Glycemic Collaborative--A Multidisciplinary Team Created to Assist with Glycemic Control in an Acute Hospital Setting

The glycemic collaborative is an ongoing, multidisciplinary initiative developed to improve blood glucose management for adult hyperglycemic patients during acute inpatient hospitalization. The goals are to develop improvement strategies that will manage blood glucoses to prevent hypoglycemia (blood glucose of 40mg/dL or less) and to prevent/reduce hyperglycemic events by assisting the hospital to maintain average glucose values between 70 and 180 mg/dL. The team met monthly to review data, discuss improvements and
complete small tests of change. Over two years, there has been a decrease of hypoglycemic events in the intensive care unit, and an increase in the average glucoses between 70mg/dL and 180mg/dL in the medical/surgical and intensive care units.

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This case study is part of the Illinois Hospital Association's annual quality awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim--improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.

Award recipients achieve measurable and meaningful progress in providing care that is:

• Safe
• Timely
• Effective
• Efficient
• Equitable
• Patient-centered

(The Institute of Medicine's six aims for improvement.)