DFM 2016-2017 Annual Report

A N N U A L R E P O R T 2 0 1 6 - 1 7
SHC Early Discharge Project
The South Health Campus (SHC) Hospitalists worked with multidisciplinary team members to develop and
implement a new discharge model. A number of improvement cycles were conducted to streamline the
admission to discharge pathway to improve timely discharges and mitigate the challenges experienced as a
result of high capacity.
Discharge planning education, launch of Discharge Education Resource Tool Kit and the Patient Discharge by
10am poster occurred and it is anticipated that these activities will result in increased numbers of patients
discharged by 10am.
Glycemic Optimization (GO) Project
The aim of this project is to improve quality of patient care through
glycemic optimization. Working closely with the Diabetes, Obesity and Nutrition
SCN, interventions such as multidisciplinary education resources, revised order
sets, improved diabetes tracking tools, Hospitalist diabetes data collection, and
case studies were developed.
Background
One in five patients admitted to
medical inpatient units have diabetes
Hyperglycemia is associated with
morbidity and mortality
Diabetic patients admitted to the
hospitalist program were spending
35% of their admission days in a
hyperglycemic state
Diabetic patients have a length of stay
two days longer than patients without
diabetes
Basal Bolus Insulin Therapy (BBIT) is
recommended by best practice
guidelines
Preliminary results include the
statistically significant results of an
increase of BBIT ordered from 27% to
40% and a decrease in
hyperglycemia days > 14 from 35% to
33%. Patient’s length of stay has
seen an overall 14% reduction since
the implementation of the GO Project
Page 14