title: Relationship Between Standardized Glycemic Protocols and Healthcare Cost.
abstract: Rising healthcare costs and the management of diabetes are financially straining to healthcare organizations. The study purpose was to examine whether a direct relationship existed between the cost of hospitalization, length of stay, excess admission days, and discharge blood glucose (DC-BG) levels and utilizing a standardized glycemic protocol. A retrospective cohort analysis was conducted of adult diabetes mellitus type 2 (DM-2) patients' pre-diabetic protocol (January 1, 2011-December 31, 2011) and post-diabetic protocol (August 1, 2012-October 31, 2012). The sample included DM-2 inpatients aged ≥ 18 years admitted without complications and/or with abnormal fasting blood glucose. Pre-protocol sample comprised n = 346 subjects and post-protocol sample comprised n = 149 subjects. Patients who received the diabetic protocol in 2012 experienced a decrease in the DC-BG (p < .05) and decrease in excess admission days (p < .05). Evidence supports that utilizing a standardized glycemic protocol improves glycemic control and reduces healthcare cost.
authors.affiliation: Center on Aging and the Life Course, Purdue University, West Lafayette, IN, USA.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Coto
authors.affiliation: Center on Aging and the Life Course, Purdue University, West Lafayette, IN, USA Regenstrief Center for Healthcare Engineering, Purdue University, West Lafayette, IN, USA kyehle@purdue.edu.
authors.forename: Karen S
authors.initials: KS
authors.lastname: Yehle
authors.affiliation: Center on Aging and the Life Course, Purdue University, West Lafayette, IN, USA.
authors.forename: Karen J
authors.initials: KJ
authors.lastname: Foli
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000191:economics / Q000628:therapy*; D055317:Evidence-Based Practice / Q000379:methods; D005260:Female; D017048:Health Care Costs; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D012189:Retrospective Studies
chemical_list: D001786:Blood Glucose
keywords: cost; diabetes mellitus type 2; healthcare