2911-LB: Barriers to Implementing ADA Standards in Caring for People with Diabetes in Inpatient Settings Identified in Leapfrog/ADA Collaborative Recognition Program

Introduction and Objective: Many hospitals do not meet the ADA standards for managing diabetes. This can lead to increased risk of harm for people living with diabetes when hospitalized. The Leapfrog/ADA Recognized Leader in Caring for People Living with Diabetes (RLCPD) program aims to recognize hospitals that meet ADA’s standards and achieve Leapfrog’s standards in medication safety. Methods: The RLCPD 2024 and 2025 hospital self-reported data were collated and analyzed using pareto charts to summarize major barriers to implementing relevant ADA inpatient standards. Results: There were 114 hospitals that participated in the RLCPD recognition program in the two-year period. The major barriers to meeting the ADA Standards were development of safety policies/protocols for managing insulin administration, management of high-risk patients with multiple comorbidities, and addressing additional risk factors from surgeries, highlighted in Figure 1. Conclusion: Identifying and addressing common barriers to adopting ADA national standards in hospital settings can improve patient safety and quality outcomes. The RLCPD program, through an improvement learning collaborative, is working with hospitals nationally to address these common barriers and ensure a safe inpatient experience for individuals living with diabetes.