Welcome to COMS Interactive and Daylight IQ®

Daylight IQ is the first healthcare delivery system based upon disease management, clinical outcomes measurement and performance improvement for long term care residents.

Daylight IQ® is the first healthcare delivery system based upon disease management, clinical outcomes measurement and performance improvement for long term care residents.

Nursing facilities find it difficult to manage residents who have multiple acute and chronic diseases. Unfortunately, this translates into declining health for elderly residents and an increased rate of hospital re-admissions.

Daylight IQ® helps address the national trend of escalating hospital re-admissions from nursing homes, from which nearly 30% of skilled residents are re-admitted.

 

  • Address more than 85% of chronic diseases that lead to re-hospitalization
  • Increase skilled bed occupancy by up to 87%
  • Reduce resident re-hospitalization by 50%

 

Clinical Care Reminder - Diabetes

Diabetes Mellitus: Inability to process glucose, an essential nutrient that provides energy to cells; Insufficient production of insulin or inability to use insulin produced leads to hyperglycemia.

Symptoms:

Type 2: Gradual onset, Increased thirst and urination, Increased appetite, fatigue, blurred vision, slow-healing infections, male impotence, female yeast & fungal infections
Hypoglycemia: Starts to cause these symptoms when glucose levels fall below 50 milligrams per deciliter: Sweating, tremors, anxiety, weakness/lack of coordination, hunger, dizziness, drowsiness, headache, cloudy/double vision, confusion, abnormal behavior, convulsions, loss of consciousness

Complications:

  • Eye-disease (e.g. Diabetic retinopathy)
  • Stroke (risk is 2 to 4 x higher among diabetics)
  • Heart disease, HTN
  • Kidney disease
  • Impaired circulation to lower legs
  • Nerve damage (e.g., Peripheral neuropathy)

Diabetic Treatment & Management Treatment:

  • Insulin- injections or pump
  • Oral hypoglycemic agents
  • Surgery- Pancreas transplant (Type 1 only)
  • Weight loss & increased activity may be used to control Type 2 diabetics

Management:

  • Keep blood sugar within normal range
  • HbA1c- monitor on regular basis
  • Regular exercise- monitor BS before & after
  • Provide foot care QD- Check for s/s of infection or open areas
  • Monitor for s/s of infection, hypo/hyperglycemia