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Glycemic Control

Organizations typically choose to focus on glycemic control for these reasons:

  • It’s a common challenge. Epidemiologic studies show that glycemic control in hospitals is inadequate. Up to 40% of inpatients have blood glucose levels outside of recommended ranges.
  • It affects patient outcomes. Poor glycemic control is linked to increased morbidity and mortality. Hyperglycemia contributes to increased infection risk, poor wound healing, hypotension, and impaired renal function and immune response; hypoglycemia can cause serious neurologic and heart problems.
  • It affects a hospital’s bottom line. Improving inpatient glycemic control can reduce expensive complications, shorten hospital stays, improve reimbursements, and increase revenues with appropriate payment for care provided and resources expended.

The Glycemic Control in the Hospital Analytic Accelerator supports a disciplined, data-driven approach to assessment and care of dysglycemia in hospitalized patients. Typical implementations focus on early assessment for blood glucose problems, standardized inpatient monitoring and care, and care transitions.

Glycemic Control Benefits and Features

Access meaningful views of quality of care and its impact.

The application dashboard summarizes perioperative glucose measurements and outcome metrics related to glucose management. It can also present average glucose measurements, time to insulin, time to euglycemia, and incidence of hypoglycemic events.

Focus your team on what matters most.

Outcome metrics typically include mortality, 30-day readmission, LOS, ICU LOS, and cost per case. Typical process metrics include compliance with standard monitoring and care practices and percentage of patients whose care transitions met all elements of appropriate checklist or protocol. The result? Your team understands the priorities, helps reduce variation, and can solve problems that stand in the way of improvement.

Do more than monitor: understand.

Detailed analytics provide dynamic data exploration, real-time filtering, and drill-down to patient-level detail. A Pre-op tab identifies HbA1c averages for patients with diabetes, identifies patients at risk for diabetes or prediabetes, and tracks glucose testing rates based on patient risk factors—enriching your understanding of your patients and the appropriateness of the care they receive.

Compare and contrast.

A Compare tab lets you review patient and care variables—demographics, variation in care, performance in different units, etc.—to determine what’s working and not working to improve outcomes. This feature also allows you to gauge the ROI of improvement work in particular areas: what could you achieve if every unit and provider standardized to match your best performance?