title: Implementation of a pharmacist-led, multidisciplinary diabetes management team.
abstract: OBJECTIVE
  The development, implementation, and evaluation of a pharmacist-led, multidisciplinary diabetes management team (DMT) at a 564-bed medical center in Jackson, Mississippi, are described.
  
  
  CONCLUSIONS
  The overwhelming prevalence of diabetes in Mississippi has a major impact on the state's health care system. Mississippi Baptist Health Systems (MBHS) developed a consultation-driven DMT in November 2008. The DMT embraced the multidisciplinary approach by uniting pharmacists, physicians, and other health care providers to optimize the care of patients with diabetes. The DMT initially focused on patients undergoing coronary artery bypass graft (CABG) surgery but also manages patients with a variety of causes of hyperglycemia. To evaluate the success of the DMT, postoperative serum blood glucose levels were collected from January 2008 through December 2010 for patients undergoing CABG at MBHS before and after the implementation of the DMT. The primary outcome was the number of patients with serum blood glucose concentrations exceeding 200 mg/dL. Secondary outcomes measured included the rates of sternal surgical-site infection and the frequency of hypoglycemia.
  
  
  CONCLUSIONS
  Implementation of a pharmacist-led, multidisciplinary DMT helped to achieve intensive glycemic control in CABG patients and decrease the rate of infection.
authors: Pharmacy Practice, University of Mississippi Medical Center, Jackson, MS, USA.
authors: Laurie
authors: L
authors: Warrington
authors: Phil
authors: P
authors: Ayers
authors: Anna Marie
authors: AM
authors: Baldwin
authors: Virginia
authors: V
authors: Wallace
authors: Krista D
authors: KD
authors: Riche
authors: Robert
authors: R
authors: Saulters
authors: Oliver Grey
authors: OG
authors: Waldrop
authors: Teri
authors: T
authors: Dyess
authors: Gordon Bart
authors: GB
authors: Delashmet
authors: Samuel
authors: S
authors: Peeples
authors: W Stewart
authors: WS
authors: Horsley
authors: William J
authors: WJ
authors: Harris
authors: Kenneth
authors: K
authors: Butler
mesh_terms: D000046:Academic Medical Centers / Q000639:trends; D001786:Blood Glucose / Q000187:drug effects / Q000378:metabolism; D003920:Diabetes Mellitus / Q000097:blood / Q000453:epidemiology / Q000628:therapy*; D006282:Health Personnel / Q000639:trends*; D006801:Humans; D007328:Insulin / Q000494:pharmacology / Q000627:therapeutic use; D007857:Leadership; D008922:Mississippi / Q000453:epidemiology; D010348:Patient Care Team / Q000639:trends*; D010595:Pharmacists / Q000639:trends*
chemical_list: D001786:Blood Glucose; D007328:Insulin