Table 2.

Roles and Responsibilities for Successful Diabetes Discharge

Task	Team Member Responsible	Action
Assess burden of treatment	Bedside RN, care manager, provider	Screen for social determinants of health and diabetes distress
Assess financial burden	Bedside RN, care manager, provider	Review home medication list and inquire about affordability
Change discharge medications, as appropriate	Provider	Electronically send prescriptions to pharmacy
Investigate insurance coverage, cost, and financial assistance programs	Care manager, inpatient pharmacist, provider	Confirm cost/copay; based on financial assessment above, consider whether further medication changes are needed, using low-tier formulary, providing coupons, and providing patient assistance applications
Assess self-care knowledge	CDCES, bedside RN, provider	Provide inpatient education/DSMES and refer to continuing outpatient education/DSMES
Assess lifestyle and regimen match	CDCES, bedside RN, provider	Review typical day, meal times, and work schedule

CDCES, certified diabetes care and education specialist; RN, registered nurse.