Inpatient Diabetes Coordinator; Per diem - Yale New Haven Health

Overview:To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Inpatient Diabetes Coordinator is responsible for coordinating and implementing services and activities related to the Diabetes Excellence in Care program. The Coordinator collaborates with physicians, nursing staff, educators, and allied health professionals and other key members of the health care team to optimize care and clinical outcomes. In partnership with the Diabetes Excellence in Care Program Medical Director, the Coordinator promotes evidence-based, person-centered care through use of guidelines and order sets. The Inpatient Diabetes Coordinator participates in program development as it relates to inpatient diabetes and glycemic management standards of care. This includes, but is not limited to, staff education, direct patient and family education and support, and community education. Key accountabilities also include, in collaboration with the Diabetes Excellence in Care Program Medical Director, program planning, identifying opportunities for improvement, and the design and implementation of performance improvement projects. The Inpatient Diabetes Coordinator monitors quality standards including data management of key quality indicators. The Coordinator is in a leadership role, directing the evaluation of program outcomes as guided by Joint Commission certification standards. The Inpatient Diabetes Coordinator collaborates with the Diabetes Care and Education Specialists (CDCES), Endocrinology, and Pharmacy within YNHH utilizing patient-centered evidence-based care to support better outcomes/population health, improved patient experience and positive fiscal impact.The Inpatient Diabetes Coordinator manages the Point of Care (POC) glucose meter program, including initial and annual staff competency, hardware maintenance, and database maintenance as part of the YNHH POC Coordinator group.

EEO/AA/Disability/VeteranResponsibilities:

• 1. Plays an integral role in the Diabetes Excellence in Care Program management and Joint Commission Advanced Disease Specific Certification for Inpatient Diabetes Management.1.1.Is knowledgeable regarding Joint Commission standards for the certification program, communicates standards and apprises the Diabetes Excellence in Care Core Team and other stakeholders of new or revised standards or professional guidelines (ADA, ACE) that may impact the program.1.2.Conducts periodic assessments of standards compliance and develops action plans in conjunction with Diabetes Excellence in Care Core Team.1.3.Completes and submits the bi-annual certification application and the annual intra-cycle requirements, including the Diabetes Excellence in Care program?s Performance Improvement plan and Performance Measures Data Report.1.4.Coordinates the Joint Commission survey activities prior, during and post-certification, including any requirements for improvement.1.5.Identifies and maintains current reference and resource materials as well as documentation related to Joint Commission Certification requirements.
• 2. Collaborates with the Diabetes Excellence in Care Program Medical Director and the Diabetes Core Team to establish the structure and processes for delivering and facilitating care the optimizes patient outcomes.2.1.Utilizes Joint Commission certification standards and evidence-based practice guidelines to develop glycemic management order sets, policies, and standard operating procedures for inpatient diabetes and glycemic management.2.2.Conducts concurrent review and glycemic stewardship to evaluate the care provided and any opportunities for improvement. In conjunction with these activities, provides feedback to providers, staff and managers.2.3.Participates in educational opportunities to enhance diabetes and glycemic management knowledge and professional development.2.4.Facilitates monthly Diabetes Excellence in Care Program Core Team meeting; develops and maintains associated meeting documentation2.5.Facilitates the collaborative design, implementation and evaluation of the program to meet the needs of the population.
• 3. Responsible for the coordination, management and analysis of process and outcome measurement data and comparative data for patients with diabetes and/or hyperglycemia during hospital admission. Utilizes information to improve care.3.1.Collects data via chart review, system reports and Diabetes Population Health list to identify monthly diabetes population list.3.2.Validates data and reports from YNHH JDAT and identifies missed opportunities on the individual and aggregate basis.3.3.Responsible for data integrity of Joint Commission metrics selected and approved by the Diabetes Excellence in Care Program Core Team.3.4.Provides performance feedback on an individual basis and in the aggregate to various stakeholders and reports up to Quality Council. Communicates performance data through multiple formats as needed (Medical Staff newsletter, Netpresenter, dashboards, etc.)3.5.Communicates changes in measure requirements by regulatory and certification bodies (TJC).3.6.Prioritizes improvement initiatives in conjunction with program leadership and facilitates performance improvement projects as needed.3.7.Utilizes performance improvement methodologies (PDCA, Lean, etc) and tools in designing, implementing, and evaluating performance. Employs health data analytic tools and methods to analyze and display data to foster data-driven decision-making.
• 4. Supports diabetes and related education initiatives for patients, staff, and the community to support information related to diagnostic criteria, complication risk reduction and management in the care of patients with diabetes.4.1.Performs concurrent chart reviews to support care of patients with diabetes based on American Diabetes Association Standards of Care for hospitalized patients with diabetes. Supports staff education of patients with diabetes and their families. 4.2.Collaborates with multidisciplinary team to provide management and education to patients with diabetes admitted to the hospital regardless of primary/admitting diagnosis. Provides direct patient diabetes self-management education per consults and assessed patient needs.4.3.Collaborates with Education and Nurse/Department Managers to develop and provide educational programs and opportunities to meet the learning needs of staff. Collaborates with Education and Managers to support staff competency.4.4.Collaborates with Community Health at Greenwich Hospital on providing education programs for the community on an ad hoc basis.4.5.Coach and mentor staff on providing diabetes self-management education to patients and families through various methodologies ( i.e., one-on-one, new nurse orientation, Nurse Residency Program, computer-based diabetes modules, etc.)4.6.Interacts with and contributes to the professional development of peers and colleagues. Shares knowledge and skills with peers and colleagues as evidenced by such activities as patient care conferences or presentations at formal or informal meetings.4.7.Coordinates the development of educational and promotional materials for patients, caregivers, staff and the community.
• 5. Collaborates with peers on system-wide and national diabetes management and self-management education initiatives.5.1.Participates in Yale New Haven Health Formulary Integration Committee (FIC) Endocrine Subcommittee.5.2.Collaborates with YNHH diabetes clinical nurse specialists and diabetes care and education specialists (DCES) on process improvements and program enhancements.5.3.Collaborates with YNHH IT and national organizations (such as Elsevier) to improve, update and enhance diabetes self-management education tools for patients including nursing Plans of Care and EHR documentation on an ad hoc basis.
• 6. Responsible for the Point of Care (POC) glucose meter program.6.1.Oversees initial and annual certification of POC glucose meter users to meet regulatory standards (DOH, TJC) including collaboration with Laboratory Department, LIS and YNHHS POC Coordinators.6.2.Responsible for POC glucose meter database updates, hardware upkeep and replacement as needed.6.3.Collaborates with Materials Management to maintain current reagents to support POC glucose meter program.6.4.Participates in YNHH POC Coordinator committee providing review and approval of POC glucose meter software to maintain regulatory requirements.
• 7. Performs other duties as assigned or directed to ensure smooth operation of Diabetes Excellence in Care Program.
• 8. Maintains professional certification(s) (i.e., RDN, RN, CDCES and/or BC-ADM) to maintain and update professional knowledge and skills to support excellent service to patients, peers and colleagues.

Qualifications:

EDUCATION

B.S. degree in nursing or nutrition.

EXPERIENCE

At least 2 years of clinical experience within the past five (5) years in a hospital, out-patient program or medicalpractice which included the care and education of patients with diabetes and education of health care providers.

LICENSURE

Professional credentials: RN with current CT license or Registered Dietitian with current certification by the Commission on Dietetic Registration.Certified Diabetes Educator (CDE) by the National Certification Board for Diabetes Educators (NCBDE) and/or Board Certified-Advanced Diabetes Management (BC-ADM) preferred.

SPECIAL SKILLS

Excellent verbal and written skills/communication; ability to motivate and teach across a spectrum of positions ,clinical proficiency, strong coordination, evaluation and clinical judgment skills; ability to juggle multiple priorities ,ability to relate competently to all age groups and to patients with varied socioeconomic and ethnic backgrounds .Computer skills required. Understanding of federal, state and TJC standards and regulations.

PHYSICAL DEMAND

Must be able to speak and hear in a manner understood by others. Must be able to read standard type ,communicate by telephone/in person and stand/walk for more than half the day. Busy hospital setting. May beexposed to infectious diseases. Moderate stress from meeting schedules, documentation and regulatoryrequirements, coordinating and supervising.