October 19, 2023
T1D Exchange (T1DX) Health Equity Advancement Lab (HEAL)
Meeting Agenda
October 19, 2023, 1-2:30 pm ET, Zoom
Participants:
Ashley Butler, Carla Demeterco, Osagie Ebekozien, Colette Edwards, Holly Hardison,, Makaila Manukyan, Ann Mungmode, Ori Odugbesan, Janine Sanchez
Agenda:
| Time | Item | Facilitator |
| 1:00-1:10 pm
10’ |
Welcome
· Welcome · Centering |
Dr. Osagie Ebekozien Ann Mungmode |
| 1:10-2:15 pm
65’ |
HEAL 2023 work and beyond
· Operationalizing racial equity · Next Committee task · 2024 term |
Dr. Osagie Ebekozien Ann Mungmode All |
| 2:15-2:30 pm
15’ |
Updates and Close-Out
· Summary of next steps · Next meeting 1/18/24, 1 PM ET |
T1DX staff |
Welcome and Introduction
- What is one thing you like about the fall?
- What is on the top of your health equity wish list?
Updates from 2023 and Next Steps
- Current Practices in Operationalizing and Addressing Racial Equity in the Provision of Type 1 Diabetes Care: Insights from the T1DX-QI Health Equity Advancement Lab.
- Pediatric institutions have more strategies and formal committee/task force for improve practice on medical racism
- Pediatric institutions have more resources to provide to patients in SDOH needs
- SDOH is a major point, make systematic and strategic in EMR system for tracking
- Seven Years Trends (2016-2022) in Glycemic Outcomes and Technology Use for Over 48,000 People with Type 1 Diabetes from the T1D Exchange Quality Improvement Collaborative. Diabetes Technology and Therapeutics
- United States fares less favorable in A1C and technology use compared to other countries
- Outcomes are improving from all racial and ethnic groups, however gaps still exist
HEAL 2024 Mission
- What area should we target and what is our goal?
- Insurance:
- Lower insurance or less support are not able to upgrade
- Look at time between upgrade of devises
- Currently there is lag between public and private insurance, private gets written script first then private
- Larger discussion on how things are paid for is an issue
- Survey QI Collaborative on SDOH taskforce
- Do you, have it?
- Who collects it?
- What do you do with the information?
- Who does something with that information?
- Insurance:
- Carla to lead 2024 SDOH questions on annual clinic survey
- Ashley to lead 2024 commentary on SDOH coordinator role, contrasting to other roles in clinic
- Janine to lead 2024 paper on transition periods between devices
Next Meeting: Thursday January 18th 2024, 1-2:30pm EST
Link to Recording:
Passcode: RD=ovhn4
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