CMS reporting on inpatient glycemic safety? → Find out by taking our CMS Glycemic Safety Readiness Assessment.

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CMS Glycemic Safety Readiness Assessment

Answer the questions below to understand how your current insulin workflows, governance, and data visibility align with CMS glycemic safety reporting expectations.

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Hospital

Domain 1: Governance & Ownership

How is inpatient glycemic safety owned today?*

No formal ownership; managed at the unit or provider level

Informal ownership within a single function

Shared ownership across quality, nursing, and clinical leadership

Formal governance with defined accountability and review at C suite and/or board level

How often are severe glycemic events reviewed at an organizational level?*

Reactive – Events are reviewed only if escalated, reported, or tied to an adverse outcome

Case-based – Events are reviewed individually after the fact, without a standardized process

Structured – Events are routinely reviewed in quality, safety, or governance forums

Proactive & system-driven – Events are continuously monitored, trended, and used to drive system-level improvement.

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Domain 1 Score

Domain 2: Insulin Dosing Standards

Which best describes your hospital’s adherence to ADA dosing guidelines for subcutaneous insulin?*

Primarily sliding scale

Use of some standardized protocols (weight-based)

Use of basal-bolus-correction evidence-based protocol (including EHR based calculations)

Patient-specific decision support that factors in multiple patient characteristics for dosing including renal function, use of steroids etc.

How consistent are insulin workflows across units and shifts?*

Highly variable

Some consistency, frequent exceptions

Mostly consistent with defined standards

Consistent and designed to minimize variability

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Domain 2 Score

Domain 3: Workflow Reliability

How much manual effort is required to execute insulin workflows?*

High manual burden with frequent provider queries

Moderate manual steps with some safeguards

Mostly streamlined with limited provider intervention

Highly reliable workflows and dosing adjustments designed to reduce cognitive burden

Where do breakdowns most often occur?*

Multiple points across the workflow

Dose calculation or adjustment

Monitoring, documentation, or follow-up

Breakdowns are uncommon or proactively addressed

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Domain 3 Score

Domain 4: Data Visibility & Reporting Confidence

How confident are you in identifying CMS-reportable severe glycemic events?*

Low confidence; relies on manual review

Moderate confidence; partial electronic visibility

High confidence; consistent electronic capture

Very high confidence; CMS-aligned logic and trending

Can leaders assess glycemic safety performance across the organization?*

No centralized visibility

Limited or unit-level visibility

Facility-level dashboards

System-wide visibility with trend analysis

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Domain 4 Score

Domain 5: Organizational Alignment & Confidence

How aligned are stakeholders on CMS glycemic safety requirements?*

Limited shared understanding

Awareness varies by role

Broad alignment with minor gaps (glycemic steering committee)

Strong alignment with coordinated action (ex: glycemic steering committee with reporting responsibilities into senior leadership)

Which best describes your organization today?*

Reacting to events as they occur

Reviewing performance retrospectively

Actively monitoring trends

Proactively managing glycemic safety risk (focused on continuous improvement)

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Domain 5 Score

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Your Total Readiness Score

Readiness Score Bands

🟡 Foundational Readiness (0–49)

Early-stage readiness during active CMS reporting

🟠 Developing Readiness (50–74)

Key elements in place, with opportunities to strengthen consistency and visibility

🟢 Established Readiness (75–100)

Strong system-level practices aligned with CMS reporting expectations

Your Total Readiness Score

: 🟡 Foundational Readiness (0–49)

Your Total Readiness Score

: 🟠 Developing Readiness (50–74)

Your Total Readiness Score

: 🟢 Established Readiness (75–100)

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Why EndoTool
About EndoTool
Integrations
Implementation
Support
Customer Outcomes

Resources

Clinical Evidence
eBooks and How-to Guides
Whitepapers and Research
CMS Glycemic Readiness Hub
Customer Stories
Webinars
Blog

Our company

About us
Careers

Get in touch

See it in action
Contact Us
877-349-4582

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