The strategies required to mitigate the increasing health care costs of the diabetics, and resources available along with safe, efficient, and quality of care for the patients. Reducing the rates of readmission can significantly lead to the efficiency of hospital economic resources as well. It will reduce the health care costs and burden of diseases. The risk of readmission can be reduced by inpatient education, complete guidelines of the discharge instructions, specialty care, patient and nurse coordination of care practices, and post-discharge adherence to guidelines (Rubin, 2015). In-patient diabetes care compliance has been reported to have low readmissions within 30 days of discharge, low-cost expenditures for the individual and health care system, and reduced hospital stay as well (Bansal et al., 2018).
The Center of Medicare and Medicaid Services implements certain initiatives of avoiding readmission using a reward and penalties system to improve readmission rate to the minimum (Mandel et al., 2019). The nurse role in diabetes care can be expanded by incorporating diabetes educator’s case management. The resources establishment for the diabetes resource program can provide highly skilled and educated nurses with an evidence-based approach towards diabetes and its complications. The application of this educating strategy has been found to reduce the hospital admission rate of diabetics frequently (Drincic et al., 2017).
Diabetes self-management education (DSME) is a national program implemented to facilitate the skills, knowledge, and abilities of the nurses in diabetes care. It ensures the decision-making ability, self-care behavior, and active collaboration with the health care providers to improve the clinical outcomes of the patient’s health and quality health (Funnell et al., 2008). American Diabetes Association (ADA) has a set of guidelines for preventing initial diabetes to go into chronic complications. State boards of nursing are responsible for making guidelines for ensuring safe nursing practices and protect public health. The US laws in every state implement laws for Nursing Practice Act (NPA). The self-management and education programs are critical in education awareness and preventing acute complications and can reduce the risk of long-term complications.
Standards for Medical Care in Diabetes are the standards of care that provide the health care workers, clinicians, nurses, physicians, and policymakers for making general treatment goals as well as the quality of care. It includes screening, diagnosis, and therapeutic guidelines. These guidelines are also cost-effective and provide patient-centered health outcomes (American Diabetes Association, 2019).
The self-management strategy and education program have been found to help manage hyperglycemia, postprandial glucose concentration, weight management, and cholesterol level. It has also evidently proved to be cost-effective and reduces economic expenditures as well as the readmission rate of the hospitals (Vas et al., 2019; Chatterjee et al., 2018). The ADA provided recommendations of the insulin infusion and administration guidelines to provide efficient and quality care in the hospital settings (American Diabetes Association, 2019).
These policies, guidelines, and programs have been practiced in hospital care settings. The adherence to the guidelines and standards will provide a better understanding of the necessary health measures for diabetes care. It is comprehensive in the analysis of the Insulin infusion rate that is often mismanaged at the hospital care settings including in one of the most reported medication errors. The insulin infusion is necessary for patients with diabetes type 2. These guidelines promote individual patient care that is a key to ensure patient-centered care practices. The Glycemic Trageet Control can comprehensively analyze hyperglycemia and the respective managemental requirements. The overall practice of the standards and general guidelines of the policies of diabetes and its education programs will enhance the practice benefits as well as ensure safe, efficient, and quality health provisions.
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