Bishop, F, Addala, F, Alonso, G, Chao, L Choudhary, A Clements, M, DeSalvo, D, Desai, M, Johari, R, Maahs, D, Mucci, A Prahalad, P, Rioles, N, Thapa, S, Zaharieva, D, Ebekozien, O.

Introduction and Objective: The 4T Program emphasizes early and equitable initiation of diabetes technology with an interdisciplinary team approach to achieve optimal glycemic outcomes. The T1D Exchange Quality Improvement Collaborative (T1DX-QI) focuses on healthcare equity and improving care and outcomes. A collaboration between the 4T Program and the T1DX-QI is proposed to equitably improve new-onset care and address existing gaps in care for youth with T1D in the US.

Methods: A survey of pediatric new-onset programs, resources, and potential challenges was sent to 16 T1DX-QI centers that attended a 4T program information webinar to assess implementation readiness. These findings will inform redesigning implementation and dissemination of new-onset care at T1DX-QI centers.

Results: Fifteen centers completed the survey via REDCap describing their center’s characteristics (Table). Potential key challenges identified in implementing the 4T program included provider time for program delivery (93%) and informatics support concerns (47%). Other challenges included provider buy-in (20%) and the ability to provide device and technology support to families (20%).

Conclusion: These data are being utilized in a 4T-T1DX-QI workshop to collaboratively discuss strategies with the same 15 centers to design equitable and sustainable implementation of improved new-onset care at T1DX-QI centers.

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