May 20, 2025

Attendees: 

Meeting Slides

Agenda: 

• Introductions- Ryan McDonough and Nirali Shah  

• Diabetes Technology Maturity Model Presentation  

• T1D Exchange Updates- Emma, T1D Exchange 

• DKA variable mapping update- James, T1D Exchange 

 

Diabetes Technology Maturity Model Presentation  

• Meeting slides can be found on DSC May meeting page and attached in the email or find the presentation here.

• Here is the link for the Self-Assessment and Feedback Form: https://forms.gle/o7fS35JUhjokRERF9 

Type 1 Diabetes Mapping Updates 

• 46 centers fully mapped (from 43 centers in Q1) 

• 6 in validation phase 

Type 2 Diabetes Mapping Update 

• 4 centers in production  

• 5  centers still in the mapping process  

DKA Variable Mapping Update 

• Improving how DKA events are captured and displayed on the QI Portal 

How they are currently captured: 

• Metric: dka_events_inp = Number of DKA events reported since last ambulatory, outpatient, or equivalent visit 

• Data tied to the date of the visit, not the date of the DKA event 

• QI Portal displays number of DKA events reported per month 

• This leads to… Misalignment in timing: The event date ≠ reporting date 

• May under- or over-represent DKA events in any given month 

• Limits ability to: Accurately track DKA trends over time and respond in real-time to spikes in DKA events 

Proposed update to capture: 

• Capture actual event date of DKA requiring hospitalization 

• Update QI Portal to reflect date of occurrence, not just reporting date 

• Adjust logic to count DKA events by their event timestamp, not visit timestamp 

• This will… Show accurate representation of when DKA events occur 

• Improved visibility into monthly trends 

• Enables timely interventions 

• Better alignment with real-world patient outcomes 

Next Steps: 

• Adjust, Review and approve proposed change to data specification (with DSC) 

• Coordinate with reporting team to update portal logic 

• Educate clinical teams on new data interpretation 

• Brainstorm ways to capture on an individual patient level  

 Meeting Recording Link

Next meeting: Tuesday August 19th 2pm EST