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Drincic A, Pfeffer E, Luo J, et al. The effect of diabetes case management and Diabetes Resource Nurse program on readmissions of patients with diabetes mellitus. J Clin Transl Endocrinol. 2017;8:29-34doi: 10.1016/j.jcte.2017.03.003.
Drincic, A., Pfeffer, E., Luo, J., & Goldner, W. S. (2017). The effect of diabetes case management and Diabetes Resource Nurse program on readmissions of patients with diabetes mellitus. Journal of clinical & translational endocrinology, 829-34. https://doi.org/10.1016/j.jcte.2017.03.003
Drincic, Andjela, et al. "The effect of diabetes case management and Diabetes Resource Nurse program on readmissions of patients with diabetes mellitus." Journal of clinical & translational endocrinology vol. 8 (2017): 29-34. doi: https://doi.org/10.1016/j.jcte.2017.03.003
Drincic A, Pfeffer E, Luo J, Goldner WS. The effect of diabetes case management and Diabetes Resource Nurse program on readmissions of patients with diabetes mellitus. J Clin Transl Endocrinol. 2017 Apr 08;8:29-34. doi: 10.1016/j.jcte.2017.03.003. eCollection 2017 Jun. PMID: 29067256; PMCID: PMC5651336.
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J Clin Transl Endocrinol. 2017 Apr 08;8:29-34. doi: 10.1016/j.jcte.2017.03.003. eCollection 2017 Jun.

The effect of diabetes case management and Diabetes Resource Nurse program on readmissions of patients with diabetes mellitus.

Journal of clinical & translational endocrinology

Andjela Drincic, Elisabeth Pfeffer, Jiangtao Luo, Whitney S Goldner

Affiliations

  1. University of Nebraska Medical Center, Department of Internal Medicine, Division of Diabetes, Endocrinology and Metabolism, United States.
  2. Director, Diabetes & Bariatric Services, The Nebraska Medical Center, 984100 Nebraska Medical Center, Omaha, NE 68198-4100, United States.
  3. University of Nebraska Medical Center, College of Public Health, Department of Biostatistics, United States.

PMID: 29067256 PMCID: PMC5651336 DOI: 10.1016/j.jcte.2017.03.003

Abstract

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: We analyzed 34,472 discharged patient records from the 18-month pre-intervention period, and 32,046 records from the 18-month post-intervention period. The overall 30-day readmission rate for patients with diabetes decreased significantly from 20.1% (pre) to 17.6% (post) intervention (

CONCLUSION: The Diabetes Resource Nurse program is effective in decreasing readmission rates. Patients seen by the diabetes educators have the lowest rates of readmission.

Keywords: Case management; Inpatient diabetes management; Nursing education; Readmissions

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