January 2022 Adult Collaborative

Adult Collaborative Call Meeting Minutes

January 25, 2022, 3:30-5:00pm

• Welcome & introductions
• Updates from the Collaborative
  • We currently have 43 Participating Clinics, 29 Pediatric & 14 Adult
  • Welcome Cleveland Clinic
    • Adult Clinic PI: Pratibha Rao, MD, MPH
    • Pediatric Clinic PI: Andrea Mucci, MD, MASc
  • Welcome Holly Hardison, New QI Coordinator
  • PI/Clinical Leadership Convention May16-17
    • Due to the rise in covid numbers the May learning session will be virtual 11am-4pm EST
  • T1D Exchange Website
    • Content that has previously been posted on Trello will be slowly migrating over to the website. The website will have a protected password for collaborative members to access content. This transition will begin 3/1/2022
  • Committee Chair Roles
    • We are looking for new co-chairs to help us lead committees. Terms last 24 months and will begin 6/1/2022. Each committee has a co-chair from a pediatric and adult clinic.
    • Please use this form to nominate yourself or share with a team member who you believe would be a great fit for the role.
    • Check out the Trello boards to learn more information about these committees

Clinical Leadership: https://trello.com/b/4F3ABcug/clinical-leadership-committee

Publications: https://trello.com/b/K5EUYxbf/publications-committee

Data Science: https://trello.com/b/YmmgugBB/data-science-committee

• Clinical Presentation Albert Einstein, Shivani Agarwal
  • Learning Objectives:
    • Understand the various challenges that young adults with type 1 diabetes face that interfere with diabetes self-management and attainment of glycemic goals
    • Learn about innovative clinical models that can address racial-ethnic disparities in outcomes among young adults with type 1 diabetes
    • SEAD Program (Supporting Emerging Adults with Type 1 Diabetes)
    • https://trello.com/c/fMOD3TjE

• Clinical Presentation Mt Sinai, Carol Levy
  • Learning Objectives:
    • The management of hyperglycemia for patients with COVID19 can be challenging in the inpatient setting.  The use of formalized algorithms may reduce glycemic variability.
    • Pregnancies in women with diabetes pose increased risks to the fetus. Implementation of preconception counseling strategies in women of child bearing age,  may help to improve outcomes.
    • Inpatient: Quality Improvement Initiative: ​
      Hyperglycemia Treatment Algorithms for COVID-19 Patients on Glucocorticoids
    • Outpatient: Diabetes in Pregnancy
    • https://trello.com/c/fMOD3TjE

• Review of Portal, Smartsheets, Data Mapping
• Comparison of benchmarks between sites
  • Feedback: Measure of complications, hospitalization from complications, rates of gastroparesis and amputations
• Portal log in: https://qi.t1dplatform.org/auth/login
• Portal Demo Video: https://www.youtube.com/watch?v=iZCe48_MtsE
• Review of resources
  • IHI Open School
  • Monthly Collab Calls
  • Coaching Calls
  • QI Portal and Dashboard
  • Case studies/Change packets
  • PDSA Cycles in LifeQI
• Recommendations for next half year (6/1/2022)
  • Identify QI project for next 4-6 months
  • Provide Phase 1 Measure, if not already done
  • If Phase 1 is collected begin Phase 2
  • Utilize QI portal for data trending and benchmarking
  • Take IHI Courses http://www.ihi.org/
  • Document PDSA’s in LifeQI
  • Engage other faculty members in your projects by sharing insights

• T1DX-QITrello boards
  • https://trello.com/b/nEOC9igu/collaborative-calls
  • https://trello.com/c/7P9XcKBY/77-key-driver-diagram-july-2021
  • https://trello.com/c/0hlPxn2G/10-phase-measures-2020-2022-for-smartsheet-reporting

Next call: Thursday March 24th, 11:00-12:30 PM EST (combo with peds clinics)

https://drive.google.com/file/d/1SH1XTp7iub-d9R99HwE6gy-wgBvqy3g1/view?usp=sharing