June 13, 2023

• T1DX team has some questions for Cornell team: 

• Confirm that our logic for identifying T1D population is accurate 

• Yes, is accurate 
• And, NYP site is officially merged; moving forward we would expect 0 encounters at this location 

• Can Cornell team submit ongoing diabetes files in the future? 

• In theory, yes* 
• Perhaps T1DX can share back the original file so that Cornell IT team can replicate the code they used to format the file in a usable way 

• Can Cornell team provide only monthly updates (rather than the entire historical OMOP or diabetes extraction)? 

• In theory, yes* 

• *Cornell team is finalizing IRB approval to exempt this study from requiring patient consent 

• We will have more information next week 
• Will need to touch base with IT afterwards; will be able to have more concrete discussion when this is not theoretical 

• Ann to check with team about IRB again in July 

• PDSAs continue with Spanish-speaking patients interfacing with Doris 

• Team is exploring ways to measure this 

• Could be some combination of telephone encounters, show rates, and overall patient engagement  

• Additionally, team is reviewing a list of patients with HbA1c > 9% 

• This takes provider time if patients no-show 
• If a patient has HbA1c > 9%, a SW assesses them for ways to support 
• Not always time for 1:1 engagement 
• The effort of reviewing cases monthly and identifying supports and a plan patients one by one is time consuming 

• Team can review patients that have been assessed and review for themes, and identify a PDSA that could support multiple patients with one effort 
• Team thinks this may include use of HCLS, and receiving support 

• Team is also working on a Family Focus Group (adjusted from previous PFAC) 

• Launch team identified (admin and clinical staff) 
• Thinking they will meet quarterly and provide input for programs, QI projects 
• Looking for a mix of patient identities (especially a variety of age groups) 

• Finally, team is hoping to streamline processes 

• There are gaps in education from inpatient to outpatient; currently there are videos before discharge, but more is needed 
• Surveyed providers on perceived needs: 

• Insulin dosing 
• Highs and lows 
• T1D care in schools 
• Carb counting 
• Family readiness/confidence 

• Outpatient visits are long (2 hours) 
• CDCES – diabetes education 1 week after initial visit 

Depression screening 

• Increased to 80% 
• Team is still looking into iPad funding 

• Learning Session abstract deadline has been extended to 7/14 
• Cornell team has two potential ideas (Ann encouraged team to submit both 😊) 

• Health inequities 
• HCLS 

• Cornell team to submit abstract(s) by 7/14 

• Next Pediatric QI Collaborative call is 7/11/23 at 3:30 PM ET 
• Next QI check-in is scheduled for 8/15/23 at 1:00 PM ET  

• Ann to confirm if Cornell team is presenting at September collab. call