February

2023

Collaborative Updates

We were excited to welcome both Johns Hopkins and UC Davis Peds and Adults to the T1DX-QI. The Collaborative is 54 centers and growing. 

T1DX-QI Representation at ATTD Bernlin 2023

We are excited to share that T1DX-QI will be represented by 1 oral and 5 poster presentations at ATTD Berlin 2023. Thank you all for your contributions and hard work. 

PATIENT-REPORTED SEVERE HYPOGLYCEMIA AMONG HYBRID CLOSED LOOP SYSTEM (HCLS) USERS: REAL-WORLD EVIDENCE FROM A MULTI-CENTER STUDY FOR PEOPLE WITH TYPE 1 DIABETES

Authors: Osagie Ebekozien, Nudrat Noor, Joyce M. Lee, Roberto Izquierdo, Lauren Golden, Brian Miyazaki, Meredith Wilkes, Mary L. Scott, Allison Mekhoubad, Janine Sanchez

REDUCEDODDS OF DIABETIC KETOACIDOSIS AMONG HYBRID CLOSED LOOP SYSTEM (HCLS) USERS: PROPENSITY SCORE MATCH OF 8,455 PEOPLE WITH TYPE 1 DIABETES

Authors: Osagie Ebekozien, Carla Demeterco-Berggren, Mark Clements, Shideh Majidi, Faisal, Malik, Susan Hsieh, Sonya Haw, Manmohan Kamboj, Nudrat Noor

CONTINUOUS GLUCOSE MONITOR (CGM) DERIVED GLYCEMIC OUTCOMES AMONG REAL-TIME CGM VS. FLASH CGM USERS IN A MULTI-CENTER EMR DATABASE FOR PEOPLE WITH T1D

Authors: Nudrat Noor, Osagie Ebekozien, Francesco Vendrame, Laura Jacobsen, Ruth S Weinstock, Mary Pat Gallagher, Sarah Corathers, Siham Accacha, Priya Prahalad, Robert Rapaport

HEMOGLOBIN A1C LEVELS AMONG PEOPLE WITH TYPE 1 DIABETES SWITCHING FROM SELF-MONITORING OF BLOOD GLUCOSE TO REAL-TIME CGM USE: A RETROSPECTIVE LONGITUDINAL STUDY

Authors: Nudrat Noor, Elizabeth Mann, Daniel J. DeSalvo, Janine Sanchez, Carol J. Levy, Halis K. Akturk, Todd Alonso, Osagie Ebekozien 

MULTI-CENTER DIABETES PROVIDER PERSPECTIVE ON BARRIERS TO SMART INSULIN PEN USE IN THE UNITED STATES

Authors: Ori Odugbesan, Ann Mungmode, Trevon Wright, Grace Nelson, Grazia Aleppo, Alyson Myers, Grenye O'Malley, Alexis McKee, Priya Prahalad, Sandra Tsai, Brian Miyazaki, Osagie Ebekozien

PRACTICAL STRATEGIES TO INCREASE CONTINUOUS GLUCOSE MONITOR (CGM) USE FOR UNDERSERVED PATIENTS WITH T1D IN THE US: RESULTS FROM THE T1D EXCHANGE MULTICENTER EQUITY STUDY

Authors: Ori Odugbesan, Ann Mungmode, Nicole Rioles, Don Buckingham, Grace Nelson, Shivani Agarwal, Amy Grant, Trevon Wright, Emilie Hess, Osagie Ebekozien 

T1DX-QI Recent Publications 

     In the past quarter, there have been two new publications!

Impact of diabetes status and related factors on COVID-19-associated hospitalization: A nationwide retrospective cohort study of 116,370 adults with SARS-CoV-2 infection

Authors: Erin Tallon, Osagie Ebekozien, Janine Sanchez, Vincet S. Staggs, Diana Ferro, Ryan McDonough, Carla Demeterco-Berggren, Sarit Polsky, Patricia Gomez, Neha Patel, Priya Prahalad, Ori Odugbesan, Joyce M. Lee, Chelsey Smith, Chi-Ren Shyu, Mark A. Clements

Check out this article using this link

Implementation of Psychosocial Screening into Diabetes Clinics: Experience from the Type 1 Diabetes Exchange Quality Improvement Network

Authors: Sarah Corathers, Desiree Wilford, Jessica Kichler, Laura Smith, Emma Ospelt, Saketh Rompicherla, Alissa Roberts, Priya Prahalad, Marina Basina, Cynthia Muñoz, Osagie Ebekozien.

Use this link to view the article 

QI Portal User Feature

Name: Jeniece Ilkowitz

Site: Hassenfeld Children's Hospital at NYU 

Years with the T1DX-QI: 2.5

1. What is your favorite feature in the Portal and why?

Having access to the data! It took us awhile to get mapped and even now we can’t see everything the reports will one day show us but it’s exciting to see the potential. It also is nice to see how far we’ve come with getting our data mapped and available.

2. Practically speaking, which feature (in addition to the above) do you use most often and why?

I use the dashboard to check in on our data right now. It’s helping us to understand our data better, improve its quality and keep us motivated to continue all of our efforts to meet the recommended metrics. Eventually I think we will use the reports and population analysis the most as disparities are on our mind especially with our high risk populations.

3. How does the Portal support your improvement efforts?

I am still learning about it but it but as I said before it’s helped us continue working on the quality of the mapped data as well as motivating us to keep working on all of our quality improvement initiatives

4. What do you dream the portal could do that it doesn’t do currently?

I wish the QI portal had easily accessible/searchable database consisting only of editable handouts and flyers, forms, tip sheets, etc. that other sites used to create their programs and use for QI initiatives. For example – wellness program/high risk patient handouts, intake forms, surveys etc., transition program- handouts, insurance information, flyers, tip sheets, etc. and the list goes on. It should be second nature to all of us to make sure to share these items and to start with the portal when beginning a project. We all don’t need to reinvent the wheel!

Q&A Corner

There have been several newly asked questions on the internal member website. Please use this link to respond and see all questions.

1. How/when do you discuss insulin pump failure preparation with your patients? What specific topics do you cover?

2. What resources do you use to educate patients/families on this? (handouts, presentations, videos etc..)

3. Do you have anything built into your EMR to help facilitate this?(dot phrases, smart texts, after visit summary notes, flowsheet rows etc..)

          Name: Olivia Docter, BSN, RN, CDCES
          Clinic: Barbara Davis Center
          Adult or Pediatric Population: Both
          Date: 12/9/2022

1. Does your clinic use saline education when initiating insulin pumps? Or have you eliminated this from your practice

          Name: Olivia Docter, BSN, RN, CDCES
          Clinic: Barbara Davis Center
          Adult or Pediatric Population: Both
          Date: 12/19/2022

1. How do you complete school orders for pediatric patients in your practice? Is this done at a visit or part of a telephone encounter?

Events & Reminders 

Upcoming Opportunities 

The University of Michigan School of information is seeking T1D care specialists to help create novel data interfaces to better understand T1D Data. Please use this link to view the eligibility and sign up information. 

Here are a few reminders from the T1D Exchange.

• New measures for Data Spec reporting and Smartsheet reporting 2023-2025 go live on 3/1/2023 for reporting all data from 1/1/2023 forward. We encourage you to share these updates with your IT teams and data analysts now so that data changes are incorporated.
• Links for the measures documents and data specs (Core) and (Diabetes) point to internal T1DX-QI pages.

Contact List on Internal Member Website

Next Collaborative Call

Combined: March 16th 11-12:30pm EST