Improving Surgery Outcomes for People With Diabetes
Dec. 16, 2021
People with diabetes face a number of health risks. They are more likely to develop heart, gum or kidney disease. Surgery also poses a risk.
“People with diabetes who do not have good sugar control have poorer wound healing and increased risk of infection after surgery,” said Dr. Shawn Stinson, BlueCross BlueShield of South Carolina’s senior vice president for health care innovation and improvement.
Diabetes Free SC (DFSC) recently announced a program to address this issue. The South Carolina Surgical Quality Collaborative (SCSQC) Diabetes Initiative aims to get people with diabetes, or who are at risk of diabetes, as healthy as possible before planned surgery.
What is the SCSQC?
The SCSQC is funded by the BlueCross BlueShield of South Carolina Foundation. The goal is to have hospitals share information to improve surgical outcomes. Eight hospitals were part of the initial program in 2015.
“Through this program, we were able to identify areas of improvement opportunities at participating hospitals,” Stinson said. “The data was taken from the surgeons’ records, so it was trusted data for them. This data was then shared with the SCSQC.”
Four hospitals have committed to the new diabetes program:
- McLeod Medical Center, Florence
- Medical University Hospital, Charleston
- Piedmont Medical Center, Rock Hill
- Regional Medical Center, Orangeburg
Why focus on patients with diabetes?
“People with diabetes are more likely to need surgery. Their underlying conditions, which often are undetected, can negatively impact surgical outcomes and recovery. Careful preadmission evaluation and planning, which we call ‘pre-habilitation,’ can greatly reduce these risks,” said Dr. Timothy Lyons, executive medical director of DFSC.
Support from DFSC will allow participating hospitals to enlist teams focused on diabetes control before, during and after surgery. These teams will work with the patients’ existing medical teams.
“It was a natural next step to introduce diabetes control to the collaborative,” Stinson said. “If we are really going to make an impact on surgical outcomes, we need to focus on diabetes. Poor sugar control leading up to surgery plays a key role in reducing wound healing and increasing infection rates.”
Individual care for improved outcomes
Each patient has his or her own pre-habilitation needs. Care will be adapted for each patient. For example, rural patients will have access to telehealth services. Some goals are the same for everyone. Controlling blood sugar and addressing complications and existing health conditions will be part of each patient’s care plan.
“Proper diabetes management is a lifelong need that is not limited to the time of surgery. Therefore, pre-habilitation will include an evaluation of long-term needs, home and social support systems, and psychological well-being,” Lyons said.
This level of care is designed to improve surgical outcomes for people with diabetes and prediabetes. The goal is to help each patient understand diabetes to improve his or her health and quality of life for years.
Diabetes Free SC (DFSC) is announcing two new programs: a Community Health Worker project and the South Carolina Surgical Quality Collaborative Diabetes Initiative. These programs are part of the longtime commitment of DFSC to reduce diabetes and its complications among South Carolinians.Read More
A healthy diet is key to ensuring good overall health. Eating well-rounded meals that include fresh produce can help reduce the risks of developing chronic diseases like heart disease and diabetes. But many people throughout South Carolina do not have access to healthy foods, especially fresh fruits and vegetables. FoodShare South Carolina was established to help bridge the gap and create greater access to healthy foods.Read More
Diabetes Free SC (DFSC) launched in 2020 with a mission to reduce health care gaps and improve the health of all South Carolinians affected by diabetes. Part of that effort includes focusing on prenatal health to improve pregnancy outcomes in women with diabetes.Read More