April 4, 2023
April 4th, 2023
T2DX-QI Monthly Check In
Agenda:
- Review T2D Project KDD
- Site share Process map for CGM initiation
- Q&A
- Review timeline Next Steps
*all teams have stated they are in the process of recruiting a patients advocate
KDD Review:
- Final KDD will come after fishbone project in May
- Aim: Increase use of CGM by 10% for people with T2D by 10/31/24
Process Map Sharing:
- Kathryn Fantasia (BMC) BMC_T2D_CGM_Process_Map
- Trying to determine standard way of determining if patient would benefit of CGM
- Determine a standard way of determining if patient can self train or needs CDCES for education
- If patient says not interested what is follow up period
- Determinant on physician, if weary prescribe and allow patient to try or not try based on needs and feelings
- Margaret Zupa (Pittsburgh) T2D_UPMC_CGM_process_4.2023
- No formal or standard way if patients are weary on follow up to re-ask
- A single patient tech determines if script is sent to DME or Retail Pharmacy
- David Ziemer (Grady) T2D_UPMC_CGM_process_4.2023 (1)
- Concentrates on Libre for T2D patients
- 1/3 of patients are non-insured
- Patient education on synching to app for viewing is a target in process
Smartsheet Review:
- 6 main measures to track and report on through smartsheet
- For the hypertension measure just collecting elevated blood pressure (not reporting on medications right now)
- Recommend to change uncontrolled blood pressure to (>130/80 mm Hg) based on 2023 ADA standards of care
- Each month is reflective of the patients seen in that month (EX: Jan 2023, only patients seen from Jan 1-Jan 31 2023)
Next Steps:
- May 2023
- Team will perform a group fishbone activity
- Teams encouraged to meet with and select patient representative to including limitations
- Fishbone Diagram Components
- Policies and Procedures
- Product
- Equity
- Place
- Process
- People
Link to Recording:
T2DX-QI Monthly Check In-20230403_140126-Meeting Recording.mp4
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