Glycemic control mentored implementation: creating a national network of shared information

Area of Science:

• Quality Improvement
• Healthcare Management
• Endocrinology

Background:

• The Society of Hospital Medicine (SHM) developed the Glycemic Control Mentored Implementation (GCMI) program to enhance inpatient glycemic control.
• This program is designed for both diabetic and nondiabetic patients within hospital settings.
• It functions as an improvement collaborative, focusing on educating and mentoring hospital quality teams.

Purpose of the Study:

• To assess the effectiveness of the GCMI program in improving inpatient glycemic control.
• To evaluate the utility of mentorship and collaborative learning in quality improvement initiatives.
• To determine participant satisfaction and perceived benefits of the GCMI program.

Main Methods:

• Hospital quality improvement (QI) teams applied for GCMI participation between 2009 and 2012.
• Accepted sites received mentorship from either a hospitalist or endocrinologist.
• Utilized SHM's Implementation Guide, online resources, data tracking tools, webinars, and an interactive list-serve.

Main Results:

• 114 hospital QI teams enrolled, with 90 completing the program.
• Positive feedback highlighted the listserve, Data Center, and mentorship as most effective.
• 95% of respondents would recommend the program; participants reported improved leadership and institutional support.

Conclusions:

• The GCMI program effectively supported hospital quality teams in improving glycemic control.
• Key benefits included overcoming barriers, peer networking, data analysis, and leadership development.
• The program's structure is adaptable for other multisite quality improvement goals.