March 4, 2024 Grady

T2DX-QI Expansion, Grady Memorial, Meeting Minutes, Mar 4, 2024

Attendees: Nicole Rioles, Thayer Idrees, Kate Wiley, David Ziemer

• Welcome
  • Idrees will be co-leading work with Dr. Ziemer. Dr. Haw will no longer be tied to project because of time constraints.
  • Wiley has been added to project. She will co-coordinate T2D project, splitting tasks with Ms. Taft.
• Overview of current interventions and plans
  • Paper based survey now being implemented.
    • Paper based survey- asking questions about CGM eligibility (considering insurance coverage, costs, etc)
    • Survey administered by PARS at check-in.
    • Pain points: patient complete surveys. But “doesn’t get into provider hands” survey/results/opportunities with patients. Opportunity here for QI follow up to identify opportunities to improve workflow
    • Survey administration now implemented as practice-wide intervention
  • CGM patient education curriculum now being developed by Rachel Taft
    • Anticipate rolling out classes by mid-April
    • Small, in person class structure
    • Focusing on the basics
  • Pain points and opportunities
    • Prior auths, DME challenges, pharmacy benefits “a mess”
    • Using Parachute Health for DME and prior auths
    • Idrees mentioned that getting a dedicated acces coordinator would be effective to manage processes/follow up. Dr. Ziemer said that access coordinator staff are limited, shared across the hospital, and that diabetes is not a high priority area
    • Nicole mentioned that device questions/prompts could be systemized through BPA alerts (she will share sample practices from other Epic using centers, for consideration.)

Next meeting: Monday April 1, 2024 2-3 pm (EST)

Link to Recording: https://youtu.be/aZczHx7_ZzA