Diabetes excellence center initiative. Improvement of clinical care of diabetics in hospital

Approximately 25-30% of patients in regular or maximum care German hospitals have diabetes mellitus but the secondary diagnosis of diabetes is only reported in 10% of these cases. This leads to an inadequate treatment of affected patients with a poorer prognosis, extended periods of hospitalization and lost revenue. For such patients structured in-patient diabetes management is necessary comprising, among others, specific education of doctors and nurses and algorithms for therapy in various situations. The aim of this project was the development of material for internal implementation in clinics with exemplary standard operating procedures, business case models and training curriculum for a professional management of the secondary diagnosis of diabetes mellitus in hospital. This article provides a specific catalogue of appropriate recommendations for business managers, medical controllers, diabetologists and nursing directors who are schooled in a daytime workshop by members of the diabetes excellence center expert group.