Key result
The implementation of a Diabetes Case Management and Diabetes Resource Nurse program significantly reduced the 30-day readmission rate for hospitalized patients with diabetes from 20.1% to 17.6%.
Why the study?
Does a tiered inpatient diabetes care delivery model including case management and a Diabetes Resource Nurse program reduce 30-day readmission rates in inpatients with diabetes mellitus?
Observational (n=66,518)
No
Does a tiered inpatient diabetes care delivery model including case management and a Diabetes Resource Nurse program reduce 30-day readmission rates in inpatients with diabetes mellitus?
Absolute Event Rate: 17.6% vs 20.1%
p-value: p=<0.0001
Implementing a tiered inpatient diabetes care model with dedicated diabetes educators and resource nurses significantly reduces 30-day readmission rates.
May support diabetes educator integration in care teams; leaves open need for prospective trials before practice change.
AIMS: Patients with diabetes have higher readmission rates than those without diabetes, yet limited data on efforts to reduce their readmissions are available. We describe a novel model of inpatient diabetes care, expanding the role of diabetes educators to include case management, and establishment of a Diabetes Resource Nurse program, aimed at increasing the knowledge of staff nurses, and evaluate the impact of this program on readmission rates. METHODS: We performed retrospective analysis of 30-day readmission rates of patients with diabetes before (July 2010-December 2011), and after (January 2012-June 2013) starting the implementation of this tiered inpatient diabetes care delivery model. RESULTS: < 0.0001). Patients seen by diabetes educators had the lowest 30-day readmission rates (∼15% during the whole study), a rate approaching the overall hospital readmission rates in those without diabetes in our institution. CONCLUSION: The Diabetes Resource Nurse program is effective in decreasing readmission rates. Patients seen by the diabetes educators have the lowest rates of readmission.
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Drincic et al. (2017) conducted an observational in Diabetes mellitus (n=66,518). Diabetes Case Management and Diabetes Resource Nurse program vs. Usual care (pre-intervention period) was evaluated on 30-day readmission rate for patients with diabetes (p=<0.0001). The implementation of a Diabetes Case Management and Diabetes Resource Nurse program significantly reduced the 30-day readmission rate for hospitalized patients with diabetes from 20.1% to 17.6%.
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