Nursing Report 10-11a.indd - Maury Regional Healthcare System

Practice & Education:Professional DevelopmentDIABETES INTERESTING FACTS:At MRMC, 28-33% of all hospitalized adultpatients have diabetes. In order to meet thechallenge of providing comprehensive care to thispopulation, an inter-professional team known asthe diabetic champions (including RNs and clinicalstaff) assembled to implement disease-specificimprovements. Using The Joint Commission diseasespecificstandards and the American DiabetesAssociation guidelines, the team, led by Donna Shedd,CDE, actively participated with Food and Nutrition,Quality Services, Pharmacy and members of themedical staff to improve care of the diabetic patient.Accomplishments include:• Development of unit-specific timeframes forobtaining finger-stick blood sugar (FSBS)• Revision of the hypoglycemia standard operatingprocedure (SOP)• Conversion to insulin pens• Publication of a new patient education booklet• Implementation of a meal tray delivery systemthat ensures meal arrival correlates with obtainingblood glucose testing and insulin administration• Development of an automated diabetes SOP(includes A1C on admission)ORTHOPEDIC INTERESTING FACTS:The bone and joint program at MRMC continues tooutperform the competition. Included in the diseasespecific care recognition by The Joint Commission,the surveyor noted zero recommendations for theprogram!The MRMC program is also designated as a BlueDistinction Center by BlueCross BlueShield for kneeand hip replacement, a designation based on quality ofcare and patient outcomes.In 2011, MRMC orthopedic patients underwent 435joint replacement surgeries. The inter-professionalteam for orthopedics consisting of orthopedicsurgeons, nurses from the surgical and nursingunits, case management and physical therapy workon innovative program improvements for patients.The team embarked on another avenue to exceed thepatient experience. The idea, A Joint Effort VolunteerProgram, pairs a MRMC volunteer who has gonethrough a joint replacement with a prospectivejoint replacement patient. The process of sharingexperiences, answering questions and general supportfor the patient receiving the replacement begins in thephysician office, continuing through surgery, hospitaland rehabilitation stay. Plans are in place to begin themodel in early 2013.Percent1009080706050403020100MRMC Percentage Compliance A1Cin Diabetes Population78.0%91.4%64.1%96.5%69.8% 71.0%1Q08 2Q08 3Q08 4Q08 1Q09 2Q09 3Q09 4Q09 1Q10 2Q10 3Q10 4Q10 1Q11 2Q11 3Q11 4Q11% diabetes pts w/A1C done % diabetes pts w/A1C done w/in 60 days (w/in 90 days Aug 11)—12—