This episode examines a hospital-wide hypoglycemia management protocol at Mayo Clinic. Recognizing the serious impact of inpatient hypoglycemia, a multidisciplinary team launched a prevention-focused protocol inspired by 2020 ADA guidelines.

Their initial strategy was to intervene at glucose levels below 90 mg/dL to prevent low blood sugar before it occurred. However, real-world data revealed unintended consequences. Many patients between 70–90 mg/dL were not at true risk for hypoglycemia, resulting in overtreatment, unnecessary IV dextrose and glucagon use, increased costs, and strain during a national dextrose shortage.

Hear how the team navigated these challenges, highlighting key quality improvement lessons.

Hosts: Timothy Morgenthaler, MD and Sheri Nemec, MS, CPXP

Guests:

Sneha Mohan MD, Associate Consultant, Endocrinology, Diabetes and Metabolism

Marny Carlson, M.S., R.N., NPD-BC, Nursing Education Specialist

#patientsafety #keyintoquality #qualityimprovement #safetyculture #mayoclinic

Host: Timothy Morgenthaler, M.D. | https://www.linkedin.com/in/timorgenthaler/

Host: Sheri Nemec| https://www.linkedin.com/in/sheryl-sheri-nemec-a627982a/

#mayokeyintoquality

What turns a routine visit into a meaningful patient relationship? In this episode of Key in to Quality, Erica Tung, M.D., and Eric Nelson, manager of patient experience at Mayo Clinic Health System, explore how provider communication shapes the lived experience of patients.

Drawing on insights from clinicians who have achieved sustained excellence in patient experience, they discuss why communication is actually a clinical tool. Patients arrive with hope, fear, and two unspoken questions: Do you care about me? Why should I trust you? The way providers listen, respond, and validate concerns answers those questions.

Ultimately, this discussion reinforces that small, intentional behaviors elevate patient experience, strengthen trust, and improve outcomes.

Hosted by Timothy Morgenthaler, M.D., and Sheri Nemec.

Guests: Erika Tung, M.D., Consultant, Community Internal Medicine, Mayo Clinic and Eric Nelson, Manager, Patient Experience

Eric Nelson | LinkedIn

#leadership #keyintoquality #patientexperience #mayoclinic

Host: Timothy Morgenthaler, M.D. | https://www.linkedin.com/in/timorgenthaler/

Host: Sheri Nemec| https://www.linkedin.com/in/sheryl-sheri-nemec-a627982a/

#mayokeyintoquality

This episode of Key in to Quality asks a simple but profound question: what if the way we talk with patients could transform their care and our own experience as clinicians?

Clear, empathic communication builds trust, improves diagnostic accuracy, and tightens adherence and relationships. Mayo Clinic’s Communication in Health Care program treats communication as a core clinical competency, not an optional “soft skill.” Faculty from multiple specialties lead retreat-style courses for new providers that blend facilitated conversations, skills practice, and real-time feedback. Listeners will hear how the program supports clinician well-being, reinforces professionalism, and helps sustain a culture where being heard, understood, and respected is central to care.

Guests:

Cory Ingram, MD, MS,FAAHPM | LinkedIn

Susan Romanski, M.D.

Host: Timothy Morgenthaler, M.D. | https://www.linkedin.com/in/timorgenthaler/

Host: Sheri Nemec| https://www.linkedin.com/in/sheryl-sheri-nemec-a627982a/

#mayokeyintoquality