Centers for Medicare & Medicaid Services' Hospital Harm Measures for Severe Hypoglycemia and Hyperglycemia: Is Your Hospital Ready?

Poor inpatient glycemic management is associated with increased lengths of stay and in-hospital morbidity and mortality. Improving inpatient glycemic outcomes can be difficult because there are no standardized benchmarks, and many hospitals lack the capacity to electronically extract and analyze glu...

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Bibliographic Details
Published in:Diabetes spectrum 2022-01, Vol.35 (4), p.391-397
Main Authors: Khan, Sara Atiq, Zilbermint, Mihail
Format: Article
Language:English
Subjects:
Diabetes
From Research to Practice
Glucose monitoring
Hospitals
Hyperglycemia
Hypoglycemia
Inpatient care
Medicaid
Medicare
Morbidity
Nursing care
Patient safety
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Summary:Poor inpatient glycemic management is associated with increased lengths of stay and in-hospital morbidity and mortality. Improving inpatient glycemic outcomes can be difficult because there are no standardized benchmarks, and many hospitals lack the capacity to electronically extract and analyze glucose data. The Centers for Medicare & Medicaid Services recently proposed new electronic clinical quality measures to be incorporated into its mandatory Hospital Inpatient Quality Reporting Program. Among these measures is an assessment of hospital harm from severe hypoglycemia and severe hyperglycemia. Hospitals must be ready to collect the necessary data for these new measures by January 2023. The new measures could bring welcome attention to the need to implement guideline-based inpatient glycemic management. However, some hospitals that serve high-risk populations may be at risk for losing funding if they are unable to comply.
ISSN:1040-9165
1944-7353
DOI:10.2337/dsi22-0008