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Improving Diabetes Outcomes
The 2023 T1D Exchange Quality Improvement Learning Session: Sustaining Performance Improvement in Diabetes Care
November 14-15, 2023
Westin New York Grand Central
212 E 42nd St, New York, NY 10017
With clinical tours at Mount Sinai and NYU Langone Hospitals
With our team-based focus on contributing partners, clinical collaboration, and co-production with people living with diabetes, we are excited to share the agenda, give you a glimpse at the guest speakers travelling to this learning session, and highlight what we will get to see and hear from our co-hosts at the Icahn School at Mount Sinai and NYU Langone.
By the end of this learning session we want participants to:
Know
We are making a positive impact on diabetes through the contributions of our academic, industry, medical, and research partners.
Feel
Energized that we have the tools to effectively mobilize clinical teams and optimistic about the resources shared across T1DX-QI through collaboration.
Do
Co-produce and implement new PDSA cycles and share results with the QI Collaborative.
We are so glad to have you with us. Here’s to making life with diabetes better for everyone.
– The T1D Exchange Quality Improvement Team
7:00 – 8:00 am
Breakfast
8:00 – 8:10 am
Welcome and Logistics and Thank You (Ballroom)
Nicole Rioles, MA, Director of Clinical Partnerships, T1D Exchange
8:15 – 8:55 am
Introduction and Welcome by New York PIs (Ballroom)
Diabetes Care in NY: A Discussion with Adult Collaborative PIs
Facilitated by Devin Steenkamp, MBChB, Boston Medical Center
Shivani Agarwal, MD, MPH; Carol Levy, MD, CDCES; Lauren Golden, MD; and Ruth Weinstock, MD, PhD
9:00 – 9:20 am
Partnering with T1D Exchange (Ballroom)
Dave Walton, MBA, CEO, T1D Exchange
9:20 – 10:00 am
Improving Outcomes for People with T1D (Ballroom)
Osagie Ebekozien, MD, MPH, Chief Medical Officer, T1D Exchange
10:10 – 10:15 am
Break
10:15 – 11:15 am
Diabetes Care in NY: A Discussion with Pediatric Collaborative PIs (Ballroom)
Facilitated by Todd Alonso, MD, Barbara Davis Center
Jennifer Sarhis, MD, Allison Mekhoubad, DO; Meredith Wilkes MD; David Hansen, MD; Siham Accacha, MD; Zoltan Antal, MD; and Mary Pat Gallagher, MD
11:20 am – 12:30 pm
Breakout Session #1
Health Equity Session (Ballroom)
Moderator: Joyce Lee, MD, MPH, C.S Mott Children’s Hospital, University of Michigan
- Mind the Gap: Lessons Learned from Addressing Inequities in CGM Access Nana-Hawa Yayah Jones, MD, Cincinnati Children’s Medical Center
- Advancing Equity in Technology Usage for Patients with Diabetes
Janine Sanchez, MD, University of Miami Pediatrics - Increasing Insulin Pump Utilization in Public Insured Patients
Anna Cymbaluk, MD, Rady Childrens Hospital - Reducing Requirements for Pump Referral Improve Pump Initiation for Publicly Insured Patients
Lily Chao, MD, Childrens Hospital of Los Angeles - Reduction in Hospitalizations for Underserved Young Adults (YA) with Type 1 Diabetes (T1D) in the Supporting Emerging Adults with Diabetes (SEAD) Program: An Adult-Based Healthcare Transition Model
Shivani Agarwal, MD, MPH, Albert Einstein College of Medicine
Social Determinants of Health Session (Ambassador)
Moderator: Francisco Pasquel, MD, MPH, Emory School of Medicine
- Improving Food Insecurity Screening in Children and Adolescents with Type 1 and Type 2 Diabetes
Jennifer Ruiz, RN, Rady Childrens Hospital - Establishing Social Determinants of Health Screening to Improve Pediatric Diabetes Patient Outcomes
Blake Adams, BSN, RN, Le Bonheur Childrens Hospital - Screening for Social Determinants of Health in Adults with Diabetes
Ruth Weinstock, MD, PhD, SUNY - REACH Registry: using electronic medical record-based tools to improve outreach services
Rebecca Butler, LMSW, Texas Childrens Hospital - To Contract or Not to Contract? Paying for NICH to Address the Social Drivers of Diabetes Outcomes
Michael Harris, NICH, OHSU
Psychosocial Support Session (Consulate)
Moderator: Sarah Lyons, MD, Texas Children’s Hospital
- High Anxiety Scores Associated with Glycemic Outcomes
Emma Ospelt, MPH, T1D Exchange - Improving Depression Screening in Patients with type 1 Diabetes Mellitus
Siham Accacha, MD, NYU Langone at Mineola - Ongoing Efforts for Improving Depression Screening at a Pediatric Diabetes Center
Jeniece Ilkowitz, BSN, RN, MA, CDE, Hassenfeld Childrens Hospital - Systematically Developing and Piloting an Eating Disorder Screening Process at a Large Pediatric Diabetes Clinic
Rebecca Campbell, BS, Barbara Davis Center - DiabetesWise Pro Diabetes Device Digital Platform
Korey K. Hood, PhD, Stanford
Access & Transitions of Care Session (Embassy)
Moderator: Manmohan Kamboj, MD, Nationwide Children’s
- Appointment Lag Time and Tracking Transition in Young Adults
Sean DeLacey, MD, Lurie Childrens Hospital - Increasing Documented Transition Plan Across 3 Pediatric Sites in the T1D Exchange Learning Collaborative
Trevon Wright, MHA, T1D Exchange - Using Quality Improvement to Reduce Loss-To-Follow-Up in Pediatric Patients with Type 1 Diabetes
Meenal Gupta, MD, Seattle Childrens Hospital - Improving Diabetes Retinopathy Screening and Documentation in Youth with Diabetes
Isabella Niu, MD, UCSF Pediatrics - Sustained Quality Improvement implementation of a transition preparation program for adolescents and emerging adults with type 1 diabetes
Sarah Corathers, MD, Cincinnati Childrens
12:30 – 1:30 pm
Lunch
*time for networking and visiting educational room (Track 61)
1:30 – 2:00 pm
International Comparisons in Diabetes Outcomes: Lessons from Abroad (Ballroom)
David Maahs, MD, PhD, Stanford University
2:05 – 3:10 pm
Break Out Session #2
Health Literacy, Engagement, and Education Session (Ambassador)
Moderator: Carol Levy, MD, CDCES, Mount Sinai
- Implementation of a School Diabetes Education and Support Program
Jeniece Ilkowitz, BSN, RN, MA, CDE, Hassenfeld Childrens - Patient Involvement to Improve New Onset Type 1 Diabetes Education
Isabel Reckson, RD, CDE, Weil Cornell Medical Center - Strategies to Improve Smart Pen Uptake –Lessons Learned from a Pediatric Diabetes Center
Brian Miyazaki, MD, Children’s Hospital of Los Angeles - Integrated Diabetes Education and Support (IDEAS) Program
Tamara Hanon, MD, Indiana University - Nationwide Children’s Hospital (NCH) Diabetes Patient and Family Focus Group Program: A new initiative to incorporate the voice of the consumer!
Toyetta Barnard-Kirk, MSW, LSW Nationwide Children’s
New Therapies and Devices for Early Career Practitioners (Consulate)
Moderator: Linda DiMeglio, MD Indiana School of Medicine
- Implementing an Early T1D Clinic for Patients with Stage 1 and Stage 2 Type 1 Diabetes
Todd Alonso, MD, Barbara Davis Center - DiabetesWise Pro Diabetes Device Digital Platform
Korey K. Hood, PhD, Stanford - Insulins and Rescue Medications
Grenye O’Malley, MD, Ichan School of Medicine at Mt. Sinai - Adjunctive Therapies for Patients with T1D
Emily Breidbart, MD, Hassenfeld Children’s Hosptal at NYU
Improving Outcomes, Session (Embassy)
Moderator: Mark Clements, MD, PhD, Children’s Mercy
- Understanding facilitators and barriers to clinic-wide implementation of a population-based tool to identify patients with type 1 diabetes (T1D) at high risk for suboptimal glycemic outcomes
Emily DeWit, MASL, Childrens Mercy Hospital - Improving Glycemic Management in Patients with Type 1 Diabetes through Time in Range Patient Education
Ashley Garrity, MPH, C.S Mott Childrens Hospital, University of Michigan - ConnecT1D: A Care Model Designed to Achieve Excellent and Equitable Glycemic and Psychosocial Outcomes for Youth with Type 1 Diabetes (T1D)
Sarah Corathers, MD, Cincinnati Childrens Hospital - Promoting Continuous Glucose Monitoring (CGM) Prescriptions in Academic Training Clinics
Jovan Milosavljevic, MD, Albert Einstein College of Medicine - Managing Diabetes Ketoacidosis in a Moderate Care Unit: A Quality Improvement Initiative
Inas Thomas, MD, C.S Mott Childrens Hospital, University of Michigan
Insights from the T1D Exchange (Ballroom)
Moderator: Abha Choudhary, MD, UT Southwestern.
- T1DX-QI Portal Updates
Ann Mungmode, MPH, Senior Product Manager, T1D Exchange - Insight from Advisory Committee
Jeff Hitchcock and Amy Ohmer, T1D Advisory Committee - Building QI Capacity
Don Buckingham, MBOE, CPHQ, CSSBB, T1D Exchange
3:10 – 3:20 pm
Time reserved for T1D Exchange Quality Improvement Collaborative group photo
3:20 – 3:50 pm
Travel time to the Mount Sinai and NYU hospitals
Buses #1 and #2 Travel uptown to Mount Sinai clinics.
Bus #3 travels downtown to NYU Langone clinics.
People visiting the NYU clinics are encouraged to walk. It’s an 11-minute walk to the pediatric clinic and 18 minutes to the adult clinic.
4:00 – 5:00 pm
Clinic Tours: Mount Sinai and NYU clinics
Mount Sinai Kravis Children’s Hospital, Annenberg Building
1468 Madison Avenue, 4th Floor, Suite 4-61
The Mount Sinai Diabetes Center, Adults
5 E 98th Street, 3rd Floor
Hassenfeld Children’s Hospital at NYU Langone
430 E 34th St
NYU Langone Adults
222 E 41st St 17th Floor
5:00 – 5:30 pm
Travel time back to hotel
Buses #1 and #2 Travel downtown from the Mount Sinai clinics.
Bus #3 travels uptown from NYU Langone clinics. People visiting the NYU clinics are encouraged to walk. It’s an 11-minute walk from the pediatric clinic and 18 minutes from the adult clinic.
7:00 – 9:00 pm
Dinner at Arno and Award Presentations
Awards Presented:
- Outstanding Adult PI: Ruth S. Weinstock, MD, PhD
- Outstanding Pediatric PI,: Daniel J. DeSalvo, MD
- Outstanding Coordinator: Alisha Virani, RD, CDCES, LD
- Outstanding Adult Team: Icahn School of Medicine at Mt. Sinai
- Outstanding Pediatric Team: University of Wisconsin
141 W 38th St
New York, NY 10018
Dinner is a 19-minute walk from the hotel.
Buses will also be available, traveling to the restaurant and back to the hotel.
All times in EST
7:00 – 8:00 am
Breakfast
8:00 – 8:15 am
Logistics (Ballroom)
Nicole Rioles, MA, Director of Clinical Partnerships, T1D Exchange
8:30 – 9:00 am
JDRF Vision (Ballroom)
Sanjoy Dutta, PhD
9:05 – 10:10 am
Breakout Session #3
Insulin Delivery, Pumps, Looping/DIY, AID, Hybrid Closed Loop Session (Consulate)
Moderator: Viral Shah, MD, Barbara Davis Center
- Increasing Pump Therapy Adoption in Patients with Type 1 Diabetes
Allison Smego, MD, University of Utah Intermountain Health - Identifying Barriers for Smart Insulin Pen Connectivity in Patients with Poor Glycemic Outcomes
Veronica Figueredo, MD, University of Miami Pediatrics - Increasing Insulin Pump Use by Adapting Pump Enrollment Process
Stephanie Ogburn, RN, CDCES, Cook Childrens Hospital - Transitioning Children and Adolescents with Type 1 Diabetes onto Hybrid Closed Loop Systems
Emily Coppedge, NP, CDE, Weil Cornell Medicine - IMProving Access to Closed-loop Technology (IMPACT)
Kristina Cossen, MD, Childrens Healthcare of Atlanta
Remote Monitoring, Digital Health, Data Science & Use of Data (Ambassador)
Moderator: Halis Kaan Akturk, MD, Barbara Davis Center
- Effect of Remote Patient Monitoring on Subsequent 3-month Hemoglobin A1c (HbA1c) in Youths and Young Adults with Type 1 Diabetes (T1D) with Suboptimal Glycemic Outcomes
Claire Petty, BA, Childrens Mercy Hospital - Leveraging EMR Data to Enable Remote Patient monitoring in the ROCKET T1D Program
Daniel DeSalvo, MD, Texas Childrens Hospital - The Design of the Electronic Health Record in Type 1 Diabetes Centers: Implications for Metrics and Data Availability for a Quality Collaborative
Donna Eng, MD, Helen DeVos Childrens Hospital - Developing a Tracking Tool for Continuous Glucose Monitor Prescriptions Among Children and Young Adults with Type 1 & Type 2 Diabetes
Amanda Perkins, MSN, MPH, CPNP, CDCES, Childrens National
Building Your Career in T1D Research (Ballroom)
Moderator: Linda DiMeglio, MD, Indiana University
- Panel discussion on career journey and mentorship with:
Michael Harris, PhD
David Maahs, MD
Ruth Weinstock MD, PhD
Shivani Agarwal, MD, MPH
Planning, Engagement, and Shared Decision Making (Embassy)
Moderator: Anastasia Albanese O’Neill, NP, PhD, CDCES
- Implementing Patient-Reported Intake Forms to Integrate Clinic Efficiency with Patient-Centered Care
Rachel Fenske, PhD, RDN, CD, LDN, University of Wisconsin - Engaging People with Diabetes in Quality Improvement Clinical Projects: Insights from the T1D Exchange Quality Improvement Collaborative
Nicole Rioles, MA, T1D Exchange - Pre-Visit Diabetes Device Data Capture
Edelina Bustamante Cohen, MS, RD, CDN, CDCES, NYU Langone - Incorporating Shared Decision-Making to Facilitate Equitable Insulin Pump Use Among Pediatric Patients with Type 1 Diabetes
Grace Nelson, MD, Le Bonheur Children’s Hospital - Improving Diabetes Self-Management Habits with Remote Patient Monitoring in the ROCKET T1D Program
Guido Alacron, MD, Texas Childrens Hospital
10:10 – 10:25 am
Break
10:25 – 10:45 am
Remarks from David Panzirer and Gina Agiostratidou, PhD, MBA (Ballroom)
10:50 – 11:30 am
T1D Funders Panel (Ballroom)
Moderator: Osagie Ebekozien, MD, MPH, CPHQ, Chief Medical Officer, T1D Exchange
Laurel Koester, MPH
Anne Koralova, PhD
Danny Kovarik, MBA
Anastasia Albanese-O’Neill, PhD, ARNP/PNP-BC, CDCES
11:30 am – 12:00 pm
Supporting PwT1D to be Self-Advocates (Ballroom)
Marissa Town, RN, BSN, CDCES, Children with Diabetes
12:00 – 1:00 pm
Lunch (Working Group Discussions)
Tables will be labeled in Ballroom (optional)
*time for networking and visiting educational room (Track 61)
1:05 – 2:25 pm
Committee and Working Group Presentations (Ballroom)
Facilitated by Devin Steenkamp, MBChB, Boston Medical Center and Todd Alonso, MD, Barbara Davis Center
Session Objective: At the end of this session members will be able to strategize, develop and construct change ideas, practice flows and structure and daily processes to increase patient outcomes and patient experience in the clinical setting.
Topic areas:
- Clinical Leadership (Todd Alonso MD and Devin Steenkamp, MBChB)
- Glucose Monitoring (Lily Chao, MD, Children’s Hospital of Los Angeles and Marina Basina, MD Stanford Health)
- Hybrid Closed Loop (Emily Coppedge, NP, CDE, Weil Cornell Medicineand Carol Levy, Ichan Mt Sinai)
- Data Science (Marina Basina, MD, PhD and Joyce Lee, MD, MPH)
- Transitions of Care (Faisal Malik, MD, MSHS, Seattle Children’s Hospital, Sarah Corathers, MD, Cincinnati Children’s Hospital and Shivani Agarwal, MD, MPH Albert Einstein College of Medicine)
- Publications (Shivani Agarwal, MD, MPH)
- Diabetes Distress (Alissa Roberts, MD, Seattle Children’s Hospital and Devin Steenkamp, MBChB, Boston Medical Center)
- Data Governance (Daniel DeSalvo, MD and Carol Levy, MD, CDCES)
Strengthening the Role of QI Champions to Advance Diabetes Care (Ambassador)
Facilitated by: Whitney Beaton, MSN, RN, ACCNS-P, CDCES, University of Wisconsin
Amy Grant, DNP, RN, CPN, Cincinnati Children’s
Naomi Sullivan, MSN, MBA, RN, Lurie Children;s
Candice Williams, APRN, CPNP-PC, CDCES, Cook Children’s
Lydia Holly, BSN, RN, Children’s National
Don Buckingham, MBOE, CPHQ
2:30 – 2:50 pm
Living With Diabetes (Ballroom)
Shivani Agarwal, MD, MPH, and Steven Sanchez, Albert Einstein College of Medicine
2:50 – 3:00 pm
Wrap-up & Evaluation (Ballroom)
Dave Walton, MBA, CEO, T1D Exchange
All times in EST
