March 22, 2024

 

 

 

Diabetes Distress Workgroup Meeting, 3/22/2024

 

Attendees: Casey Berman, Don Buckingham, Michelle Coulter, Jennifer Iyengar, Manu Kamboj, Emily Ospelt, Nicole Rioles, Alissa Roberts, Katherine Semenkovich, Devin Steenkamp, Ryan Tweet, Heather Yardley

 

Welcome to Katherine Semenkovich, PhD, who is now practicing at Nationwide Children’s in Psychiatry and Behavioral Health

 

BMC Adults

• New screener process. 1 hour of screeners in session
• People identified, with tech focus, including people with DD and SDOH needs
• Separate program
• Developing data mapping flow sheets now

 

Seattle Children’s

• Trying to add screener to all visit types
• Trying to include kids ages 12 and up. This is contingent on EMR changes that will happen simultaneously with PHQ changes for eligibility for children ages 12+

 

Michigan Adults

• 947 screened, screening QTLY (shorter 8 question screener done now)
• Monthly numbers have been increasing substantially since Dec 2023
• Some “assigned” but not done
• Mocking up a dashboard, looking at responses, demographics. Will be done in summer
• Approval to run at another location. Need ipad workflow.
• Goal- 90% screener

 

Nationwide Children’s

• New hire- Katherine S.
• Screening twice a week
• Preparing abstract to ISPAD on DD
• Trying to get PAID T into EMR so that they can send to families
• Want to add PAID C and PAID P (parents) for the future
• Working to expand age range in the future

 

 

OHSU Oregon Adult

• Handing out and MyChart screener
• MAs are entering data
• Educators are sending out prior to appt- assign questionnaire without having to open chart
• Software tells how many completed but not rate of distress

 

NYU Langone Hassenfeld Children’s

• Met with team to get start
• Plan to implement PAID T and PAID for parents
• Looked at the T1DAL as an option

 

 

Discussion topics:

• It’s important to discuss the distress with patients, even if there is not a lot of time
• Endocrinologists in the group recognize the need for them to discuss with patients because of the importance of the topic and the scarcity of behavior health trained clinicians available in practice
• How can we develop soft skill development [training] among endocrinologists?
  • Train in meeting Diabetes Distress meeting
  • Train at a learning session meeting
  • Ryan and Katherine are willing to co-lead a training that could be appropriate for the adult-pediatric clinicians
• Resource suggestions
  • Dot phrase for use to document DD discussion/screening
  • We could make a Diabetes Distress Change Package with tools for dissemination (best practices/case studies, templates, tools, flowsheets, dot phrases, etc)

 

Reminders:

• Please track your distress screening monthly numbers in Smartsheet so that we can track screening rates as a process improvement measure
• Everyone is strongly encourages to document the tests of change you are implementing in your respective interventions
• Next meeting: Friday April 26^th from 12-1 pm (EST)