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Transitioning the Adult with Type 2 Diabetes From the Acute to Chronic Care Setting: Strategies to Support Pragmatic Implementation Success

  • Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu, Section Editors)
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Abstract

Scientific evidence is available to guide the how to of medications management when patients with diabetes are hospitalized or present to the Emergency Department. However, few clinical trials in the diabetes field have addressed the execution, coupled with established implementation effectiveness evaluation frameworks to help inform and assess implementation practices to support the transition in care. These deficiencies may be overcome by (1) applying the principles of implementation and delivery systems science; (2) engaging the principles of human factors (HF) throughout the design, development, and evaluation planning activities; and (3) utilizing mixed methods to design the intervention, workflow processes, and evaluate the intervention for sustainability within existing care delivery models. This article provides a discussion of implementation science and human factors science including an overview of commonly used frameworks which can be applied to structure design and implementation of sustainable and generalizable interventions.

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Acknowledgements

Michelle Magee reports grants from the National Institutes of Health (R34 Diabetes To Go Inpatient). Kelly M. Smith reports grants from the National Institutes of Health (1-R34-DK-109503-01 and UL1TR001409).

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Authors and Affiliations

  1. MedStar Diabetes Institute, 100 Irving St, NW, #4114, Washington, DC, USA

    Michelle Magee

  2. MedStar Health Research Institute, 6525 Belcrest Rd., Ste. 700, Hyattsville, MD, 20782, USA

    Michelle Magee, Joan K. Bardsley & Kelly M. Smith

  3. Georgetown University School of Medicine and Healthcare Sciences, Washington, DC, USA

    Michelle Magee

  4. Northwestern University Feinberg School of Medicine, Suite 530 645N, Michigan Avenue, Chicago, IL, 60611, USA

    Amisha Wallia

  5. MedStar Health Corporate Nursing, 6525 Belcrest Rd., Ste. 700, Hyattsville, MD, 20782, USA

    Joan K. Bardsley

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Correspondence to Michelle Magee.

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Amisha Wallia reports grants from Merck and Eli Lilly.

Michelle Magee, Joan K. Bardsley, and Kelly M. Smith declare that they have no conflict of interest.

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This article references studies performed by the authors which involves human subjects. All such, studies were approved by the appropriate Institutional Review Board and the informed consent process conducted as appropriate.

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This article is part of the Topical Collection on Health Care Delivery Systems and Implementation in Diabetes

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Magee, M., Bardsley, J.K., Wallia, A. et al. Transitioning the Adult with Type 2 Diabetes From the Acute to Chronic Care Setting: Strategies to Support Pragmatic Implementation Success. Curr Diab Rep 17, 6 (2017). https://doi.org/10.1007/s11892-017-0830-2

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