May 17, 2020

TOP 10: Best Hospitals for Diabetes Care in the United States

diabetes
Hospital Leadership
Patient Care
Top 10
Admin
5 min
Cleveland Clinic in Ohio comes in at number two on our list of the Top 10 Best Hospitals for Diabetes Care.
Diabetes remains the seventh leading cause of death in the United States, with over a million new incident cases being reported each year, according to...

Diabetes remains the seventh leading cause of death in the United States, with over a million new incident cases being reported each year, according to the American Diabetes Association (ADA).

Over 29.1 million people (9.3 percent) of the U.S. population currently has diabetes, reports the Centers for Disease Control, and it is an epidemic that seems to be growing.

Not only is diabetes detrimental to one’s health, but it is also a costly disease to treat. The total estimated cost of diagnosed diabetes in 2012 was $245 billion, according to the ADA, including $176 billion in direct medical costs and $69 billion in reduced productivity.

When it comes to treating diabetes, the following hospitals perform the best, house top nursing staffs, deliver quality care and use the most advanced technology. 

10. University of Washington Medical Center (Seattle, WA)

The Endocrinology/Diabetes Clinic at Harborview provides care to patients for the evaluation, management and education of patients with diabetes type 1 and diabetes type 2, endocrine diseases (thyroid, adrenal, pituitary, lipid and gonads), hypercholestremia, hyperlipidemia and obesity.

Additionally, a Diabetes Care Center provides care for patients with type 1 or type 2 diabetes; pre- and post-transplant diabetes; and pancreatic diabetes through nutritional counseling, clinical pharmacy, psychiatry and comprehensive classes in diabetes management and devices.

9. UCLA Medical Center (Los Angeles, CA)

The Department of Medicine, Division of Endocrinology, Diabetes and Hypertension at UCLA provides services for a full range of endocrine problems. The UCLA Diabetes Program provides both primary and consultative diabetes care to referred patients.

In addition to care, the center incorporates key clinical research to investigate the pathophysiology, prevention and cure of diabetes and its complications.  

8. Northwestern Memorial Hospital (Chicago, IL)

As one of the country’s premier academic medical center hospitals, Northwestern Memorial Hospital serves as the primary teaching hospital for Northwestern University Feinberg School of Medicine. The university’s faculty members’ areas of focus range from molecular endocrinology to metabolic disorders to endocrine genetics.

When it comes to diabetes and obesity, leading experts at Northwestern have embarked on a campaign to create a cross-disciplinary diabetes center to continue research, education and clinical care.

7. Yale-New Haven Hospital (New Haven, CT)

At Yale-New Haven Hospital, the Diabetes Center was founded in 1994 to serve as a regional resource for diabetes diagnosis, education and treatment. The center offers diabetes care in both outpatient and inpatient settings, and as an American Diabetes Association (ADA)-recognized site for diabetes education, the Diabetes Center offers free educational diabetes programs for patients and their families. 

The multidisciplinary team guides each patient through diabetes management using the latest technologies available. Yale-New Haven Hospital also offers patients on-site A1c testing.

6. New York-Presbyterian University Hospital of Weill Cornell (New York, NY)

The Division of Endocrinology, Diabetes, and Metabolism at New York-Presbyterian takes an active role in using innovative treatments and educating the public on how to prevent the lifelong disease. A diabetes center, now in its seventh year of service, offers a multidisciplinary team approach, with a comprehensive case management and development of individualized treatment plans.

The team is composed of diabetologists, a certified diabetes educator, a registered dietician, and a podiatrist.

5. UCSF Medical Center (San Francisco, CA)

The diabetes clinics at Parnassus and Mount Zion provide specialty care in treating diabetes mellitus. They are part of the UCSF Diabetes Center which is one of only 11 Diabetes Endocrinology Research Centers in the country, named by the National Institute of Diabetes, Digestive and Kidney Diseases. As part of the national designation, the centers receive federal funding for diabetes research.

The Diabetes Treatment Center at UCSF Medical Center provides instruction and information about diabetes management, emphasizing the importance of individualized care and patient empowerment by teaching people how to best manage their condition.

4. Johns Hopkins Hospital (Baltimore, MD)

Johns Hopkins Hospital is a leader in serving people with diabetes. The Johns Hopkins Comprehensive Diabetes Center offers diagnosis, assessment, education, management, and multidisciplinary care. By integrating diet, oral medication or insulin, and patient education, the Diabetes Center works to achieve the best possible outcomes, helping people with diabetes to live long and healthy lives.

The recent Johns Hopkins Diabetes Initiative will advance the care and treatment of patients with diabetes mellitus by coordinating and improving patient care, research and training at Johns Hopkins through the creation of the Johns Hopkins Diabetes Institute. Over the course of a five-year period, the Diabetes Institute will work to improve collaboration, philanthropy and faculty surrounding the treatment of diabetes mellitus at Johns Hopkins.

3. Massachusetts General Hospital (Boston, MA)

The Massachusetts General Hospital Diabetes Clinical Center is one of the oldest outpatient centers in the country dedicated to the comprehensive treatment of persons with diabetes, pre-diabetes, and associated disorders. With a closely integrated treatment center and clinical research center, the center’s ultimate goal is to cure diabetes.

Massachusetts General Hospital also offers diabetes eye screening programs. Chelsea HealthCare Center and Revere HealthCare Center allow patients with diabetes to have their eyes screened at the same place they receive their primary care.

2. Cleveland Clinic (Cleveland, OH)

Cleveland Clinic’s Diabetes Center provides patients access to a multidisciplinary team, including endocrinologists, diabetic educators, dieticians and a nurse practitioner. The goal of the Diabetes Center is to encourage patients to receive early specialty care and education – getting them on the right track with their diabetes management before returning them to their primary care physicians for ongoing management.

The Diabetes Center offers both individual and group diabetes education classes year round for patients and their families. Another convenience offered is retinal eye screenings on-site to provide screening for diabetic eye conditions.

1. Mayo Clinic (Rochester, MN)

Mayo Clinic is the first and largest integrated, not-for-profit group practice in the world. Doctors from every medical specialty work together to care for patients, joined by a philosophy of “the needs of the patient come first.”

The Mayo Clinic offers a structured, three-day outpatient class for intensive insulin therapy called the “Diabetes Unit.” Intensive insulin therapy is a mode of treatment in which the primary goal is to keep blood sugars as near normal as possible. The Diabetes Control and Complications Trial showed that tight blood sugar control prevents or slows the progressive complication of diabetes that affect the eyes, kidneys, and nerves.

Additionally, the Mayo Clinic offers a comprehensive diabetes self-management education program for nearly 4,000 patients and their families each year. The program is a combined outpatient and inpatient treatment and education program.

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Editor’s Note: To develop this list, Healthcare Global's editorial team conducted research and evaluated reputable hospital ranking sources, such as U.S. News & World Report and Magnet designation by the American Nurses Credentialing Center.

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Jun 13, 2021

How healthcare can safeguard itself against cyberthreats

#Cybersecurity
#cyberattacks
#digitaltransformation
#covid19
Jonathan Miles
6 min
Jonathan Miles, Head of Strategic Intelligence and Security Research at Mimecast, tells us how the healthcare sector can protect itself from attacks

One of the most fundamental lessons from the COVID crisis is that health should always be a priority.  In a similar fashion to the human body that frequently fights off viruses and foreign invaders that intend to cause it harm, the sector itself is now a prime target for another type of external threat: cyberattacks.

The figures speak for themselves: between December and January this year, hospitals in the UK were at 89% capacity, with 7,000 fewer available beds than there usually are. As the pandemic increased pressure on hospitals, clinics, and research facilities to create a treatment for patients globally, it has left the sector exposed to hackers who, like a virus, have been targeting it relentlessly and evolving their tactics. 

From patient records being held ransom, to fake emails claiming to originate from the UN WHO, the NHS, or vaccine centres, through to attacks on the cold supply chain to find out the secret formula of the COVID vaccine, the healthcare industry is facing constant cyberattacks and struggling to cope. This threat is unlikely to go away anytime soon – and as such, the industry needs to take a proactive, preventative stance to stay safe in a dynamic digital world. 

Going digital 

The responsive nature of healthcare – particularly of hospitals – means that efficiency is crucial to the industry’s standard operations. To support this, the sector has been embracing technological advancements that can improve the quality of work, enabling staff to meet pressing deadlines, and enhancing patient care. For example, the industry has been digitising records and improving its ways of working through digital means over the past few years. 

This shift is critical to offer high quality patient care; yet, it also means the sector has become more dependent on IT, which can come with a risk if cybersecurity processes employed are deemed as inadequate. 

Without the correct security measures in place, the desired efficiency gains realised, can be easily lost in a heartbeat. Simply put, an elementary glitch in the system can have a tremendous ripple effect on many areas, from accessing patient records and conducting scans, to maintaining physical security and protecting the intellectual property of experimental treatment development.

To prevent this, healthcare organisations need to ensure they’re considering cybersecurity as part of their overall digital transformation strategy – and setting the right foundations to create a culture where safety goes hand in hand with patient care. 

Strengthening defences

Before implementing cybersecurity process, healthcare organisations need to assess the potential risks they face. Depending on how much confidential data the trust has, where it is stored, who has access to it and via which means, the cybersecurity strategy and associated solutions will change. 

It’s fair to say that a medical device start-up where all employees have a corporate-sanctioned laptop and access data via a VPN will have radically different needs to a large hospital with hundreds of frontline workers connecting to the hospital’s Wi-Fi using their personal device. 

These requirements will pale by comparison to a global pharmaceutical giant with offices in multiple locations, a large R&D department researching new treatments for complex diseases and a fully integrated supply chain. Considering the existing setup and what the organisations is looking to achieve with its digital transformation strategy will therefore have an immediate impact on the cybersecurity strategy.

Despite this, there are fundamentals that any organisation should implement: 
Review and test your back-up policy to ensure it is thorough and sufficient – By checking that the organisation’s back-up is running smoothly, IT teams can limit any risks of disruption in the midst of an incident and of losing data permanently.

In our recent State of Email Security report, we found that six out of ten organisations have been victims of ransomware in 2020. As a result, afflicted organisations have lost an average of six days to downtime. One third of organisations even admitted that they failed to get their data back, despite paying the ransom. In the healthcare industry, this could mean losing valuable patient records or data related to new treatments – two areas the sector cannot afford to be cavalier about.

Conduct due diligence across the organisation’s supply chain – Healthcare organisations should review their ways of working with partners, providers and regulatory institutions they work with in order to prevent any weak link in their cybersecurity chain. Without this due diligence, organisations leave themselves exposed to the risks of third party-led incidents. 

Roll out mandatory cybersecurity awareness training - Healthcare organisations shouldn’t neglect the training and awareness of their entire staff – including frontline workers who may not access the corporate network on a regular basis. According to our State of Email Security report, only one fifth of organisations carry out ongoing cyber awareness training.

This suggests it is not widely considered as a fundamental part of most organisations cyber-resilience strategy, despite the fact many employees rely on their organisation’s corporate network to work. By providing systematic training, healthcare organisations can help workers at all levels better understand the current cyberthreats they face, how they could impact their organisation, the role they play in defending the networks, and develop consistent, good cybersecurity hygiene habits to limit the risks of incidents. 
Consider a degree of separation – Information and Operational Technology (IT and OT) networks should be separated.

Although mutually supported and reliance on each other, employees shouldn’t be accessing one via the other. This should be complemented by a considered tried and tested contingency and resiliency plan that allows crucial services to function unabated should there be a compromise. Similarly, admin terminals should not have internet access to afford a degree of hardening and protection for these critical accounts.

As the sector becomes a common target for fraudulent and malicious activity, putting cybersecurity at the core of the organisation’s operations is critical. It will help limit the risks of disruption due to cyberattacks, reduce time spent by the cybersecurity team to resolve easily avoidable errors, and ensure that institutions can deliver patient care, safe in the knowledge that their networks are safe.  

Fighting future threats

With technology continuing to change the face of healthcare, the surface area and vectors available for attacks by malicious actors is constantly increasing. With the introduction of apps, networked monitoring devices, and a need for communication, the attack vector is ever expanding, a trend that needs to be monitored and secured against.

To prevent any damage to patients, staff, or the organisation they are responsible for, healthcare leaders must put security front and centre of their digital transformation strategy. Only then can the sector harness the full benefits of technology. Doing this should include implementing cybersecurity awareness training to challenge misconceptions around security, encourage conversation, and to ensure employee knowledge of the security basics and threats faced. 

This ultimately allows healthcare organisations to do what they do best: provide the highest standard of patient care, safe in the knowledge that their operations, patients, and data are safe.

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