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January 2022 Peds Collaborative Call

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Pediatric Collaborative Call Meeting Minutes

January 27 2022, 11:00-12:30pm

  • Welcome & introductions
  • Updates from the Collaborative
    • We currently have 43 Participating Clinics, 29 Pediatric & 14 Adult
    • Welcome Cleveland Clinic
      • Adult Clinic PI: Pratibha Rao, MD, MPH
      • Pediatric Clinic PI: Andrea Mucci, MD, MASc
    • Welcome Holly Hardison, New QI Coordinator
    • PI/Clinical Leadership Convention May16-17
      • Due to the rise in covid numbers the May learning session will be virtual 11am-4pm EST
    • T1D Exchange Website
      • Content that has previously been posted on Trello will be slowly migrating over to the website. The website will have a protected password for collaborative members to access content. This transition will begin 3/1/2022
    • Committee Chair Roles
      • We are looking for new co-chairs to help us lead committees. Terms last 24 months and will begin 6/1/2022. Each committee has a co-chair from a pediatric and adult clinic.
      • Please use this form to nominate yourself or share with a team member who you believe would be a great fit for the role.
      • Check out the Trello boards to learn more information about these committees

Clinical Leadership: https://trello.com/b/4F3ABcug/clinical-leadership-committee

Publications: https://trello.com/b/K5EUYxbf/publications-committee

Data Science: https://trello.com/b/YmmgugBB/data-science-committee

 

  • Clinical Presentation SUNY , Roberto Izquiero and Margie Greenfield
    • Highlighted their diabetes wellness program which showed a decrease in DKA
    • Showcased the frameworks of the wellness program and discussed outcomes learned
      • Changes in scheduling process
      • Not all visits were needed and not all patients liked weekly calls
      • A1c, and DKA decreased while CGM and QOL increased
      • Program needs to be more accesible
      • Discussion about flexibility of times and reaching out to school nurses to help perform visits to reduce inequities among patients
  • Clinical Presentation Nationwide, Ariana Hoet
  • Learning Objectives:
    • Participants will be able to breakdown diversity within the Latinx population.
    • Participants will be able to describe how immigration and cultural values impact treatment.
    • Participants will be able to recall current inequities that Latinx families face.
    • Participants will be able identify action steps providers can take to bridge health inequity gaps.
  • Emphasized the importance of understanding the Latin American culture to provide the best care possible to patients
    • Family structure and impact on patients medical outcomes
    • How to use interpreters effectively
  • Review of Portal, Smartsheets, Data Mapping
  • Comparison of benchmarks between sites
    • A1c Goals
      • Hybrid closed loop
      • Decrease disparity gap
    • CGM Use
      • Education upon diagnosis
      • Insurance coverage
    • Pump Use
    • Start upon diagnosis
    • 2 day pump training and daily follow up
    • SDOH
    • Screen every visit
  • Portal log in: https://qi.t1dplatform.org/auth/login
  • Portal Demo Video: https://www.youtube.com/watch?v=iZCe48_MtsE
  • Review of resources
    • IHI Open School
    • Monthly Collab Calls
    • Coaching Calls
    • QI Portal and Dashboard
    • Case studies/Change packets
    • PDSA Cycles in LifeQI
  • Recommendations for next half year (6/1/2022)
    • Identify QI project for next 4-6 months
    • Provide Phase 1 Measure, if not already done
    • If Phase 1 is collected begin Phase 2
    • Utilize QI portal for data trending and benchmarking
    • Take IHI Courses http://www.ihi.org/
    • Document PDSA’s in LifeQI
    • Engage other faculty members in your projects by sharing insights

Next call: Thursday March 24th, 11:00-12:30 PM EST (combo with adult clinics)

Link for Recording:

https://us02web.zoom.us/rec/share/lk_LywFrRVlixsbdTDvwvWtgzbHiszlmoyg0iQ_qf876KIZdHBgARAb5ns5MP0x0.YMXSqdY1BsmAXwpG

Access Passcode: E3sq#2NH

 

T1DX-QI

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