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{"sheet":"Glycemic Management","index":0,"n_rows":38,"n_cols":36,"rows_kept":38,"cut":false,"hidden":false,"merged":[[37,2,37,17],[0,1,3,1],[4,0,4,20],[10,0,20,0],[27,2,27,33]]}
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["In the section below, please enter a \"y,\" \"n\" or \"n/a\" for each patient being tracked to indicate if the following elements were completed. "]
["Dates being tracked: ","Please enter the current period being tracked here:"]
["Element","Best Practice","Patient Sample"]
[null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,"Total","Percentage"]
["Patient ID# (optional)",null,"ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE"]
["Diabetes management team","If available, patient receives consultations with the inpatient diabetes management team (experts), including a physician (hospitalist or endocrinologist), pharmacist, RN, registered dietitian and/or diabetes educator (CDE)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C10:AF10,\"y\")","v":0},{"$f":"IFERROR(AG10/(AG10+AI10),\"0\")","v":"0"},{"$f":"COUNTIF(C10:AF10,\"n\")","v":0},{"$f":"COUNTIF(C10:AF10,\"n\")","v":0}]
["Glucose management","Blood glucose monitoring is performed:\n• before meals for patients who are eating;\n• every four to six hours for patients who are not eating; and\n• every 30 minutes to two hours for patients receiving intravenous insulin.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C11:AF11,\"y\")","v":0},{"$f":"IFERROR(AG11/(AG11+AI11),\"0\")","v":"0"},{"$f":"COUNTIF(C11:AF11,\"n\")","v":0},{"$f":"COUNTIF(C11:AF11,\"n\")","v":0}]
[null,"Glycated hemoglobin (HbA1c) measurement is obtained within 60 to 90 days of admission and available in EHR to help guide inpatient and especially discharge management",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Insulin POC test performed immediately before meal ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Diet order as per glycemic management protocol ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Carb counting protocol in place",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Patient receives a dose of subcutaneous basal insulin two hours before the intravenous infusion is discontinued",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Insulin protocols/basal level is reassessed immediately following any hypoglycemic or hyperglycemic episodes (as defined by hospital)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Standardized order set for insulin infusion in ICU",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Basal insulin not held for brief NPO status",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Nutrition consult is obtained as needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"CDE consult is obtained as needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
["Discharge planning","Diabetes medication management protocols are resumed at discharge for patients with acceptable preadmission glycemic control and a blood sugar within range",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Transition to oral agents ideally is resumed one to two days prior to discharge; if not, a more detailed titration and management plan is put in place at discharge",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"If needed, new insulin regimen instituted at least one day prior to discharge to allow assessment of the efficacy of the transition",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"A follow-up visit with the primary care provider or endocrinologist is scheduled within seven days of discharge or sooner depending on titration and stability of blood sugars",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Referral to visiting nurse made if needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Referral to outpatient CDE made if needed",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
["Education","Patient and care partner are educated as standard practice using the teach-back method on:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C28:AF28,\"n\")","v":0},{"$f":"COUNTIF(C28:AF28,\"n\")","v":0}]
[null,"Diagnosis",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Proper medication administration and storage",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Self-monitoring of blood glucose, explanation of home blood glucose goals and when to call the provider for help",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Identifying healthcare provider who will provide diabetes care after discharge",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Definition, recognition, treatment and prevention of hyperglycemia and hypoglycemia",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Information on the importance of consistent nutrition habits",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Sick-day management",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Proper use and disposal of needles and syringes (if required)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Equipment, supplies or home care support services (if needed)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",{"$f":"COUNTIF(C37:AF37,\"n\")","v":0},0]
[null,"\n","This material was prepared by the Healthcare Association of New York State, Inc., a Hospital Quality Improvement Contractor under contract with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. 12SOW/EQIC/HQIC-0023-12/09/22"]