Improving Diabetes Outcomes
The 2023 T1D Exchange Quality Improvement Learning Session: Sustaining Performance Improvement in Diabetes Care
November 14-15, 2023
Westin New York Grand Central
212 E 42nd St, New York, NY 10017
With clinical tours at Mount Sinai and NYU Langone Hospitals
With our team-based focus on contributing partners, clinical collaboration, and co-production with people living with diabetes, we are excited to share the agenda, give you a glimpse at the guest speakers travelling to this learning session, and highlight what we will get to see and hear from our co-hosts at the Icahn School at Mount Sinai and NYU Langone.
By the end of this learning session we want participants to:
Know
We are making a positive impact on diabetes through the contributions of our academic, industry, medical, and research partners.
Feel
Energized that we have the tools to effectively mobilize clinical teams and optimistic about the resources shared across T1DX-QI through collaboration.
Do
Co-produce and implement new PDSA cycles and share results with the QI Collaborative.
We are so glad to have you with us. Here’s to making life with diabetes better for everyone.
– The T1D Exchange Quality Improvement Team
7:00 – 8:00 am
Breakfast
Ballroom Foyer
3rd Floor
8:00 – 8:10 am
Nicole Rioles, MA, Director of Clinical Partnerships, T1D Exchange
Ballroom
3rd Floor
8:15 – 8:55 am
Introduction and Welcome by New York PIs
Diabetes Care in NY Adult Panel Final
Facilitated by Devin Steenkamp, MBChB, Boston Medical Center
Shivani Agarwal, MD, MPH; Carol Levy, MD, CDCES; Lauren Golden, MD; and Ruth Weinstock, MD, PhD
Session Objective: At the conclusion of this session, members will be able to summarize and explain how diabetes care is practiced in the state of New York, including the access conditions for diabetes related resources.
At the conclusion of this activity, learners will be able to describe and summarize the key infrastructure and systems that support the adult endocrine clinics so that its team can offer high quality care to people with diabetes.
Ballroom
3rd Floor
9:00 – 9:20 am
Nov 2023 QI LS T1D Exchange Overview
Dave Walton, MBA, CEO, T1D Exchange
Session Objective: At the conclusion of this session, members will be able to identify, summarize and explain the different initiatives at T1D Exchange, including T1D Exchange Online Registry, Online Community, custom research studies that include PWD sharing survey and CGM data, and standalone study recruiting
Ballroom
3rd Floor
9:20 – 10:00 am
State of T1D_Ebekozien_11.13.23 Final
Osagie Ebekozien, MD, MPH, Chief Medical Officer, T1D Exchange
Session Objective: At the conclusion of this session, members will be able to identify, summarize and explain how QI Collaborative processes and frameworks in clinical practice care can improve diabetes outcomes.
Ballroom
3rd Floor
10:00 – 10:15 am
Break
10:15 – 11:15 am
Diabetes Care in NY Peds Panel Final
Facilitated by Todd Alonso, MD, Barbara Davis Center
Jennifer Sarhis, MD, Allison Mekhoubad, DO; Meredith Wilkes MD; David Hansen, MD; Siham Accacha, MD; Zoltan Antal, MD; and Mary Pat Gallagher, MD
Session Objective: At the conclusion of this session, members will be able to summarize and explain how diabetes care is practiced in the state of New York, including the access conditions for diabetes related resources. At the conclusion of this activity, learners will be able to describe and summarize the key infrastructure and systems that support the pediatric endocrine clinics so that teams can offer high quality care to people with diabetes.
Ballroom
3rd Floor
11:20 am – 12:30 pm
Breakout #1
Health Equity
Moderator: Joyce Lee, MD, MPH, C.S Mott Children’s Hospital, University of Michigan
- Mind the Gap: Lessons Learned from Addressing Inequities in CGM Access Nana-Hawa Yayah Jones, MD, Cincinnati Children’s Medical Center
- Advancing Equity in Technology Usage for Patients with Diabetes
Janine Sanchez, MD, University of Miami Pediatrics - Increasing Insulin Pump Utilization in Public Insured Patients
Anna Cymbaluk, MD, Rady Childrens Hospital - Reducing Requirements for Pump Referral Improve Pump Initiation for Publicly Insured Patients
Lily Chao, MD, Childrens Hospital of Los Angeles - SEAD hospitalization T1D Exchange 2023 Poster
Shivani Agarwal, MD, MPH, Albert Einstein College of Medicine
Ballroom
3rd Floor
Social Determinants of Health
Moderator: Francisco Pasquel, MD, MPH, Emory School of Medicine
- Improving Food Insecurity Screening in Children and Adolescents with Type 1 and Type 2 Diabetes
Jennifer Ruiz, RN, Rady Childrens Hospital - Establishing Social Determinants of Health Screening to Improve Pediatric Diabetes Patient Outcomes
Blake Adams, BSN, RN, Le Bonheur Childrens Hospital - Screening for Social Determinants of Health in Adults with Diabetes
Ruth Weinstock, MD, PhD, SUNY - REACH Registry: using electronic medical record-based tools to improve outreach services
Daniel DeSalvo, MD, Texas Childrens Hospital - To Contract or Not to Contract? Paying for NICH to Address the Social Drivers of Diabetes Outcomes
Michael Harris, NICH, OHSU
Ambassador
3rd Floor
Psychosocial Support
Moderator: Sarah Lyons, MD, Texas Children’s Hospital
- High Anxiety Scores Associated with Glycemic Outcomes
Emma Ospelt, MPH, T1D Exchange - Improving Depression Screening in Patients with type 1 Diabetes Mellitus
Siham Accacha, MD, NYU Langone at Mineola - Ongoing Efforts for Improving Depression Screening at a Pediatric Diabetes Center
Mary Pat Gallagher, MD, Hassenfeld Childrens Hospital - Systematically Developing and Piloting an Eating Disorder Screening Process at a Large Pediatric Diabetes Clinic
Rebecca Campbell, BS, Barbara Davis Center - DiabetesWise Pro Diabetes Device Digital Platform
Korey K. Hood, PhD, Stanford
Consulate
3rd Floor
Access and Transitions of Care
Moderator: Manmohan Kamboj, MD, Nationwide Children’s
- Appointment Lag Time and Tracking Transition in Young Adults
Sean DeLacey, MD, Lurie Childrens Hospital - Increasing Documented Transition Plan Across 3 Pediatric Sites in the T1D Exchange Learning Collaborative
Trevon Wright, MHA, T1D Exchange - Using Quality Improvement to Reduce Loss-To-Follow-Up in Pediatric Patients with Type 1 Diabetes
Meenal Gupta, MD, Seattle Childrens Hospital - Improving Diabetes Retinopathy Screening and Documentation in Youth with Diabetes
Isabella Niu, MD, UCSF Pediatrics - Sustained Quality Improvement implementation of a transition preparation program for adolescents and emerging adults with type 1 diabetes
Sarah Corathers, MD, Cincinnati Childrens
Session Objective: At the conclusion of this activity, learners will compare, differentiate, and analyze QI projects and project outcomes based on abstract sharing between clinics and propose and plan projects within their own clinic.
Embassy
3rd Floor
12:30 – 1:30 pm
Lunch
*time for networking and visiting educational room (Track 61)
Ballroom
3rd Floor
1:30 – 2:00 pm
International Comparisons in Diabetes Outcomes: Lessons from Abroad
David Maahs, MD, PhD, Stanford University
Session Objective: At the end of this session, members will be able to identify and summarize health conditions for diabetes populations in Europe, Canada, Australia, and the UK.
Ballroom
3rd Floor
2:05 – 3:10 pm
Breakout #2
Health Literacy, Engagement, and Education
Moderator: Carol Levy, MD, CDCES, Mount Sinai
- Implementation of a School Diabetes Education and Support Program
Jeniece Ilkowitz, BSN, RN, MA, CDE, Hassenfeld Childrens - Patient Involvement to Improve New Onset Type 1 Diabetes Education
Isabel Reckson, RD, CDE, Weil Cornell Medical Center - Strategies to Improve Smart Pen Uptake –Lessons Learned from a Pediatric Diabetes Center
Brian Miyazaki, MD, Children’s Hospital of Los Angeles - Integrated Diabetes Education and Support (IDEAS) Program
Tamara Hanon, MD, Indiana University - Nationwide Children’s Hospital (NCH) Diabetes Patient and Family Focus Group Program: A new initiative to incorporate the voice of the consumer!
Toyetta Barnard-Kirk, MSW, LSW Nationwide Children’s
Ambassador
3rd Floor
New Therapies and Devices for Early Career Practitioners
Moderator: Linda DiMeglio, MD Indiana School of Medicine
- Implementing an Early T1D Clinic for Patients with Stage 1 and Stage 2 Type 1 Diabetes
Todd Alonso, MD, Barbara Davis Center - DiabetesWise Pro Diabetes Device Digital Platform
Korey K. Hood, PhD, Stanford - Insulins and Rescue Medications
Grenye O’Malley, MD, Ichan School of Medicine at Mt. Sinai - Adjunctive Therapies for Patients with T1D
Emily Breidbart, MD, Hassenfeld Children’s Hosptal at NYU
Consulate
3rd Floor
Improving Outcomes Session
Moderator: Mark Clements, MD, PhD, Children’s Mercy
- Understanding facilitators and barriers to clinic-wide implementation of a population-based tool to identify patients with type 1 diabetes (T1D) at high risk for suboptimal glycemic outcomes
Emily DeWit, MASL, Childrens Mercy Hospital - Improving Glycemic Management in Patients with Type 1 Diabetes through Time in Range Patient Education
Ashley Garrity, MPH, C.S Mott Childrens Hospital, University of Michigan - ConnecT1D: A Care Model Designed to Achieve Excellent and Equitable Glycemic and Psychosocial Outcomes for Youth with Type 1 Diabetes (T1D)
Sarah Corathers, MD, Cincinnati Childrens Hospital - Promoting Continuous Glucose Monitoring (CGM) Prescriptions in Academic Training Clinics
Jovan Milosavljevic, MD, Albert Einstein College of Medicine - Managing Diabetes Ketoacidosis in a Moderate Care Unit: A Quality Improvement Initiative
Inas Thomas, MD, C.S Mott Childrens Hospital, University of Michigan
Embassy
3rd Floor
Insights from T1D Exchange
Moderator: Abha Choudhary, MD, UT Southwestern.
- T1DX-QI Portal Updates
Ann Mungmode, Semior Product Manager, MPH, T1D Exchange - Insights from Advisory Committee
Jeff Hitchcock and Amy Ohmer, T1D Exchange Advisory Committee Co-Chairs - Building QI Capacity
Don Buckingham, MBOE, CPHQ, CSSBB, T1D Exchange
Session Objective: At the conclusion of this activity, learners will be able to identify and summarize three distinct QI processes. Learners will also be able to summarize data comparisons from the Collaborative.
Ballroom
3rd Floor
3:10 – 3:20 pm
Time reserved for T1D Exchange Collaborative group photo
3:20 – 3:50 pm
Travel time to the Mount Sinai and NYU hospitals
Buses #1 and #2 Travel uptown to Mount Sinai clinics.
Bus #3 travels downtown to NYU Langone clinics.
People visiting the NYU clinics are encouraged to walk. It’s an 11-minute walk to the pediatric clinic and 18 minutes to the adult clinic.
4:00 – 5:00 pm
Clinic Tours: Mount Sinai and NYU clinics
Session objective: At the end of this session, members will be able to describe examples of new clinic infrastructure and practice flows from observing and adapting concepts from the clinics that are toured.
Mount Sinai Kravis Children’s Hospital, Annenberg Building, 1468 Madison Avenue, 4th Floor, Suite 4-61
The Mount Sinai Diabetes Center, Adults, 5 E 98th Street, 3rd Floor
Hassenfeld Children’s Hospital at NYU Langone: 430 E 34th St
NYU Langone Adults: 222 E 41st St 17th Floor
5:00 – 5:30 pm
Travel time back to hotel
Buses #1 and #2 Travel downtown from the Mount Sinai clinics.
Bus #3 travels uptown from NYU Langone clinics. People visiting the NYU clinics are encouraged to walk. It’s an 11-minute walk from the pediatric clinic and 18 minutes from the adult clinic.
7:00 – 9:00 pm
Dinner at Arno and Award Presentations
- Outstanding Adult PI: Ruth S. Weinstock, MD, PhD
- Outstanding Pediatric PI,: Daniel J. DeSalvo, MD
- Outstanding Coordinator: Alisha Virani, RD, CDCES, LD
- Outstanding Adult Team: Icahn School of Medicine at Mt. Sinai
- Outstanding Pediatric Team: University of Wisconsin
Dinner is a 19-minute walk from the hotel.
Buses will also be available, traveling to the restaurant and back to the hotel.
141 W 38th St
New York, NY 10018
7:00 – 8:00 am
Breakfast
Ballroom Foyer
3rd Floor
8:00 – 8:15 am
Welcome and Logistics
Nicole Rioles, MA, Director of Clinical Partnerships, T1D Exchange
Ballroom
3rd Floor
8:30 – 9:00 am
JDRF Vision
Sanjoy Dutta, PhD, JDRF
Session Objective: At the conclusion of this activity, learners will be able to identify and name 2 factors that play a role in supporting early diabetes screening and communication strategies with patients, families, and care teams
Ballroom
3rd Floor
9:05 – 10:10 am
BO3 Insulin Delivery Final
Moderator: Viral Shah, MD, Barbara Davis Center
- Increasing Pump Therapy Adoption in Patients with Type 1 Diabetes
Allison Smego, MD, University of Utah Intermountain Health - Identifying Barriers for Smart Insulin Pen Connectivity in Patients with Poor Glycemic Outcomes
Veronica Figueredo, MD, University of Miami Pediatrics - Increasing Insulin Pump Use by Adapting Pump Enrollment Process
Stephanie Ogburn, RN, CDCES, Cook Childrens Hospital - Transitioning Children and Adolescents with Type 1 Diabetes onto Hybrid Closed Loop Systems
Emily Coppedge, NP, CDE, Weil Cornell Medicine - IMProving Access to Closed-loop Technology (IMPACT)
Kristina Cossen, MD, Childrens Healthcare of Atlanta
Consulate
3rd Floor
BO 3 Remote Monitoring Final
Moderator: Halis Kaan Akturk, MD, Barbara Davis Center
- Effect of Remote Patient Monitoring on Subsequent 3-month Hemoglobin A1c (HbA1c) in Youths and Young Adults with Type 1 Diabetes (T1D) with Suboptimal Glycemic Outcomes
Claire Petty, BA, Childrens Mercy Hospital - Leveraging EMR Data to Enable Remote Patient monitoring in the ROCKET T1D Program
Daniel DeSalvo, MD, Texas Childrens Hospital - The Design of the Electronic Health Record in Type 1 Diabetes Centers: Implications for Metrics and Data Availability for a Quality Collaborative
Donna Eng, MD, Helen DeVos Childrens Hospital - Developing a Tracking Tool for Continuous Glucose Monitor Prescriptions Among Children and Young Adults with Type 1 & Type 2 Diabetes
Amanda Perkins, MSN, MPH, CPNP, CDCES, Childrens National
Ambassador
3rd Floor
Building Your Career in T1D Research
Moderator: Linda DiMeglio, MD, Indiana University
Panel discussion on career journey and mentorship with:
Michael Harris, PhD
David Maahs, MD
Ruth Weinstock MD, PhD
Shivani Agarwal, MD, MPH
Ballroom
3rd Floor
BO 3 Engagement Final
Moderator: Anastasia Albanese O’Neill, NP, PhD, CDCES
- Implementing Patient-Reported Intake Forms to Integrate Clinic Efficiency with Patient-Centered Care
Rachel Fenske, PhD, RDN, CD, LDN, University of Wisconsin - Engaging People with Diabetes in Quality Improvement Clinical Projects: Insights from the T1D Exchange Quality Improvement Collaborative
Nicole Rioles, MA, T1D Exchange - Pre-Visit Diabetes Device Data Capture
Edelina Bustamante Cohen, MS, RD, CDN, CDCES, NYU Langone - Incorporating Shared Decision-Making to Facilitate Equitable Insulin Pump Use Among Pediatric Patients with Type 1 Diabetes
Grace Nelson, MD, Le Bonheur Children’s Hospital - Improving Diabetes Self-Management Habits with Remote Patient Monitoring in the ROCKET T1D Program
Guido Alacron, MD, Texas Childrens Hospital
Session Objective: At the conclusion of this activity, learners will compare, differentiate, and analyze QI projects and project outcomes based off of abstract sharing between clinics and propose and plan projects within their own clinic.
Embassy
3rd Floor
10:10 – 10:25 am
Break
We welcome all in-person attendees to network and view the posters on display
10:25 – 10:45am
Remarks from David Panzirer and Gina Agiostratidou
Ballroom
3rd Floor
10:50 – 11:30am
Funders Panel Final
Moderator: Osagie Ebekozien, MD, MPH, CPHQ , Chief Medical Officer, T1D Exchange
Laurel Koester, MPH
Anne Koralova, PhD
Danny Kovarik, MBA
Anastasia Albanese-O’Neill, PhD, ARNP/PNP-BC, CDCES
Session Objective: At the conclusion of this session learners will be informed of the strategic areas of focus and current funding priorities for two New York-based funders of T1D programs and research–The Leona M. and Harry B. Helmsley Charitable Trust and JDRF
Ballroom
3rd Floor
11:30 am – 12:00 pm
Supporting PwT1D to be Self-Advocates
Marissa Town, RN, BSN, CDCES, Children with Diabetes
Session Objective: At the end of this session, members will be able to identify and summarize how people who have been living with T1D can self-advocate in their chronic disease management.
Ballroom
3rd Floor
12:00 – 1:00 pm
Lunch (Working Group Discussions)
Tables will be labeled in ballroom
*time for networking and visiting educational room (Track 61)
Ballroom
3rd Floor
1:05 – 2:25 pm
Committee and Working Group Presentations
Facilitated by Devin Steenkamp, MBChB, Boston Medical Center and Todd Alonso, MD, Barbara Davis Center
Session Objective: At the end of this session members will be able to strategize, develop and construct change ideas, practice flows and structure and daily processes to increase patient outcomes and patient experience in the clinical setting.
Topic areas:
Committee Report Out
Clinical Leadership (Todd Alonso MD and Devin Steenkamp, MBChB)
Glucose Monitoring (Lily Chao, MD, Children’s Hospital of Los Angeles and Marina Basina, MD Stanford Health)
Hybrid Closed Loop (Emily Coppedge, NP, CDE, Weil Cornell Medicineand Carol Levy, Ichan Mt Sinai)
Data Science (Marina Basina, MD, PhD and Joyce Lee, MD, MPH)
Transitions of Care (Faisal Malik, MD, MSHS, Seattle Children’s Hospital, Sarah Corathers, MD, Cincinnati Children’s Hospital and Shivani Agarwal, MD, MPH Albert Einstein College of Medicine)
Publications (Shivani Agarwal, MD, MPH)
Diabetes Distress (Alissa Roberts, MD, Seattle Children’s Hospital and Devin Steenkamp, MBChB, Boston Medical Center)
Data Governance (Daniel DeSalvo, MD and Carol Levy, MD, CDCES)
QI Champion Panel LS 2023
Facilitated by: Whitney Beaton, MSN, RN, ACCNS-P, CDCES, University of Wisconsin
Amy Grant, DNP, RN, CPN, Cincinnati Children’s
Naomi Sullivan, MSN, MBA, RN, Lurie Children;s
Candice Williams, APRN, CPNP-PC, CDCES, Cook Children’s
Lydia Holly, BSN, RN, Children’s National
Don Buckingham, MBOE, CPHQ
Session Objective: At the conclusion of this session members will be able to identify and summarize high level accomplishments that the collaboration has achieved in 2023. Learners will be able to compile, integrate and develop QI tools, best practices, and strategize new projects.
Ballroom
3rd Floor
Ambassador
(3rd Floor)
2:30 – 2:50 pm
Living With Diabetes
Shivani Agarwal, MD, MPH, Albert Einstein College of Medicine and Steven Sanchez
Ballroom
3rd Floor
2:50 – 3:00 pm
Wrap-up & Evaluation
Dave Walton, MBA, CEO T1D Exchange
Ballroom
3rd Floor