HH-HYPO and HYPER do not have any exclusion considerations for patients with alcoholism

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    • Type: Hosp Inpt eCQMs - Hospital Inpatient eCQMs
    • Resolution: Answered
    • Priority: Moderate
    • Component/s: None
    • None
    • Maya Frankenstein
    • St. Luke's Health System
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      Thank you for your comment specific to CMS816, Hospital Harm - Severe Hypoglycemia, and CMS871, Hospital Harm - Severe Hyperglycemia. Although patients with active alcohol use or alcohol use disorder are at increased risk for hypoglycemia, standard inpatient practice should include glucose monitoring for these patients. Hospitals are expected to mitigate the risk of severe hyperglycemia and hypoglycemia by consistently following evidence-based glycemic management guidelines. Because these practices are broadly applicable, the measures are designed with the expectation that hospitals, regardless of their case mix, can achieve low rates of severe hyperglycemia and hypoglycemia through reliable implementation of guideline-based care.
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      Thank you for your comment specific to CMS816, Hospital Harm - Severe Hypoglycemia, and CMS871, Hospital Harm - Severe Hyperglycemia. Although patients with active alcohol use or alcohol use disorder are at increased risk for hypoglycemia, standard inpatient practice should include glucose monitoring for these patients. Hospitals are expected to mitigate the risk of severe hyperglycemia and hypoglycemia by consistently following evidence-based glycemic management guidelines. Because these practices are broadly applicable, the measures are designed with the expectation that hospitals, regardless of their case mix, can achieve low rates of severe hyperglycemia and hypoglycemia through reliable implementation of guideline-based care.
    • CMS0871v5
    • Alcohol consumption can complicate glucose and insulin management

      When drinking alcohol is combined with the medications most often used to treat diabetes—particularly insulin and sulfonylureas, low blood glucose can result.

      Alcohol withdrawal can cause low blood sugar. Alcohol is a depressant and when you drink, it slows down your body's normal functions. This includes the release of glucose from the liver. So when you suddenly stop drinking, your blood sugar can drop quickly. This can cause symptoms like shaking, sweating, and feeling very hungry. If you have diabetes, you should be especially careful when you're drinking and when you're giving up alcohol, because you're at risk for low blood sugar. 

            Assignee:
            Mathematica EH eCQM Team
            Reporter:
            Maya Frankenstein
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