July 2025 Pediatric Collaborative Call

July Pediatric Collaborative Call Meeting Minutes

July Peds Call FINAL

July 24, 2025 11:00-am EST

• Welcome & introductions, Nicole Rioles, MA
• Clinical center presentations
  • Indiana University, TKatie Haberlin-Pittz, MPH, CHES, CHWC
  • UC Davis, Rachael Lee FNP-BC,CDCES, BC-ADM
  • Cincinnati Children’s, Sarah Corathers, MD
• Updates from Coordinating Center

• • Registration for the 2025 Learning Session from November 11-12th in Atlanta. https://t1dx-qi.t1dexchange.org/2025-learning-session/learning-session-essentials/

• • Learning Session call for abstracts Deadline: August 15^th.
    • Everyone is encouraged to submit an abstract!
    • We encourage abstracts on T1D and T2D interventions that you have been testing in 2025.
  • T1D Exchange’s Annual Survey:

• • • Survey release date: August 18^th.
    • One survey should be completed by each clinic.
    • The deadline to complete survey: 10/1/2025.
    • More categories this year but fewer questions overall. We are also including questions about economics, which we will track over the next two years.
    • Co-authorship opportunities for survey data

• • Invoice deadline SOW work ending in June 2025.

• • Reminder that invoices for Statements of Work with deliverables completed on or before June 30, 2025, are now due. Consult your SOW for details.
    • All payments will be made through electronic funds transfer (EFT). Please include your banking information on invoice.
      1. Bank account name & address
      2. Bank account number
      3. Bank account routing number
    • Invoices should be sent via email attachment

To: Nicole Rioles – nrioles@t1dexchange.org

cc: Rene Weathers – rweathers@t1dexchange.org 

Linda Crasco – linda.crasco@t1dexchange.org

• Clinic Presentations: Indiana University, Katie Haberlin-Pittz, MPH, CHES, CHWC
  • Katie provided background information on their clinic and discussed the implementation of the PAID-T survey.
    • This survey asks 14 questions on a scale of 1-6 that can provide more insight than depression and anxiety screeners.
  • The primary aim is to screen 100% of people receiving care at the clinic with a secondary goal of addressing those who score higher than 44.
  • Katie reviewed the observations and barriers of all six PDSA cycles and discussed future plans for the program.
  • Discussion occurred about updating numerators to improve performance metrics (if their center’s EHR (Cerner) allows it) and the very real challenges of staff turnover.
  • Nicole reminded the participants of the Diabetes Distress Work Group. Anyone who would like to join, please email qi@t1dexchange.org

• University of California Davis Health, Rachael Lee FNP-BC,CDCES, BC-ADM

• • Rachel Lee provided an overview of their pediatric center and the work they are doing to reduce errors in insulin prescribing.
  • The aim of reducing inpatient subcutaneous insulin errors by 30% is supported by addressing insulin prescribing and insulin administration.
    • In six months, four PDSA cycles were used to lower errors by 60%.
    • Despite improvements, there were challenges with implementations that generated a slight increase in administrative errors.
  • Discussion occurred about how to define errors, training people on calculating insulin doses and entering orders. The orders at UCSD contains a dosage calculator, but this system is not error-proof.

• Cincinnati Children’s, Sarah Corathers, MD

• • Dr. Corathers shared the objectives of their ConnecT1D program. The goals of this program are to change care delivery, improve health outcomes, and close equity gaps.
  • An aim statement of achieving equitable outcomes for children with T1D were used.
  • eVisit questionnaires can be completed via MyChart in between scheduled visits which allows clinicians to implement changes to care within days, instead of waiting for a next encounter.
  • The service is billed to insurance and costs less than an encounter. In less than two years, 627 eVisits have been completed.
  • Sick day tools for sick day management were becoming unwieldly and required retooling with input from multiple specialties.
  • CGM EHR Integration and iCoDE (Integration of Continuous Glucose monitor data into the EHR).
  • Results from the past three years were shared and include an improved clinic visit rate, social work visits, CGM use, insulin pump use, and a drop in mean HbA1c over time in both public and private cohorts.
  • The center is committed to ongoing quality improvement by decreasing time to AID following new onset diagnosis, reducing hospital days, and closing health equity gaps.
  • Discussion occurred about the wonderful work being done by Cincinnati Children’s, eVisits, and what type of visit makes the most sense for different centers, as well as challenges connecting with patients and how eVisits work to reduce the burden on them.
    • Since these are “medical visits” an APP or MD is required to see the patient and the importance of using the correct medical codes were also reiterated.

Next meeting: Pediatric Collaborative Call Tuesday September 23, 3:30-5pm EST

Link to Recording:

https://us02web.zoom.us/rec/share/9yWpWWeTNPSFMK6FmLeDAX6tt0XbagT6sh4L5uQ1IoJqrz1JbOViCANgVFJJq93d.1Hiz-CO7y4_0US2s 

Passcode: n2Q?fTyX