Concord Hospital Leverages CPOE to Improve Diabetes Care Processes

Concord (N.H.) Hospital
• 230-bed regional medical center
• 17,194 admissions
• 295 medical staff
• 2,631 employees

In an effort to assess the care it provides, the quality of diabetes management shot to the top of the priority list when several patients voiced concerns about inpatient diabetes care. The hospital's CEO and chief operating officer challenged chief medical information officer, Joel Berman, M.D., to fix the problem. Berman reached out to the hospital's technology vendor to implement a computerized physician order entry solution.

Critical Issues
• Physician acceptance of CPOE in diabetes management
• Optimal utilization of insulin
• Standardization of nurse and licensed nurse assistant training
• Glucometer docking efficiency

Results
• Obtained 80 percent physician satisfaction with CPOE/technology interactive form
• Increased use of basal insulin from about 20 percent to more than 90 percent
• Increased use of prandial insulin from 10 percent to nearly 100 percent
• 100 percent of nursing staff participated in standardized training and 100 percent passed a competency test
• Reduced glucometer docking delays by more than 60 percent

This case study was generously submitted by McKesson Corporation. Click on 'view item' below to read the entire study.