TY - JOUR
T1 - The Financial Impact of an Inpatient Diabetes Management Service
AU - Haque, Waqas Zia
AU - Demidowich, Andrew Paul
AU - Sidhaye, Aniket
AU - Golden, Sherita Hill
AU - Zilbermint, Mihail
N1 - Funding Information:
We would like to thank Blair Anton, MLIS, MS, AHIP, associate director for Information Services at William H. Welch Medical Library, Johns Hopkins University, for assistance with the literature review.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature.
PY - 2021/2
Y1 - 2021/2
N2 - Context: Diabetes is a leading metabolic disorder with a substantial cost burden, especially in inpatient settings. The complexity of inpatient glycemic management has led to the emergence of inpatient diabetes management service (IDMS), a multidisciplinary team approach to glycemic management. Objective: To review recent literature on the financial and clinical impact of IDMS in hospital settings. Methods: We searched PubMed using a combination of controlled vocabulary and keyword terms to describe the concept of IDMS and combined the search terms with a comparative effectiveness filter for costs and cost analysis developed by the National Library of Medicine. Findings: In addition to several improved clinical endpoints such as glycemic management outcomes, IDMS implementation is associated with hospital cost savings through decreased length of stay, preventing hospital readmissions, hypoglycemia reduction, and optimizing resource allocation. There are other downstream potential cost savings in long-term patient health outcomes and avoidance of litigation related to suboptimal glycemic management. Conclusion: IDMS may play an important role in helping both academic and community hospitals to improve the quality of diabetes care and reduce costs. Clinicians and policymakers can utilize existing literature to build a compelling business case for IDMS to hospital administrations and state legislatures in the era of value-based healthcare.
AB - Context: Diabetes is a leading metabolic disorder with a substantial cost burden, especially in inpatient settings. The complexity of inpatient glycemic management has led to the emergence of inpatient diabetes management service (IDMS), a multidisciplinary team approach to glycemic management. Objective: To review recent literature on the financial and clinical impact of IDMS in hospital settings. Methods: We searched PubMed using a combination of controlled vocabulary and keyword terms to describe the concept of IDMS and combined the search terms with a comparative effectiveness filter for costs and cost analysis developed by the National Library of Medicine. Findings: In addition to several improved clinical endpoints such as glycemic management outcomes, IDMS implementation is associated with hospital cost savings through decreased length of stay, preventing hospital readmissions, hypoglycemia reduction, and optimizing resource allocation. There are other downstream potential cost savings in long-term patient health outcomes and avoidance of litigation related to suboptimal glycemic management. Conclusion: IDMS may play an important role in helping both academic and community hospitals to improve the quality of diabetes care and reduce costs. Clinicians and policymakers can utilize existing literature to build a compelling business case for IDMS to hospital administrations and state legislatures in the era of value-based healthcare.
KW - Cost savings
KW - Diabetes mellitus
KW - Inpatient diabetes management service
KW - Inpatient glycemic management
KW - Interprofessional care
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U2 - 10.1007/s11892-020-01374-0
DO - 10.1007/s11892-020-01374-0
M3 - Article
C2 - 33449246
AN - SCOPUS:85099415941
SN - 1534-4827
VL - 21
JO - Current diabetes reports
JF - Current diabetes reports
IS - 2
M1 - 5
ER -