September 17, 2021

September 17^th, 2021

Meeting Minutes: QI Collaborative Clinical Leadership Meeting

Key points:

• Collaborative growth: we now have 41 clinics participating! 28 pediatric and 13 adult clinics.
• November 2021 Learning Session
  • Register here
  • Call for abstracts for the Journal of Diabetes: deadline is 9/22 more details can be found on trello
• QIC survey: We will distribute a survey in late September that serves a few purposes, helping us track:
  • What has changed in the clinics over last year related to telemedicine. Results from this survey will be published in a second telemedicine paper, following “Adoption of Telemedicine for Type 1 Diabetes Care During the COVID-19 Pandemic.” Lee et al
  • Psycho-social screening practices across the Collaborative
  • Clinical staffing FTE
  • Flu vaccination rates (Todd Alonso expressed an interest in sharing best practices by other specialty divisions, such as hematology/oncology
• What to expect?
  • Survey will be distributed via Qualtrics
  • We will distribute surveys to PI/Coordinator dyads and ask that 1 survey be completed per clinic
  • Survey will contain approximately 25 questions
  • We ask you to complete/return survey within a month’s time
• Publication Updates
  • Carla Demeterco-Berggren, Osagie Ebekozien, Saketh Rompicherla, Laura Jacobsen, Siham Accacha, Mary Pat Gallagher, G. Todd Alonso, Berhane Seyoum, Francesco Vendrame, Sonya Haw, Marina Basina, Carol J. Levy, David M Maahs. Age and Hospitalization Risk in People with Type 1 Diabetes and COVID-19: Data from the T1D Exchange Surveillance Study. The Journal of Clinical Endocrinology & Metabolism. 2021. In Press.
  • Joyce M. Lee, Andrea Rusnak, MS; Ashley Garrity, Emily Hirschfeld, Inas H. Thomas, Michelle Wichorek, Jung Eun Lee, Nicole A. Rioles, Osagie Ebekozien, Sarah D. Corathers. Feasibility of Electronic Health Record Assessment of Six Pediatric Type 1 Diabetes Self-Management Habits and Their Association with Glycemic Outcomes. JAMA. 2021. In Press.
  • DeSalvo DJ, Noor N, Xie C, Corathers S, Majidi S, McDonough RJ, Polsky S, Izquierdo R, Rioles N, Weinstock R, Obrynba K, Roberts A, Vendrame F, Sanchez F, Ebekozien O. Patient demographics and clinical outcomes among type 1 diabetes patients using continuous glucose monitors: Data from T1D Exchange real-world observational study. Journal of Diabetes Science and Technology. 2021. In Press
• PI’s topic of interest
  • Increases in diabetes diagnosis rates in 2021
    • Increase in new onset cases mentioned by most PIs
    • Increase in both T1D and T2D
    • Can’t keep up with the demand of new patients
  • Burn out
  • COVID
  • Staffing levels
    • Leading to inequities
    • Group teaching not allowed at some sites because of Covid
    • 1:1 teaching is important but further emphasizes staffing issues and burnout
  • New Onset Trends- Nationwide
    • Up 21%
  • Transitions of care (Identified as a topic of interest by Carol Levy and Todd Alonso)

Next steps: meeting to discuss new onset trends

• Topic of increases in diabetes onset identified as a high priority interest. Group organized a second meeting to discuss rates and next steps:
  • Abstract will be created for the JOD, focusing on pediatric site data
  • Pediatric sites will be sharing new onset data with T1D Exchange for publication purposes
  • Full review of adult data and pediatric data will be collected over the next 2-3 months to develop a new manuscript on this topic.

• Next Meetings
  • Collaborative Calls
    • October 26^th Pediatric Clinics
      • Tuesday 3:30-5 PM (EST)
    • October 28^th Adult Clinics
      • Thursday 11-12:30 PM (EST)
    • Next Clinical Leadership meeting
      • Friday Feb 11, 2022 from 10-11 AM (EST)

POWERPOINT PRESENTATION