June

2023

T1DX-QI representation at ADA Scientific Sessions

1. We are looking forward to seeing so many of you at the ADA Scientific Sessions, June 23rd-26th. T1D Exchange will be at booth 944; we would love for you to stop by or email nrioles@t1dexchange.org for details on where our staff will be. We would love to see you!

2. We are excited to host the ADA Faculty Breakfast Sunday June 25th 6:30-8:00am PST, in partnership with Rady Children's Hospital. Please use this link to RSVP  by Friday June 9th. 

3. T1DX-QI will be represented by 3 oral and 12 poster presentations at the 2023 ADA Scientific Sessions in June. Use this link to view these abstracts. 

Invited Oral Presentations

1. ADA Standards of Care and Quality Improvement
2. What Can Diabetes Quality Teams Learn from Engineers and
   Designers?
3. Do QI Efforts Reduce Health Care Disparities?

Oral Presentation

1. CGM initiation within 6 months of T1D diagnosis associated with lower HbA1c at 3 years (Received President Award)

Poster Presentations

1. Health Care Transition Practices in the T1D Exchange Quality Improvement Collaborative
2. Reproductive health counseling in the T1D Exchange Quality Improvement Collaborative (T1DX-QI)
3. 2022 State of Type 1 Diabetes in the US: Real World T1D Exchange Multicenter Data from over 60,000 people
4. Incorporating Shared Decision Making (SDM) to improve adoption of Connected Insulin Pens (CIP)  
5. Current Practices in Racial Equity—Findings from the T1D Exchange Quality Improvement Collaborative (T1DX-QI)
6. Multi-Center Quality Improvement Project: Increasing Social Determinants of Health (​​SDOH) Screening Across Six Diabetes Centers in the United States 
7. Provider Perceptions of Barriers and Benefits to Type 1 Diabetes Autoantibody Testing Among Patients and Relatives
8. Food Insecurity in People with Type 1 Diabetes and Glycemic Outcomes
9. Qualitative Study: Provider Awareness and Attitudes towards Type 1 Diabetes Antibody Screening
10. LGBTQ+ Supportive and Inclusive Care Practices in the T1D Exchange Quality Improvement Collaborative (T1DX-QI)
11. Advancing Quality Improvement Culture among 27 Pediatric and Adult Diabetes Centers
12. Walking the Talk—Improving Use of the T1D Exchange Quality Improvement Portal Using QI Methodology

T1DX-QI November 2023 Learning Session Call for Abstracts

The 2023 November Learning Session call for abstracts is now open through Friday July 14th. Please use this link to view the guidelines, sample abstract, and submit. All accepted abstracts will be presented at the 2023 Learning Session and will be posted in Journal of Diabetes.

All members are encouraged to submit abstracts. Please use this link to view the 2023 Learning Session FAQ with more information on abstract submission and session details. 

T1DX-QI Recent Publications

There have been several recent publications in the last quarter. Use this link to view all our past publications!

Advancing Diabetes Quality Measurement in the Era of Continuous Glucose Monitoring 

Authors:  Maliha Khan, Naila Wahid, Taylor Musser, Richard Bergenstal, Osagie Ebekozien, Kenneth Snow, Kate Thomas, Christel Aprigliano

Use this link to view this manuscript!

The Impact of Climate Change on People Living with Diabetes: A Scoping Review

Authors: Emma Ospelt, Holly Hardison, Ann Mungmode, Nudrat Noor, Kolawole Bankole, Nnabuchi Anikpezie, Charles Chima, Awadhesh K Singh, Trevon Wright, Victor Elisha, Viral N. Shah, Osagie Ebekozien

An Observational Crossover Study of people using Real-Time Continuous Glucose Monitors (CGMs) vs. Self Monitoring of Blood Glucose (SMBG): Real-World Evidence using EMR Data from over 12,000 people with Type 1 Diabetes

Authors: Nudrat Noor, Gregory Norman, Rona Sonabend, Lily Chao, Manmohan Kamboj, Lauren Golden, M. Tracy Bekx, Susan Hsieh, Carol Levy, Janine Sanchez, Robert Rapaport, Osagie Ebekozien 

Addressing Global Inequity in Diabetes: International Progress

Authors: Ashby Walker, Sian Graham, Louise Maple-Brown, Leonard Egede, Jennifer Campbell, Rebekah Walker, Alisha Wade, DPhil, Jean-Claude Mbanya, Judith Long, Chittaranjan Yajnik, Nihal Thomas, Osagie Ebekozien, Oriyomi Odugbesan, Linda DiMeglio, Shivani Agarwal

Variations in Clinic Staffing for Adult and Pediatric Diabetes Centers in the US: Data from the T1D Exchange

Authors: Mary Pat Gallagher, Nudrat Noor, Osagie Ebekozien

Links to these papers coming soon!

Farewell and Thank you!

We would like to share our deepest gratitude to Dr. Alexis McKee and Julie Samuels as they move on to pursue new opportunities.  

We are sad to see Dr. McKee go but excited about her new adventure. We thoroughly enjoyed working with Dr. McKee and she was truly a valuable asset to the T1D Exchange QI Collaborative. Her team jumped right into the "Smart Pen" special project upon joining the collaborative and she has worn several hats since then. Apart from being a subject matter expert in clinical care, she is passionate about improving access to diabetes technology for underserved populations. She is a pleasure to work with, and she always shared lots of great ideas to improve patient care. She has such a great attitude to work and we will miss the energy she brings to the group. We sincerely wish her well in her new adventure! 

Julie Samuels has been the QI Coordinator for the Mount Sinai pediatric team since they began with the T1DX-QI in 2021. Julie gracefully transitioned to the role with top organizational skills, dedication to patients, and an eagerness to learn all things QI. She has supported her team in improving depression screening rates, and became one of our coveted QI Portal Champions! This is Julie's last month with the T1DX-QI as she starts her next chapter in medical school later this year. Thank you for everything, Julie! You will be missed.

Baylor College of Medicine/Texas Children's Hospital 

Dr. Ebekozien was honored to be the guest speaker at the Baylor College of Medicine/Texas Children's Hospital Annual Quality Day. He also delivered a grand round lecture to the Department of Endocrinology during his visit to Houston. He was accompanied by Trevon Wright from the T1D Exchange Office.

QI Portal User Feature

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

My favorite feature of the portal is that it reflects the essence of the Type 1 Diabetes Exchange. The portal represents collaboration and communication between clinical sites as well as a commitment to promoting compassionate, high quality, evidence-based care and real-world data related to people living with type 1 diabetes. My favorite feature in the portal, to date, is the library. I am excited that our site is close to being data mapped. Once that occurs, I look forward to being able to review our clinic’s metric outcomes including changes over time, in addition to being able to compare our outcomes to other centers with similar populations.  

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

To date, while waiting for our data to be mapped, I primarily use the library feature. Our program has used the library to access a number of change packets which have led to us successfully launching multiple QI initiatives. A colleague at our site and I also recently referenced articles from the library to share up-to-date data obtained by the T1DX for a presentation we did for the California Association of Diabetes Care and Education Specialists. To echo what a previous portal user said, I also appreciate not having to reinvent the wheel and start from scratch with our QI work. Having access to other clinics’ experiences helps us move our QI work along faster than we otherwise could. I am so grateful that the T1DX focuses on some of the most relevant topics of our time in the diabetes community including health equity, technology and mental health.

Name: Barbara Liepman RN MS CDCES CHWC 

Site: UCSF Pediatrics

Years with the T1DX-QI: 3

3. How does the Portal support your improvement efforts?

Our clinic has used various resources in the library for a variety of our QI projects. We have received great insights about other clinics’ workflows, patient surveys, and realistic goal setting considerations to name a few. It is also very validating and reassuring to know that other centers are addressing the very same things we are!

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

Until we are data mapped and can use the portal more robustly to track our data, I think it would be great to have a section in the library dedicated to patient voice and what patients feel would be the most helpful to support their diabetes management.

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.

Events & Reminders 

Upcoming Opportunities 

Here are a few opportunities shared with the collaborative. 

•  The American Diabetes Association's (ADA) Safe at School® Working Group requests your feedback on its Diabetes Medical Management Plan (DMMP) updated in 2022. Diabetes providers, parents/guardians of children with diabetes, and school nurses who have experience with the ADA’s DMMP are invited to complete a brief survey. Please access this link to learn more and take the survey: https://pitt.co1.qualtrics.com/jfe/form/SV_bf63nv5EBxKUCTs 

• T1DX-QI has created 5 working groups for special topics. The group topics are Diabetes Distress, Transitions of Care form pediatrics to adults, Hybrid Closed Loop, Glucose Monitoring and T2D Data Specification. If you would like to get involved and find out more email qi@t1dexchange.org 

Internal Member Website Resources

Next Collaborative Call

Pediatrics: Tuesday July 11 3:30-5pm EST

Adults: Thursday July 13th 11-12:30pm EST