July 16, 2021

July 16^th, 2021

Meeting Minutes: QI Collaborative Clinical Leadership Meeting

Key points:

Collaborative growth: we now have 41 clinics participating!
- 28 pediatric sites, 13 adult sites
- Welcome to Northwestern Medicine adult clinic and University of Wisconsin pediatric clinic!
June 2021 Learning Session
- Evaluation: https://trello.com/c/Shs8hqOV/38-ls-evaluation
- CME credits: https://stanford.cloud-cme.com/T1DX
- Presentation Videos: https://trello.com/c/FxDFHcMy/1-agenda
- PowerPoints: https://trello.com/b/QTZYDMKu/2021-june-learning-session-virtual
November 8-9 2021 Hybrid Learning Session
- Clinical Leadership Pre-Meeting: Monday 8am-12pm
  - Strategy and goal setting for 2023-2024
- Learning Session: Monday 12-5pm; Tuesday 8-3pm
  - Boston, MA
  - 2-person per clinic will be fully sponsored
  - Site can cover the cost for additional members
- Virtual Option will be available
  - Unlimited number of clinic members invited
- Clinical Diabetes
  - T1D Exchange Quality Improvement Collaborative: A Learning Health System to Improve Outcomes for All People With Type 1 Diabetes
    - Ruth S. Weinstock, Priya Prahalad, Nicole Rioles and Osagie Ebekozien
    - Clinical Diabetes July 15, 2021; cd210032. https://doi.org/10.2337/cd21-0032

Quality Improvement in Diabetes Care: A Review of Initiatives and Outcomes in the T1D Exchange Quality Improvement Collaborative
- Olivia Z.B. Ginnard, G. Todd Alonso, Sarah D. Corathers, Carla Demeterco-Berggren, Lauren H. Golden, Brian T. Miyazaki, Grace Nelson, Emma Ospelt, Osagie Ebekozien, Joyce M. Lee, Kathryn S. Obrynba and Daniel J. DeSalvo, on behalf of the T1D Exchange Quality Improvement Collaborative Study Group
- Clinical Diabetes July 15, 2021; cd210029. https://doi.org/10.2337/cd21-0029

Inequities in Health Outcomes in Children and Adults With Type 1 Diabetes: Data From the T1D Exchange Quality Improvement Collaborative
- Shideh Majidi, Osagie Ebekozien, Nudrat Noor, Sarah K. Lyons, Ryan McDonough, Kajal Gandhi, Roberto Izquierdo, Carla Demeterco-Berggren, Sarit Polsky, Marina Basina, Marisa Desimone, Inas Thomas, Nicole Rioles, Jose Jimenez-Vega, Faisal S. Malik, Brian Miyazaki, Anastasia Albanese-O’Neill and Nana-Hawa Yayah Jones, on behalf of the T1DX-QI Collaborative
- Clinical Diabetes July 15, 2021; cd210028. https://doi.org/10.2337/cd21-0028

Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes
- Priya Prahalad, Osagie Ebekozien, G. Todd Alonso, Mark Clements, Sarah Corathers, Daniel DeSalvo, Marisa Desimone, Joyce M. Lee, Ilona Lorincz, Ryan McDonough, Shideh Majidi, Ori Odugbesan, Kathryn Obrynba, Nicole Rioles, Manmohan Kamboj, Nana-Hawa Yayah Jones and David M. Maahs, on behalf of the T1D Exchange Quality Improvement Collaborative Study Group
- Clinical Diabetes July 15, 2021; cd210026. https://doi.org/10.2337/cd21-0026

Increasing Insulin Pump Use Among 12- to 26-Year-Olds With Type 1 Diabetes: Results From the T1D Exchange Quality Improvement Collaborative
- Sarah K. Lyons, Osagie Ebekozien, Ashley Garrity, Don Buckingham, Ori Odugbesan, Sarah Thomas, Nicole Rioles, Kathryn Gallagher, Rona Y. Sonabend, Ilona Lorincz, G. Todd Alonso, Manmohan K. Kamboj and Joyce M. Lee, on behalf of the T1D Exchange QI Collaborative Study Group
- Clinical Diabetes July 15, 2021; cd210027. https://doi.org/10.2337/cd21-0027

2020 – 2022 Key Driver Diagrams and Reporting Measures for Smartsheet
- Pediatric and adult glycemic target KDD templates
- Report measures for peds and adults
QIC Engagement Score
- How do we measure engagement?
  - At least one team member attends monthly collaborative call
  - At least two team members attend coaching calls quarterly
  - Active participation of at least one team member in two committees
  - Data mapping and integration
    - For sites that are data mapped: At least one eligible team member logs into QI portal monthly
    - For sites that are not data mapped: Site remains on track with project plan
  - Current score= 82%
- Next meetings:
  - Collaborative Calls
    - July
      - Thursday July 29 from 11-12:30 PM (EST)
      - Our last combined adult/peds meeting
    - August
      - Adult: Thursday August 26 from 11-12:30 PM (EST)
      - Pediatric: Tuesday August 31 from 3:30-5 PM (EST)
    - Sept-Dec meetings will be split
      - Next Clinical Leadership meeting
        
        Friday Sept 17 from 10-11 AM (EST)
      - Feedback incorporated from meeting: we will host combined (peds and adults) Collaborative calls for March, August, and December 2022 and a combined a combined (peds and adults) call for December 2021.

Invoicing
- All Q1 and Q2 invoices are due now
- Have questions about payments, timelines, or invoices? Review SOW and email nrioles@t1dexchange.org
- For work completed in Q1 or Q2:
- All invoices should reference deliverable(s) completed and timelines of work (in SOW)
- Submit invoices to nrioles@t1dexchange.org, rweathers@t1dexchange.org
- Crasco@t1dexchange.org
PI Topics of Interest Discussion
- Churn/staffing/retention
  - Lots of shortages mentioned among all sites including nurses, MAs, CDEs, etc
  - Some sites have been training MAs to do prior authorizations
- Action step: create Trello board to share best practices and ideas to reduce churn