23-OR: Streamlining Diabetes Device Integration into the Electronic Health Record

Technology has transformed diabetes management with Continuous Glucose Monitors (CGM) and Automated Insulin Delivery devices, improving A1c and reducing hypoglycemia. Multiple device usage increases download burden for clinics. To enhance this process, we integrated CGMs, pumps, smart pens and meters into the Electronic Health Record (EHR). Device data obtained via Glooko and Abbott was integrated into the EHR using HL7 v. 2.x interfaces and Single-Sign-On launches of both vendor web portals. Health care professionals (HCPs) can send orders via EHR to vendor, triggering individual enrollment and generating current data reports. Discrete data is returned as flowsheets and detailed reports load as PDF files for viewing and permanent storage. Extensive training sessions and materials were developed for HCPs and support staff. Within 6 months, over 200 patients connected devices to the EHR (Figure 1). Majority of the devices were CGMs (60%) followed by pumps. 70% of the devices were syncing remotely. AGP metrics were tracked in flowsheets. HCPs could document AGP tables and PDF reports into progress notes using dot phrases. A skilled integration team and targeted role-specific education allowed for successful integration of diabetes device data into the EHR. The efficiency for data retrieval and storage made data from people with diabetes accessible and actionable, thereby reducing retrieval and documentation burden for HCPs.