February 11, 2022

February 11^th, 2022

Meeting Minutes: T1D Exchange QI Collaborative Clinical Leadership Meeting

Key points:

• May Meeting Agenda
  • Monday May 16^th Virtual
  • PI and Co-PI attendance
  • Discussion on Patient advisors and more involvement, possible topic for learning session in future
  • Action item: Coordinating center will send out message next week to whole Collaborative, explaining the meeting purpose change and updating the Zoom invite list
• Committee Chair Roles
  • If you want to nominate yourself or share with a colleague please use this link
  • For Information on Committee Co-Chair roles please use this link to Trello
• Q&A
• Priya Prahalad, Stanford Peds (Inpatient Insulin Pump Policy)
• NYU- Parent/patient cleared, waiver signed
• Sinai Adult and SUNY Adult- Pre Surgery requires endo consult, which allows them to assess and personalize the decision
• Many said that they were putting together a policy (without having one in place now and that this is a common challenge for many)
• Michael Gottschalk, Rady Children’s (Insulin Pump for Boluses Only)
• UF Peds- have a few athletes who use untethered approach and works well give Tresiba and disconnect when not bolusing/ infant that does every other hour
• NYU Peds- untethered as well with HCL overnight
• UAB- Infant that triedevery other day dosing, blood in canula spot
• Teen population many challenges (dawn phenomenon, carbs at night, etc)
• Jeff Hitchcock- diluting insulin
• CMH- have only done this with 4 hour intervals propose manuscript based on this information
• Lauren Golden, NYU Langone Adult (CGM/Clarity Goals)
• Sinai adult- Uses snipping in the chart to readjust the goals
• NYU Peds- switches goals in clarity platform
• Texas Children’s – Long-term goal: EHR Integration with standardized time in range (e.g., Glooko Flowsheet stats, Clarity Redox, etc.)
• Clarity can adjust targets but the practicalities of team making adjustments during/pre visit is challenging
• Suggestion to make this a topic in May
• Sarah Corathers, Cincinnati Children’s (Kiosk in waiting room)
• UF Peds- kiosk for questionnaire only
• NYU Adult – cloud to cloud approach
• Texas Children’s- full cloud approach in 5 years, found that families prefer MA’s to record the data
• CMH- tried but could not protect identity

Upcoming Meetings

QI Collaborative Meeting (both Adult and Pediatric): Thursday March 14^th, 2022 10:00-11:30 EST

Clinical Leadership: Friday August 12^th, 2022 10:00-11:00 EST

 Link to meeting recording: https://us02web.zoom.us/rec/share/VYzC_DaZEVYdGWpM7gQeu7NMAS_vPxDObA_c5i5w3TQvn74ySpbkDAiORCRYGFzD.cxHlTYQrkRKqnuMJ?startTime=1644591703000

 (Passcode: D?h5MV?A)

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