20220127 CollaborativeCallPeds

Pediatric Collaborative Call Meeting Minutes

January 27, 2022, 11:00-12:30pm

• Welcome & introductions
• Updates from the Collaborative
  • We currently have 43 Participating Clinics, 29 Pediatric & 14 Adult
  • Welcome Cleveland Clinic
    • Adult Clinic PI: Pratibha Rao, MD, MPH
    • Pediatric Clinic PI: Andrea Mucci, MD, MASc
  • Welcome Holly Hardison, New QI Coordinator
  • PI/Clinical Leadership Convention May 16
    • Due to the rise in covid numbers the May learning session will be virtual 11am- 4pm EST
  • T1D Exchange Website
    • Content that has previously been posted on Trello will be slowly migrating over to the website. The website will have a protected password for collaborative members to access content. This transition will begin 3/1/2022
  • Committee Chair Roles
    • We are looking for new co-chairs to help us lead committees. Terms last 24 months and will begin 6/1/2022. Each committee has a co-chair from a pediatric and adult
    • Please use this form to nominate yourself or share with a team member who you believe would be a great fit for the role.
    • Check out the Trello boards to learn more information about these committees

Clinical Leadership: https://trello.com/b/4F3ABcug/clinical-leadership- committee

Publications: https://trello.com/b/K5EUYxbf/publications-committee Data Science: https://trello.com/b/YmmgugBB/data-science-committee

• Clinical Presentation SUNY, Roberto Izquierdo and Margie Greenfield
• Highlighted their diabetes wellness program which showed a decrease in DKA
• Showcased the frameworks of the wellness program and discussed outcomes learned
  • Changes in scheduling process
  • Not all visits were needed and not all patients liked weekly calls
  • A1c, and DKA decreased while CGM and QOL increased
  • Program needs to be more accessible
• Discussion about flexibility of times and reaching out to school nurses to help perform visits to reduce inequities among patients

• Clinical Presentation Nationwide, Ariana Hoet
• Learning Objectives:
  • Participants will be able to breakdown diversity within the Latinx
  • Participants will be able to describe how immigration and cultural values impact
  • Participants will be able to recall current inequities that Latinx families
  • Participants will be able identify action steps providers can take to bridge health inequity
• Emphasized the importance of understanding the Latin American culture to provide the best care possible to patients
• Family structure and impact on patients’ medical outcomes
• How to use interpreters effectively
• Review of Portal, Smartsheets, Data Ori Odugbesan, MD and Ann Mungmode
  • Comparison of benchmarks between sites
• A1c Goals
  • Hybrid closed loop
  • Decrease disparity gap
• CGM Use
  • Education upon diagnosis
  • Insurance coverage
• Pump Use
  • Start upon diagnosis
  • 2-day pump training and daily follow up
• SDOH
  • Screen every visit
  • Portal log in: https://qi.t1dplatform.org/auth/login

  • https://www.youtube.com/watch?v=iZCe48_MtsE

• Portal Demo Video:
• Review of resources
• Recommendations for next half year (6/1/2022)
  • Identify QI project for next 4-6 months
  • Provide Phase 1 Measure, if not already done
  • If Phase 1 is collected begin Phase 2
  • Utilize QI portal for data trending and benchmarking
  • Take IHI Courses http://www.ihi.org/
  • Document PDSA’s in LifeQI
  • Engage other faculty members in your projects by sharing insights

• T1DX-QITrello boards

• https://trello.com/b/nEOC9igu/collaborative-calls
• https://trello.com/c/7P9XcKBY/77-key-driver-diagram-july-2021
• https://trello.com/c/0hlPxn2G/10-phase-measures-2020-2022-for-smartsheet- reporting

Next call: Thursday March 24th, 11:00-12:30 PM EST (combo with adult clinics)

Link for Recording:

https://us02web.zoom.us/rec/share/lk_LywFrRVlixsbdTDvwvWtgzbHiszlmoyg0iQ_qf876KIZdHBgARA b5ns5MP0x0.YMXSqdY1BsmAXwpG

Access Passcode: E3sq#2NH