July 17, 2025
| Meeting attendees: | |
| Hospital | Team members |
| Grady Memorial | Georgia Davis, Sabeen Usman, LeChe’ Williams |
| Hassenfeld Children’s | N/A |
| Johns Hopkins | Nestoras Mathioudakis, Risa Wolf, Daniel Alizadeh |
| Nationwide Children’s | Leanne Winslow, Juan Chaparro |
| Seattle Children’s | Meenal Gupta |
| SUNY | Joe Erardi, Rachel Hopkins, Jerusha Owusu-Barnie |
| T1D Exchange | Emma Ospelt, Nicole Rioles, Trevon Wright |
| UT Southwestern | N/A |
Agenda
- BPA Build Updates
- Barriers and Challenges
- Data Collection and Sharing (Thematic Analysis)
- Next Steps
Participating Center Updates
Grady Update
- Grady is lagging in build, but moving forward.
- Ran into a block due to a large EPIC update and IT priorities.
- Ticket is being reviewed.
- Parameters have been requested.
- Expect deployment in August or before September.
SUNY Upstate Update
- Upstate experienced similar blocks with their build.
- Waiting for final approval from their institutional committee.
- Epic builder to speak with them today.
- Expect to go live before August.
- Approval at the organizational committee level.
Nationwide Children’s Update
- Live since June 23rd.
- Initial feedback from endocrinology faculty meeting:
- Some providers not excited about pre-charting display. Some felt it was a useful reminder.
- Discussion ongoing about whether to keep it in pre-charting.
- Partners for Kids is working to reach underserved populations.
- Teaming up to track BPA response in endocrinologist’s note.
- Text will default in if patient is not on a pump.
- Working on tweaks due to pre-charting scenarios.
Seattle Children’s Updates
- Went live on Monday the 14th.
- No live pre-charting due to past negative experiences with other BPAs.
- Issue: No “snooze button” option.
- Concern that providers may cancel the alert if it fires before seeing the patient.
- Report being built to track user interaction.
- Options: defer, dismiss, override/acknowledgement reason.
- Defer: suppresses future pop-ups for 90 days.
- Dismiss: prompts again next time chart is opened.
- Created an acknowledgement reason without a smart data element attached.
- Doesn’t cause a lockout action.
- Minimizes the alert.
- Lockout on the amount of time between pop-ups.
Data Mapping and Outcome Assessment
- The primary outcome is progression and ADT use during the post-intervention period.
- The post-intervention period starts on the date the site went live.
- The study is looking at unique individuals who transitioned from no CGM to CGM or no AID to AID during the post-intervention period.
- The study compares patient data from the pre-intervention period to the post-intervention period.
- The study is looking at overall rates, not just the people in whom the BPA fired.
Saturation Point and Future Steps
- Risa suggests analyzing data after three months to create buckets and then re-evaluating them at six months to identify new buckets.
- The next step could involve focus groups with patients to address concerns and improve the process.
- The thematic analysis and coding of the data could be used for a research paper.
- JHU will work on putting these into subcategories and present their ideas at the next meeting.
- It might be helpful for all sites to share a small report internally every three months on how things are going.
- Reports should include data on how many times the BPA fired, and the reasons selected.
- Hopkins will create a report to post on teams and discuss at a faculty meeting, including actions taken and categorization of reasons.
- The report will close with the importance of continued adherence and plans for quarterly feedback.
Next Meeting: Thursday August 21. 11-12:30 (EST)
Recording of meeting:
Passcode: 0eS0Cba$
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