February 25, 2025

Attendees: Emma Ospelt, Ryan McDonough, Nirali Shah,  Mary Pat Gallagher, Patrick Hanley, Susan Thapa, James Dawson, Risa Wolf, Todd Alonso,  Donna Eng, Anton Wirsch, Dhruvi Vora, Jenise Wong, Naomi Fogel, David Lam, Siham Accacha

DSC Feb 2025

Agenda

• Introductions-Ryan McDonough and Nirali Shah
• T1D Exchange Updates- Emma
• BPA project update- Dr. Wolf
• AID project update- T1D Exchange Team

Type 1 Diabetes Mapping Updates

• 43 centers fully mapped (from 37 centers in Q4)
• 6 in validation phase

Type 2 Diabetes Mapping Update

• 3 centers fully mapped
• 7 centers still in the mapping process

T1D Exchange Project Updates

Breakthrough T1D BPA Project Update

Aim 1:  To develop and implement an EHR-based BPA using stakeholder feedback to standardize the approach for prescribing and documenting advanced diabetes technologies (ADT) (CGM, insulin pump, AID) among adult and pediatric PwT1D.

Aim 2:  To determine the effectiveness of an EMR-based BPA in reducing racial inequities in ADT.

Aim 3: To explore the reasons identified for providers decision to not prescribe ADT and whether they were PwT1D or provider led, and the association between the reason provided and the PwT1D’s race/ethnicity.

Medtronic AID Project

Aim 1: Increase the percentage of T1DX-QI centers reporting AID system use and analyze real world data on AID use trends.

Aim 2: Complete qualitative analysis to understand factors that influence diabetes providers recommendations of AID systems.

Aim 3: Increase the percentage of newly diagnosed patients prescribed AID.

• 12 participating centers

Aim 1:

• T1D Exchange will work with T1DX-QI center teams that are fully data mapped to enhance AID data collection.
• Additionally, T1D Exchange’s Data Science Committee (DSC) will propose best practice recommendations for documenting AID use in EMRs outside of the T1DX-QI network, enhancing standardization of data collection.
• The participating centers will begin to report these metrics, if they have not in the past, or enhance their current reporting on these AID variables.
• T1D Exchange will analyze the expanded AID real world data, examining new trends and insights.

Next meeting: Tuesday May 20^th 2pm EST