May 23, 2025

Diabetes Distress Meeting Minutes, May 23, 2025

AGENDA

• Oregon Health & Science University: Dr. Farahnaz Joarder and Ryan Tweet
• Seatle Children’s: Dr. Alissa Roberts

OHSU – Presentation Slides

Seattle – Presentation Slides

• 2000 pts seen qtly
• Multiple campuses. Diabetes care takes place in outreach clinics, primarily.
• Started screening PAID-T, 14 item, validated in youth.
• Changed EMR. Previous used screeners where pdfs could be uploaded.
• Started in Feb. 2017. Linked to roll out of PHQ-9 at main campus
• Pilot March 2018
• EMR change 9/2020
• Started at just 2%. Rose to 80% screening. 22% endorsed elevated distress
• Built screeners in Epic.
• MAs manually send messages about telemed visits
• Positive screeners appear in red. Did not make into a BPA. Provider discussion.
• Can look at item level data for discussions.
• MyChart messages
• Aim to roll out everywhere
• Updated templates to auto assign
• Data from flowsheet, increased in March 2024- to close to 50%.
• Challenges: MA turnover. Trying to train to reinforce completing screeners before visit.
• Q: retraining is important. Have flowsheet and mandate use to sign off on the encounter. Now less likely to miss.

Next meeting: July 25

Presenters: Nationwide, Johns Hopkins, and Indiana