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Quality Improvement

Centers in the T1D Exchange Quality Improvement Collaborative (T1DX-QI) network develop and disseminate best practices in T1D care. The T1DX-QI currently brings together over 60 diabetes centers across the United States, treating over 100,000 people with type 1 diabetes — and over 50,000 people with type 2 diabetes.

What is the T1DX-QI trying to accomplish?

Led by Osagie Ebekozien, MD, MPH, the T1DX-QI considers the following questions in every step of its work:

  • Do we have the right kind of data to drive real-world improvements?
  • Are we making the best decisions based on available data?
  • How can we improve clinical and population health outcomes?
  • Are outcomes equitable?

Since its creation, the T1DX-QI has accomplished a variety of impactful work, including:

  • 90+ active research projects striving to improve patient care
  • Launched a pilot program to serve the type 2 diabetes population
  • Published research in over 40 top medical journals since 2019
  • Shared 70+ presentations at international conferences
  • Influencing active international collaborations
  • Expanding the Health Equity Advancement Lab (HEAL) Program
  • Mapping data at 16 participating centers
  • Improving overall HbA1c trends across all participating clinics
  • 18 manuscripts accepted and published so far in 2022
  • 25 abstracts accepted/presented at 5 International conferences in 2022

Regarding real-world results, the T1DX-QI has seen significant success in improving patient care across member clinics, including:

  • Increasing CGM prescriptions and use
  • Developing programs to help patients with A1c’s over 9%
  • Increasing access to diabetes technology in certain racial/ethnic groups
  • Improving mental health screen in both adult and pediatric clinics
  • Increasing clinic visit frequency in Medicaid-insured youth
  • Decreasing DKA hospitalizations through a targeted diabetes wellness program
  • Increasing follow-up attendance after DKA hospitalizations
  • Creating screening to identify and address fear of hypoglycemia
  • …and more!

Meet the Experts

T1DX-QI Collaborative Member Wesbite

Meet the Expert series

In these interviews, individuals discuss their expertise in supporting people with type 1 diabetes and working to improve patient care.