This measure assesses the number of inpatient hospital days for patients age 18 and older with a hyperglycaemic event (harm) per the total qualifying inpatient hospital days for that encounter.

Inpatient hospitalisations with a hyperglycaemic event within the first 10 days of the encounter minus the first 24 hours, and minus the last period before discharge from the hospital if less than 24 hours.

Inpatient hospitalisations for patients age 18 and older that end during the measurement period, as well as either: (1) A diagnosis of diabetes that starts before the end of the encounter; (2) Administration of at least one dose of insulin or any hypoglycaemic medication that starts during the encounter; (3) Presence of at least one glucose value >=200 mg/dL at any time during the encounter.

• Inpatient hospitalisations for patients with a glucose result of >=1000 mg/dL anytime between 1 hour prior to the start of the encounter to 6 hours after the start of the encounter. • Inpatient hospitalisations for patients who have comfort care measures ordered or provided during the encounter. • Inpatient hospitalisations for patients who have a discharge disposition to home or to a health care facility for hospice care.

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