1. A Formalized Patient Education Program for New Onset Diabetes 3NE/SW and 6NE Nurses R.D.’s in Food and Nutrition Dept. Theresa Pavone, MSN Rita Vercruysse, RN,MPH, Medicine Case Manager

2. Opportunity Statement Diabetes Mellitus, primarily Type 2, affects greater than 12% of the adults in the United States and has become increasingly more common over the past decade The majority of patients admitted to the hospital with a diagnosis of new onset diabetes are unaware of having the disease

3. Opportunity Statement and Goal Review of literature indicates adults with new onset diabetes would benefit from documented patient education and discharge plan in their medical records, dietician consultation and glucose meter instruction Goal: All general medicine patients admitted to LUHS with new onset diabetes will have formalized education, documented discharge plan and access to a glucose meter

4. Most Likely Causes for Current Opportunity No inpatient Certified Diabetes Educator since 2000 No formalized education plan No documented discharge plan Inconsistent documentation of diabetes education by nurses Glucose meters not made available to patients at discharge

5. Solutions Implemented Established a nursing Diabetes Education Committee which allowed nurses an opportunity to advance in the clinical ladder Educated nurses on caring for new onset diabetes,glucose meter,educational materials and documentation in LUCI Provided written information and resources for patients Supplied and instructed patients on glucose meter prior to discharge

6. Solutions Implemented Developed performance objectives for glucose meter education Scheduled patients to see a dietician prior to discharge Scheduled patients to follow up with primary care physician within one week of discharge Scheduled and referred patients to outpatient Certified Diabetes educator and Dietician

7. Results and Data Analysis In 2002, 11 out of 30 charts were reviewed In 2003, 36 out of 36 charts were reviewed

13. Conclusions From 2000-2002 there was no formalized education for medicine patients diagnosed with new onset diabetes In 2003, patients received a glucose meter, written educational information and a dietician consult 100% of the time All patients followed up with their physician within 1-2 weeks, with 75% seeing their physician within one week Average length of stay in 2003 was decreased from 3.45 days to 2.3 days due to formal education

14. Next Steps Standardize diabetes education for all inpatient nurses Design a standardized patient education binder for both inpatient, outpatient and homecare patients Update diabetes education materials and put information on the Patient Education website Develop PIE note for diabetes education documentation

15. Next Steps Incorporate educational materials and documentation into EPIC Increase number of patients seen by outpatient Certified Diabetes Educator and Dietician Encourage all inpatients units to have glucose meters available for patients at discharge Include glucose meters as part of nursing orientation