June

2022

Collaborative Updates

We are excited to share that we will have two oral and 11 poster presentations at the 82nd ADA Scientific Sessions. Congratulations to all involved!

2022 ADA Oral Acceptances​

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Inequities in Glycemic Outcomes for Patients with Type 1 Diabetes: 6 years (2016 - 2021) longitudinal follow up by race and ethnicity of 36,390 ​

Authors: Osagie Ebekozien, Nudrat Noor, Manmohan K. Kamboj, Ori Odugbesan, Shideh Majidi, Rachel Hopkins, Emily L. Dewit, Roberto Izquierdo David M. Maahs, Mark A. Clements, T1DX-QI Collaborative.​

No BMI Increase during the COVID-19 Pandemic in Children and Adults with T1D in Three Continents: Joint Analysis of ADDN, T1DX, and DPV Registries

Authors: Kruthika Narayan, Marie Auzanneau, Nudrat Noor, Saketh Rompicherla, Osagie Ebekozien, Sarah Glastras, Carmel Smart, Sara Bachmann, Reinhard Welp, David M Maahs, Reinhard Holl, Maria Craig 

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2022 ADA Poster Acceptances​

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Use of Telemedicine for Type 1 Diabetes Care in the T1D Exchange Quality Improvement Collaborative (T1DX-QI) in 2021​

Authors: Joyce Lee, Emma L. Ospelt, Ann Mungmode, Osagie Ebekozien, Faisal Malik, Naomi R. Fogel, Siham Accacha, Susan Hsieh, Meredith Wilkes, Anna Neyman, Francesco Vendrame, Meenal Gupta.​

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Improving Continuous Glucose Monitor Use: Success Strategies from the T1D Exchange Collaborative​

Authors: Ann Mungmode,  Emily L. Dewit, Margaret Greenfield, Jeniece T. Ilkowitz, Ori Odugbesan, Selorm A. Dei-tutu, Sarah Thomas, Curtis Yee, Christine Mendoza, Jessica Schmitt.​

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Benchmarking Continuous Glucose Monitor Use Across T1D Exchange Quality Improvement Pediatric Clinics​

Authors: Ashley Garrity, Ann Mungmode, Kristina Cossen, Mary Pat Gallagher, Alexis J. Feuer, Daniel Brimberry, Priya Prahalad, Mary L. Scott, Grace Nelson, Osagie, Ebekozien, Donna Eng.  ​

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Longitudinal Trends in CGM and Pump Use: Real-World Data from the T1D Exchange QI Collaborative​

Authors: Osagie Ebekozien, Ann Mungmode, Brian Miyazaki, Saketh Rompicherla, Sarah Lyons, Mouhammad Alwazeer, Jennifer Sarhis, Allison Mekhoubad, Marisa Desimone, Halis Akturk. ​

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The Effect of Obesity on HbA1c Among Adults with Type 1 Diabetes: A U.S. Based Multi-Center Study​

Authors: Nudrat Noor, Halis K. Akturk, Marisa Desimone, Marina Basina, Nicole Rioles, Saketh Rompicherla, Jeehea Sonya Haw, Lauren Golden, Osagie Ebekozien, ​

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Multi-Center Quality Improvement Project: Increasing Depression Screening Across Six Pediatric Endocrinology Centers​

Authors: Ori Odugbesan, Ann Mungmode, Nicole Rioles, Daniel Brimberry, Grace Nelson, Alexis J. Feuer, Jeniece Ilkowitz, Selorm A. Dei-tutu. ​

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Variations in Insulin Pump Use across 19 Pediatric Endocrinology Centers in the US​

Authors: Ann Mungmode, Blake V. Adams, Olivia Docter, Naomi R. Fogel, Jeniece T. Ilkowitz, Roberto Izquierdo, Joyce M. LEE, Brian Miyazaki, Anna Neyman, Isabel Reckson, Jessica Schmitt, Osagie Ebekozien, ​

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Associations Between Effect of Body-Mass Index (BMI) and HbA1c among Children and Young Adults with Type 1 Diabetes: A U.S. Based Multi-center Study​

Authors: Allison B. Mekhoubad, Susan Hsieh, Nudrat Noor, Osagie Ebekozien, Saketh Rompicherla, Emma L. Ospelt, Alissa J. Roberts, Janine Sanchez, Diana Ferro, Brian Miyazaki, Joyce Lee.​

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Measuring Engagement in a National Quality Improvement Collaborative (T1DX-QI)​

Authors: Emma L. Ospelt, Ann Mungmode, Nicole Rioles, Saketh Rompicherla, Ori Odugbesan, Holly Hardison, Campbell Rowe, Anton Wirsch, Nudrat Noor, Osagie Ebekozien. ​

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Implementation of Psychosocial Screening in the Type 1 Diabetes Exchange Quality Improvement (T1DX-QI) Network​

Authors: Sarah Corathers, Emma L. Ospelt, Saketh Rompicherla, Priya Prahalad, Alissa J. Roberts, Cynthia E. Muñoz, Marina Basina, Laura B. Smith, Desireé N. Williford, Jessica C. Kichler, Osagie Ebekozien. 

Improving Type 2 Diabetes Medication Prescribing

Authors:  Nicole Rioles, Marisa Desimone, Emma Ospelt, Saketh Rompicherla, Chinoso Iwummadu, Margaret Greenfield,  Emilie Hess, Sandra Tsai.

T1DX-QI Collaborative Members Website is Live!

The new QI member website is open and ready for registration! This password protected space is going to replace Trello and allows members to access content and post questions and answers. Members will be asked to register for an account and the QI team will grant access. Click on this link to make your account!

T1DX-QI Recent Publications 

                        There have been three new manuscript publications!

Implicit Racial-Ethnic and Insurance Mediated Bias to Recommending Diabetes Technology: Insights from T1DExchange Multi-Center Pediatric and Adult Diabetes Provider Cohort

Authors: Ori Odugbesan, Ananta Addala, Grace Nelson, Rachel Hopkins, Kristina Cosse, Jessica Schmitt, Justin Indyk, Nana-Hawa Yayah Jones, Shivani Agarwal, Saketh Rompicherla, Osagie Ebekozien

View this article using this link.

A collaborative comparison of international pediatric diabetes registries. Pediatric Diabetes.

Authors: S. Lanzinger, A. Zimmermann, A. G. Ranjan, O. Gani, S. Pons Perez, K. Akesson, S. Majidi, M. Witsch, S. Hofer, S. Johnson, K. A. Pilgaard, S. J. Kummernes, H. Robinson, K. Eeg-Olofsson, O. Ebekozien, R. W. Holl, J. Svensson, T. Skrivarhaug, J. Warner, M. E. Craig, D. Maahs. 

Use this link to check out this article!

Hybrid Closed Loop Systems and Glycemic Outcomes in Children and Adults with Type 1 Diabetes: Real World Evidence From U.S. Based Multi-Center Collaborative. Diabetes Care. 

Authors: Nudrat Noor, Manmohan K Kamboj, Taylor Triolo, Sarit Polsky, Ryan J McDonough, Carla Demeterco-Berggren, Laura Jacobsen, Rona Sonabend, Osagie Ebekozien, Daniel J DeSalvo.

Link to this article coming soon!

Portal Plot- Two New Features!

New! Expanded Health Equity Features

Data mapped clinics can now disaggregate QI metrics by gender, language, and insurance (in addition to race/ethnicity, available previously) on the Reports tab. Select one of the equity options below the chart title to use this feature. Then, select the identities/demographics you would like displayed (see example of pump use by insurance type below).

New! Notification Bell

All clinics have access to a new notification bell, which will alert you to new articles and metric changes since your last log in! Look for the new notification bell in your screen's upper right-hand corner. Click the star icon to favorite your notifications for easy access next time

QI Portal User Feature

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

My favorite feature of the Portal would be the comparison reports.  It is informative to know where we stand and what improvements our clinic can make, but also to know what clinics have successfully sustained improvements over time.  Being able to compare clinics you can gain insight and ideas from others to see what has or hasn't been effective

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

Practically speaking the dashboard is the feature I use the most often so I can quickly obtain data if a question is asked by a provider.  In addition, the dashboard is used most often because I am able to show our team areas of improvement, reflecting their dedication to improving outcomes for our patients. 

3. How does the Portal support your improvement efforts?

The Portal supports our improvement efforts by being able to numerically see how our changes have improved outcomes.  We are also able to see if the changes have been sustainable or if data rises or drops during certain times of the year.

Name: Stephanie Ogburn

Site: Cook Children's

4. What do you dream the Portal could do that it doesn't do currently?

The QI Portal is already amazing however I would love to see new onset type 1 diabetic data, including if they were in DKA at diagnosis, as well as severity.  I feel this would be interesting to see the difference in on month to month but also year by year.  In addition would possibly be eye opening if you looked spreading awareness to pediatrician/PCP offices and if the awareness decreased the DKA's at diagnosis.

Congratulations! 

We would like to Congratulate Dr. Mary Pat Gallagher on her two recent title changes. Congratulations on a job well done!

1. Medical Director of The Laurence D. and Lori Weider Fink Children’s Ambulatory Care Center
2. Chair of The Hassenfeld Children’s Hospital Ambulatory Quality, Safety, and Experience Committee

Events & Reminders 

Upcoming Opportunities 

The Helmsley Charitable trust has several open career opportunities currently active. Use this link to find out more information. 

T1DX-QI is looking for a Data Integration Manager, and a QI and health Equity Manager. Please click on this link to find out more. 

The Divisions of Endocrinology in the Department of Pediatrics and Internal Medicine at Stanford University School of Medicine is seeking an Instructor for a NIDDK K12 Training Grant position to start July 2022. To find out more information use this link.

We are looking for endocrinologists who are interested in participating in a focus group on diabetes autoantibody screening. Please email us if you would like more information or, please use this link to the doodle poll if would like to participate!

Reminders and Save the Date

• Save the date for the in person Learning Session in Miami Florida happening November 7-8!
• A call for abstracts was sent out on 5/26/2022 for the November Learning Session. We encourage each clinic to submit an abstract. If you have any questions please email us at qi@t1dexchange.org.

Contact List in Trello

Next Collaborative Call

Adult: July 26 3:30-5:00pm EST

Peds: July 28 11:00-12:30pm EST