July 21st, 2026 3:30-5pm  

Coordinating Center Updates 

2027 Meeting Schedule

  • Outlook invitations will be sent by 8/15 to help you plan your 2027 calendar.
  • Schedule will also be updated on the member website.
  • 2027 Meeting Schedule.pdf

Learning Session Reminders

  • Abstracts
    • Submit an abstract to share your clinic's work and success stories.
    • Abstracts will be considered for publication in the Journal of Diabetes as well as for oral or poster presentations at the Learning Session.
    • We can accept submissions using abstracts that you have revised/updated from previous submissions in 2026.
    • Abstracts are due next week! Friday, July 31st.
    • Abstract submission form
  • Registration, Hotel, and FAQ

Annual Survey 

  • The annual survey will go live August 17
  • Survey information will be emailed to center PIs and coordinators
  • One survey should be completed by each center by October 1st
  • Thank you for your contributions!

Office Hours with Dr. Wong

  • Please use the Zoom links below to join office hours:
    • First Thursdays 9-11am PT (12-2pm ET) - starting July 2: Zoom Link
    • Third Tuesdays 1-3pm PT (4-6 pm ET) - starting June 16: Zoom Link

Portal Updates

  • Sign up for office hours with Alyssa and Claire from the QI Team
  • Portal Updates
    • Delay in 2026-2028 metric roll out due to data spec review
    • Median HbA1c is now available on the dashboard
    • Rankings available among the peer groups (peds and adult)

BPA Survey: https://t1d.iad1.qualtrics.com/jfe/form/SV_6WonIxmr43cK4h8 

Center Presentations

Center: UC San Diego Health
Presentation: Pump Back Up Plan Documentation Project
Presenters: Tammy Oriley, FNP-C, MSN, BC-ADM, CDCES; Alexandria Yeo, DNP, FNP-C, CDCES

Overview

UC San Diego presented a quality improvement initiative focused on increasing documentation of pump back up plans for patients with type 1 diabetes using insulin pumps. The project was initiated in response to nursing feedback identifying challenges in triaging patients when a documented back up plan was unavailable.

Key Interventions

  • Conducted a baseline chart review of patients across multiple providers.
  • Established a target to increase documented pump back up plans.
  • Implemented a standardized documentation template within the electronic health record.
  • Educated providers and incorporated workflow changes to improve documentation consistency.

Results

  • Complete pump back up plan documentation increased from 20% to 40% following the intervention.
  • Improved documentation reduced nursing triage time from approximately 20 minutes to 7 minutes per call.
  • Estimated annual nursing time savings could increase substantially with further adoption of standardized documentation.

Next Steps

  • Continue provider education and periodic reassessment.
  • Explore integration of the documentation process within Epic to further streamline workflow.
  • Continue monitoring adoption and sustainability of the intervention.

Discussion
Participants discussed the frequency of insulin pump failures across centers, noting that while rates vary by clinic size, pump failures commonly occur during travel. Additional strategies shared included using InPen or insulin dose calculator apps as backup options and incorporating pre-visit questionnaires to assess patients' preparedness for both pump and CGM failures.

Center: SUNY Upstate Medical University
Presentation: Diabetes Distress Screening
Presenter: Joseph Erardi, QI Coordinator

Overview
SUNY Upstate presented its implementation of routine diabetes distress screening for adults with type 1 diabetes. The project sought to systematically identify patients experiencing diabetes distress and integrate screening into routine clinic workflows.  

Project Development

  • Pilot testing began with a single provider before expanding to additional clinicians.
  • Screening workflows were integrated into Epic.
  • Staff training included patient identification, tablet distribution, documentation workflows, and use of new Epic tools.
  • Clinic-wide implementation officially launched in May 2026.

Challenges

The team discussed several implementation barriers, including:

  • Technical issues with Epic workflows.
  • Difficulties with SmartPhrase functionality.
  • Identifying eligible patients accurately.
  • Tablet and workflow challenges.
  • Limited availability of the screening tool in languages other than English and Spanish.
  • Lack of a workflow for telemedicine visits.

Early Outcomes

Early implementation demonstrated:

  • Screening rates exceeding 50% of eligible patients during the first several months.
  • A substantial proportion of screened patients had elevated diabetes distress scores, reinforcing the importance of incorporating routine psychosocial screening into diabetes care.

Next Steps
The team plans to: 

  • Improve provider follow-up for patients with elevated distress scores.
  • Expand psychologist referrals.
  • Develop automated provider reminders.
  • Reduce alert fatigue.
  • Ultimately expand screening to all adults with type 1 diabetes.

Discussion
Discussed opportunities to further analyze screening results. A suggestion was made to stratify T1DDAS responses by domain (e.g., financial/resource-related versus mental health concerns) to better tailor patient support and interventions.

Center: Montefiore Medical Center / Albert Einstein College of Medicine
Presentation: Bridging the Gap: Continuous Glucose Monitoring for Post-Discharge Diabetes Management
Presenter: Lorena Rasquin Leon, MD

Overview
Montefiore presented a quality improvement initiative designed to increase continuous glucose monitor (CGM) prescribing at hospital discharge for eligible insulin-treated patients. The project was motivated by evidence that CGM initiation after hospitalization can reduce readmissions and improve diabetes management during care transitions.  

Aim 
Increase CGM prescribing at hospital discharge to 30% among eligible patients by implementing standardized discharge processes and improving provider workflows.  

Interventions

  • Development of an Epic SmartPhrase containing prescribing guidance and patient education.
  • Updates to discharge order sets.
  • Incorporation of SmartPhrase into documentation templates.
  • Educational resources for providers.
  • Multiple PDSA cycles to refine workflow implementation.

Results

  • Median CGM prescribing increased from 0% at baseline to 36.4%.
  • SmartPhrase adoption contributed to increased prescribing.
  • The project exceeded its original prescribing goal while identifying opportunities to improve pharmacy dispensing and insurance approval processes.

Lessons Learned

  • Small workflow changes embedded within existing clinical practice can substantially improve adoption.
  • Standardized discharge processes are critical to expanding patient access to diabetes technology.
  • Future work will focus on insurance workflows, standardized prescribing resources, and evaluation of patient outcomes including HbA1c and readmissions.

Discussion
Discussion focused on barriers to increasing CGM prescribing, particularly insurance authorization requirements and time constraints. Participants also asked about post-discharge workflows, including who reviews CGM data after discharge and the timing of endocrinology follow-up appointments.