Hospital at Home

I don't know the answer to the CMS glucose checks 2x a day.  However, patients with their own meters situation - no we do not allow those values to recorded as a laboratory testing under our CAP/CLIA.  Last I heard, the HAH program was trying to figure out how to get the patient's own meter values into the Epic chart somehow, but it would not be charting with the Glucoses done on the Hospital meter.

Thanks Miranda for your reply. Just to clarify, do you know if your HAH program allows nursing/Providers to utilize results from patient's own meter for treatment decisions or for a patients insulin dosing?

I do not know that, sorry!

Our HaH program issues hospital approved meters to the patients that need to record their own sugars.  The RN also carries one of our POC Accucheck glucometers as well for those who do not have the issued one.   The RN/Command Center of the HaH program enters the patient's issued meter values in a flowsheet area of Epic that clearly distinguishes the value coming from the patient's meter.  Any testing run on the POC Accucheck meter is logged in Epic as an actual manual edit/entry resulted laboratory test.   We have all the Accuchek values coming from HaH program flagged as Do Not Upload in RALS.
The RN is also required to take a picture of the result on the Accuchek machine that then gets uploaded as a media scan onto the patient's chart.

Very confusing, and they are still working out all the bugs.