January 2026 Pediatric Collaborative Call

January 2026 Pediatric Collaborative Call 

January 29, 11am-12:30pm EST 

January 2026 Pediatric Call FINAL SLIDES 

Coordinating Center Updates 

Presenters: Nicole Rioles, MA; Ori Odugbesan, MD, MPH; Alyssa Cabrera, MPH 

• Abstract Submissions 

• • T1DX submitted 14 abstracts to ADA 

• • An additional 5 late-breaking abstracts will be submitted 

• 2026 Annual Survey Questions 

• • Proposals due May 1 

• • Submit to qi@t1dexchange.org and cc Nicole Rioles (nrioles@t1dexchange.org) and Claire Rainey (crainey@t1dexchange.org). 

• Learning Session abstracts will be published next month in the Journal of Diabetes 

• • Learning Session presentations and posters are available on the member website:
    https://t1dx-qi.t1dexchange.org/2025-learning-session/ 

• New measures for 2026–2028 are live; additional details are available on the member website:
  https://t1dx-qi.t1dexchange.org/measures/ 

• • New SmartSheets for the measurement period will be shared with teams within the next month 

• • Alyssa Cabrera shared an overview of the 2026–2028 pediatric metrics 

• • Discussion addressed the use of GMI as a valuable metric when HbA1c cannot be obtained: 

• • • GMI should be interpreted in context 

• • • Further discussion would be better suited for an offline conversation or a future Learning Session 

Screening and Monitoring Update 

• Overview of the Beta Cell Preservation Work Group 

• A white paper has been developed and will be available for dissemination by February 23 on the T1D Exchange website 

Center Presentation: Rainbow Babies and Children’s, University Hospitals 

Presenter: Anna Neyman, MD 

Topic: Depression Screening QI Project 

• Mental health is an important component of both well-being and glycemic control 

• Aim: Increase depression screening among eligible youth with T1D from 50.9% to >70% within 6 months 

• Interventions 

• • Education 

• • EMR: Creation of a Diabetes Tab and collaboration with the Epic team to optimize workflow 

• • Epic dot phrase to automatically pull screening results and corresponding plans based on score 

• Methods to Assess Interventions 

• • Review of three clinic days per month 

• • PDSA cycles 

• Results 

• • Initial decreases in screening rates prompted further analysis and additional interventions 

• • Most recent monthly average screening rate is 90% 

• Next Steps 

• • Project has transitioned to the maintenance phase 

• • Assess post-intervention outcomes 

Topic: AID QI Project – Improve Utilization of AID Technology 

• Primary Aim: Increase the proportion of patients achieving glycemic targets in an equitable manner 

• • Increase AID utilization by at least 5% within 12 months 

• First PDSA cycle is underway 

• Fishbone analysis identified barriers to AID utilization 

 

Center Presentation: Seattle Children’s Hospital 

Presenter: Jessica Johnson, ARNP 

Topic: Utilizing Quality Improvement to Implement and Standardize Peripheral Neuropathy Screening in Pediatric Patients with Diabetes 

• ADA Standards of Care: Foot exams for youth with T2D at diagnosis and annually thereafter 

• DFE: Diabetic Foot Exams 

• Identified care gaps and lack of supplies for DFE 

• No standardized method for tracking DFE completion or complications 

• Aim: Increase annual diabetic peripheral neuropathy screening for eligible youth with T2D to 20% by 12/31/2025 

• Interventions 

• • Supply kit (implemented at project start) 

• • Infographic (implemented at project start) 

• • Michigan Neuropathy Screening Instrument (MNSI) questionnaire (implemented at project start) 

• • • A score of ≥7 indicates a positive screening 

• • MNSI exam (implemented at project start with modifications as tests of change) 

• • • A score of >2 indicates a positive exam 

• • Educational materials (implemented at project start with modifications as tests of change): 

• • • Tips for Healthy Feet 

• • • Diabetes Foot Care Tips 

• Questionnaire Findings 

• • Identified teaching opportunities for providers to differentiate normal from neuropathic symptoms 

• Conclusions 

• • Low-cost interventions embedded into usual workflow 

• Lessons learned: 

• • Staff education was a key driver of QI success 

• • Low-cost changes can meaningfully improve diabetes care 

• • Epic tools supported standardization of documentation 

• Next Steps 

• • Clinic-wide scaling and staff training 

• • Addition of DFE supplies to recurring inventory and optimization of the EHR 

• • Ongoing process improvement 

 

Next Combined Meeting: Tuesday April 14th 3:30-5pm EST

Next Peds Meeting: Thursday July 23rd 11-12:30pm EST

Zoom Recording password: vbh.$1Dg