Universität zu Köln

Roehling, Martin, Redaelli, Marcus, Simic, Dusan, Lorrek, Kristina, Samel, Christina, Schneider, Paul, Kempf, Kerstin, Stock, Stephanie and Martin, Stephan (2019). TeDia - A Telemedicine-Based Treatment Model for Inpatient and Interprofessional Diabetes Care. Diabetes Metab. Syndr. Obes., 12. S. 2479 - 2488. ALBANY: DOVE MEDICAL PRESS LTD. ISSN 1178-7007

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Abstract

Introduction: The proportion of hospitalized patients with diabetes as a secondary diagnosis increases continuously. Therefore, we have developed a team-based interprofessional and telemedicine-based diabetes management system named TeDia (Telemedical Diabetology) and implemented it in an inpatient setting. The aim of the retrospective real-world study was to show the clinical impact of TeDia following its implementation. Material and methods: TeDia is characterized by an interpersonal and telemedicine-based exchange of hospital routine data between specially trained nurses (diabetes managers) and external diabetologists. It was implemented in three acute hospitals of the Dusseldorf Catholic Hospital Group in Dusseldorf, Germany. Clinical awareness of diabetes, diabetesrelated complications and diagnosis-related group (DRG)-based revenues were analyzed using ICD routine coding. Furthermore, the frequency of HbAlc determinations as well as hospitalization days were investigated. Results: Before (2010), during (2012) and after the implementation of TeDia (2014), the number of patients with ICD coding for diabetes, decompensated diabetes, diabetic neuropathy, diabetic nephropathy as well as complicated diabetes increased by +18%, +93%, +101%, +113% and +89%, respectively. Using the same DRG grouper, revenues increased by +53% (from 27 (2013) to 42 (2014) DRG points). Frequency of HbAlc determinations rose by +85%, whereas the time for an average length of stay decreased by -12% (-0, 91 days) in comparison to patients without diabetes. Conclusion: TeDia improved clinical awareness for diabetes and its complications. This new treatment model increased revenues and reduced hospital days indicating enhanced treatment quality. Our findings emphasize the necessity of novel technologies in inpatient settings for the improvement of efficacy, safety and efficiency of diabetes care.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Roehling, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Redaelli, Marcus UNSPECIFIED UNSPECIFIED UNSPECIFIED Simic, Dusan UNSPECIFIED UNSPECIFIED UNSPECIFIED Lorrek, Kristina UNSPECIFIED UNSPECIFIED UNSPECIFIED Samel, Christina UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneider, Paul UNSPECIFIED UNSPECIFIED UNSPECIFIED Kempf, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Martin, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-160127
DOI:	10.2147/DMSO.S229933
Journal or Publication Title:	Diabetes Metab. Syndr. Obes.
Volume:	12
Page Range:	S. 2479 - 2488
Date:	2019
Publisher:	DOVE MEDICAL PRESS LTD
Place of Publication:	ALBANY
ISSN:	1178-7007
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language NURSE PRACTITIONERS; MANAGEMENT; MELLITUS; INTERVENTIONS; HYPERGLYCEMIA; MORTALITY; HOSPITALIZATION; POPULATIONS; PREVALENCE; OUTCOMES Multiple languages Endocrinology & Metabolism Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/16012