September 2025 Pediatric Collaborative Call
September 2025 Pediatric Collaborative Call Meeting Minutes
September 23, 3:30-5:00pm EST
Welcome and Introductions (Nicole Rioles)
Updates from Coordinating Center (Nicole Rioles)
- We are now at 41 Pediatric and 21 Adult Centers. Please find more information on the member website and the QI Portal
The 2025 Annual Survey
- Thank you to those who have already completed the annual survey as we narrow in on our goal of a 100% response rate. Please complete the survey by Friday, October 3rd.
- Measures, publications, and other directives are informed by the responses you submit.
- Please reach out to the qi@t1dexchange.org email with any questions.
Learning Session Updates
- Please register before October 1st and plan to arrive at the hotel by Monday November 10th.
- Collaborative members will present over 60 abstracts (posters and oral presentations) and the Collaborative will publish in the Journal of Diabetes this fall.
- Please share your posters and slides by Friday October 17th. T1DX will cover the printing logistics and costs if you submit your poster by that date.
- Details are in acceptance emails from qi@t1dexchange.org
2026-2028 Measures, next steps
- Collaborative measures for the 2022-2025 period end on 12/31/2025.
- We will share proposed definitions by 10/1 and ask for your feedback by 10/24.
- We will share final definitions by 11/3 with new measures going live on 1/1/2026.
- New Smartsheets will be also shared by 1/1/2026.
- Data reporting for the new period is requested by 3/1/2026 to begin reporting for the 1/1/2026+ period. This data collection process can be simplified for centers that are data mapped.
2023-2025 Data Overview – Pediatric centers dashboard review (Ori Odugbesan)
- We receive data at T1DX via data mapping and Smartsheets.
- It is a Collaborative goal to increase the % of centers to who are able report benchmarking data so that we can learn together.
- 72% of pediatric centers are achieving clinical metric goals.
- Please reach out to Ori (or the QI Team) with more information or any questions about these scorecards.
- Discussion occurred about collecting DKA to make meaningful improvements.
- Discussion also occurred around self-reporting; different hospitals.
- We really appreciate your time and effort on QI projects. Thank you!
Clinical center presentations:
Rady Children’s – Puja Singh, MD: Increasing Lipid Profile Screening in Youth with Type 2 Diabetes
- 1500 unique patients with T1D, 300 unique patients with T2D seen in clinic.
- Comorbidities in youth onset T2D
- AIM Statement: increase the percentage of patients with T2D who had a lipid profile performed in the last year from baseline of 70% in May 2023 to 90% by May 31, 2024
- MA pre-charting à provider charting à lipid order placed à lipid order completed after visit
- Interventions were reviewed as well as a patient education handout.
- A point of care lipid machine (which meets FDA testing standards) was introduced.
- POCT Lipid implemented
- MA review of health maintenance tab à Mas order POCT lipid and complete prior to provider visit à lipid handout at time of clinic visit/AVS à family counseled on the importance
- An updated patient tracker was also built into their EHR (Epic).
- Interventions and Results
- At or above 90% goal
- Improvements seen in T1D population
- Increase in lipid screening as well
- QI milestones include education to patient/families and learning that there is added time for all of this. A second machine was procured to address these concerns.
- Challenges include patient barriers to getting labs completed, POCT maintenance, and optimizing MA workflow to improve rooming time for patients
- Conclusions: QI methodology can improve diabetes health screening for comorbidities such as dyslipidemia
Discussion occurred about the specifics of the machine: test is a finger stick, the test 15 minutes to run, costs, and insurance barriers.
The care machine had to go through months-long validation before it could be used.
Cook Children’s – Candice Williams, NP: Diabetes Device Equity and Optimization
- Candice provided an overview of Cook Children’s Hospital.
- The Quality Improvement Road Map was utilized for this project.
- January 2023: Cook Children’s was significantly below T1DX goals and joined the Health Equity Expansion Group. To address inequity, patients were surveyed about perceived barriers, with “never told” being a top response.
- There was also a provider assessment
- Candice shared the Pump Start Process Map
- AIM: increase utilization of insulin pump use by 10% for people with T1D by 12/31/24 and reduce gaps between ethnic groups
- Pump interest and pump access
- Pump use did not reach 10% improvement, but still improved
- Hopeful that integrating with Glooko will help patients access their data and help providers use data more effectively with their patients
- Reduced gaps between ethnic groups
- Candice discussed some barriers and ongoing improvements to address them
Discussions around diabetes influencers and how they can influence patients with t1d to utilize diabetes technology – there are fitness influencers with t1d
Discussions around AID and DKA correlations
https://www.thelancet.com/journals/landia/article/PIIS2213-8587(24)00284-5/fulltext
Next meeting: Thursday January 29th 11-12:30pm
Zoom Recording, password: A.8Reh8j
This Post Has 0 Comments