problem
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Problem. Declining referrals from inpatient to outpatient Inpatient education service discontinued Hospital staff not familiar with Joslin services. Data. Patients with Diabetes account for 30% of hospital admissions 85% of outpatient follow-ups referred by our Joslin endocrinologists - PowerPoint PPT PresentationTRANSCRIPT
Declining referrals from inpatient to outpatient
Inpatient education service discontinued Hospital staff not familiar with Joslin
services
Patients with Diabetes account for 30% of hospital admissions
85% of outpatient follow-ups referred by our Joslin endocrinologists
Endocrinology consults make up only 20% of all consults (inpatient)
Educate PCPs, Hospitalists and Nursing Diabetes Care Collaborative Team
participation Diabetes Nurse Champion on each inpatient
unit Simplify referral process Develop education DVD (potential routing
mechanism to Joslin outpatient)
Pre Average referral about 2/monthPost Average referral ranging between 10 and
16/month
The Western Pennsylvania Hospital Forbes Regional Campus DIABETES EDUCATION PRESCRIPTION NAME______________________________SSN________________________DOB____________ PHONE (H)______________________(W)_____________________(C)____________________ TYPE OF CONSULTATION: Comprehensive Diabetes Education : FBS________ HbA1C______ Group______ or Individual________ Insulin Instruction Type________ Dose_________________ Medical Nutrition Therapy/Non Diabetes Reimbursement Requirements: To meet Medicare and other insures’ regulations, please
complete all sections Diagnosis: DIABETES: TYPE 1 ____ TYPE 2 ___ GESTATIONAL ___ Obesity/Weight Management ______ Hypertension ________ Lipid Disorder______ Pre Diabetes_______ Other __________ Referral to Endocrinologist (only if specifically ordered): Dr.Rajupet____ Dr. Sharma ____ Dr. Tal _____ Current Complications: Retinopathy___ Neuropathy___ Nephropathy___ Cardiac___ Medicare provides coverage for DSMT services when a provider providers a referral certifying that DSMT
services are needed I certify that DSMT services are needed under a comprehensive plan for this patient’s diabetes care. Physician Signature_________________________________________________Date______________________ Print Physician Name__________________________________________________________________________ The Joslin Diabetes Education program has met the American Diabetes Association National Standards for
Diabetes Education Programs