CGM METRICS
A nurse starts the weekly CGM review. Name the four core numerical measures identified in the CGM policy.
Average Glucose, GMI %, Percentage of Time in Range (TIR), and Percentage of Time Patient Active.
What record serves as the evidence that CGM clinical review and oversight occurred?
The Electronic Medical Record (EMR).
How often is a comprehensive glucose/CGM report generated for each patient?
Monthly.
Teaching point: Monthly report generation is a separate requirement from weekly review.
How often does Quantify encourage patients to submit vital signs as clinically recommended?
Weekly.
The CCM care plan should focus only on the disease state. True or False?
False.
Teaching point: The training states that the care plan is the entire person and their health.
A revised policy review goes beyond averages. What two kinds of adverse glucose events must the nurse identify?
Hypoglycemic and hyperglycemic events.
Name two basic identifiers required in nursing documentation of a glucose review.
Date of review and nurse name/credentials.
Who reviews the monthly report for clinical accuracy and relevance?
The assigned nurse.
What three purposes are addressed by the monthly device check-in message?
Confirm device functionality, encourage weekly vital-sign submission, and offer the option to opt out of monthly vital-sign reminders.
Name four domains of need the comprehensive CCM care plan should address.
Physical, mental, psychosocial, cognitive, and environmental needs — any four.
Teaching point: The care plan is meant to address whole-person needs.
A patient manually enters finger-stick values rather than relying only on CGM. What three features of those readings should the nurse review?
Frequency, accuracy, and clinical trends.
In addition to a summary of findings, what interpretive element should be documented when applicable?
Clinical interpretation.
Teaching point: The policy distinguishes simply recording findings from interpreting them clinically.
After review, where must the monthly glucose report be placed?
Uploaded and attached in the EMR.
True or False: Missed vital signs should be explicitly labeled as noncompliance in the monthly report.
False.
Teaching point: Missed vital signs are already reflected in reporting data and are not to be explicitly described as noncompliance in monthly reports.
How often should the care plan be reviewed and monitored?
On a regular basis.
Teaching point: It should also be modified or revised as the patient’s needs change.
Scenario: The nurse documents Average Glucose, GMI, TIR, and device activity but does not address repeated lows seen throughout the week. Why is the review incomplete under the revised policy?
Because the policy also requires identification of trends/patterns and hypoglycemic/hyperglycemic events.
Teaching point: A metric-only review does not fully satisfy the expanded review elements.
Scenario: A nurse messages a patient after identifying persistent hyperglycemia. What documentation element becomes especially important?
Document the patient outreach or intervention performed.
A report is sent to the provider. What two details about that transmission must be documented?
The date of transmission and method of delivery.
A patient says, “Please stop reminding me about vitals; I only want infusion messages.” What dashboard preference should be selected?
“Limit to Infusion Related Msg Only.”
Teaching point: The preference area must be updated promptly when the patient opts out.
Name at least four minimum care-plan components shown in the training.
Examples: problem list, expected outcome/prognosis, measurable treatment goals, symptom management, planned interventions/responsible individuals, preventive services, medication management, community/social services, coordination plan, and schedule for periodic review.
A patient has excellent average glucose but very low device usage. Which weekly metric helps reveal that the apparent control may be based on limited data?
Percentage of Time Patient Active (device usage percentage).
Teaching point: Device usage is reviewed because data completeness affects interpretation.
Scenario: A CGM trend results in a revised treatment approach. What two documentation areas should reflect what happened?
The clinical review/intervention documentation and any indicated update to the plan of care.
Teaching point: The policy requires documentation of outreach/intervention and plan-of-care updates when indicated.
Scenario: The provider reviews the report and changes treatment. What follow-up must nursing documentation capture?
Any provider recommendations, orders, or changes to the plan of care.
Teaching point: Provider feedback and resulting care-plan changes must be documented.
Scenario: A patient declines future monthly vital-sign reminders. Name the documentation steps required by the policy.
Enter a note titled “Limit to Infusion Related Msg Only” OR “Vital Sign Noncompliance,” attach documentation that the patient declined monthly vital-sign participation, and update the dashboard Preferences Area to “Limit to Infusion Related Msg Only.”
Teaching point: The policy combines documentation with a communication-preference update.
Scenario: A care plan contains diagnoses, medications, and goals but ignores psychosocial and environmental barriers. What training principle is being missed?
The care plan should address the whole person, including psychosocial, cognitive, mental, physical, and environmental care needs.