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T1DX-QI Learning Session 2022

T1DX-QI 52 Centers Strong: Implementation and Advocacy for Change

November 7th and 8th, 2022 – Miami, FL

Hyatt Regency Miami (website)
400 S.E. Second Avenue, Miami, FL 33131, USA

With our team-based focus on implementation, sustaining improvement, and supporting advocacy for patients and families’ needs, we are excited to share the agenda, give you a glimpse at the guest speakers traveling to this learning session, and highlight what we will get to see and hear from our hosts at University of Miami.

By the end of this learning session we want participants to: 

Know: We are making a positive impact on diabetes health outcomes through our interventions.

Feel: Energized that you have the tools to effectively mobilize your team and optimistic about the resources shared across the QI Collaborative.

Do: Implement new PDSA cycles and share results with the QI Collaborative.

Attending virtually?

Please use the link sent in your email to register via Zoom. For any additional questions contact qi@t1dexchange.org for assistance.

For CME Credits

We are very excited to partner with Boston University CME office again this year for Continuing Education at the Learning Session.

7:00 – 8:00 am

Breakfast

8:00 – 8:15 am

Greetings, Logistics, and Agenda Overview (Brickell)
Nicole Rioles, MA

8:15 – 8:35 am

Introduction from University of Miami (Brickell)
Janine Sanchez, MD and Francesco Vendrame, MD, PhD

8:35 – 9:20 am

QI Collaborative Accomplishments (Brickell)
Osagie Ebekozien, MD, MPH

9:20 – 9:40 am

T1D Exchange Update (Brickell)
Dave Walton, MBA

9:40 – 10:10 am

Break

10:10 – 10:55 am

Building QI Leadership (Brickell)
Grace Nelson, MD, Devin Steenkamp, MBChB,
Alisha Virani, MS, RD, CDCES, LD, Emily Coppedge, NP

Facilitated by Todd Alonso, MD

11:05 – 12:05 pm

Breakout Session #1

Making Device Access Equitable (Orchid C)

Facilitated by Alexis McKee, MD, CDCES

  1. Interventions to Improve Technology Equity in Young Adults (YA) with Type 1 Diabetes (TID), Priyanka Mathias, MD
  2. Increasing Accessibility to CGM in an Equitable Fashion, Blake Adams, BSN, RN
  3. Continuing improvement of health equity: use of continuous glucose monitoring technology among youth with type 1 diabetes, Kajal Gandhi, DO, MPH
  4. 2021 T1D Exchange QI Clinic Practice Survey: Clinic Staffing and Structure for Adult and Pediatric Diabetes Clinics, Mary Pat Gallagher, MD

Improving Device Access (Orchid B)

Facilitated by Donna Eng, MD

  1. Reducing Disparities in CGM Use for Youth with Type 1 Diabetes, Elizabeth Mann, MD
  2. Increasing Access to Continuous Glucose Monitor: Addressing Health Disparities in Type 1 Diabetes, Christy Byer-Mendoza, MSN, RN, CPN, CNS
  3. Improving Access to Continuous Glucose Monitors for Patients with T1D in a Safety Net Hospital Clinic, Alisha Virani, MS, RD, CDCES, LD
  4. Improving Continuous Glucose Monitoring Use in Adolescents and Young Adults, Faisal Malik, MD MSHS

Population Health & Data Dashboard (Orchid D)

Facilitated by Brian Miyazaki, MD

  1. Towards risk-based management of type 1 diabetes (T1D): Developing a population health dashboard based on performing diabetes self-management habits, Craig Vandervelden, PhD (virtual)
  2. Creation of a Diabetes Data Dock to Integrate, Improve, and Analyze Diverse Data Sources and Facilitate Continuous Learning and Improvement, Brent Lockee (virtual)
  3. The Role of Certified Diabetes Care and Education Specialists in the Development of the 4T Program, Jeannine Leverenz, MS, RN, CDCES
  4. Nuances of Socioeconomic Status and Health Insurance Associations with HbA1c in Adults with Type 1 Diabetes, Caitlin Kelly, PhD (virtual)

12:10 – 1:10 pm

Lunch

1:10 – 2:10 pm

Break Out Session #2

Supporting Device Use (Orchid D)

Facilitated by Sonya Haw, MD

  1. Improving Back-up Planning in the Event of Pump Failure, Olivia Docter, BSN, RN, CDCES
  2. Standardizing insulin pump therapy initiation
    in children with Type 1 diabetes, Mili Vakharia, APRN, FNP-C (virtual)
  3. Increasing Remote Upload of Insulin Pump Data among Children with Type 1 Diabetes, Andrew Lavik, MD, PhD
  4. Pediatric Type 1 Diabetes Technology Use: Hispanic Caregiver’s Perspective, Mariaester Makacio-Morillo, MD

Building Equity Through SDOH (Orchid C)

Facilitated by Andrea Mucci, MD, MASc

  1. Addressing Social Determinants of Health to Improve Health Outcomes for Patients with Diabetes, Emily Dewit, MASL
  2. Equity in Diabetes Care & Transformation
    Implementation of Social Determinants of Health Screening in Diabetes Clinic, Nana-Hawa Yayah Jones, MD
  3. Implementation of SDOH Screening in Patients with Diabetes: Cook Children’s Endocrinology Clinic, Christin Morell, RN, BSN
  4. Improving SDOH Screening: The HCH Pediatric Diabetes Center at NYU Langone, Jeniece Ilkowitz, RN, MA, CD

Patient Engagement (Orchid B)

Facilitated by Jeff Hitchcock

  1. Improving Mental Health Screening in an Adult Endocrinology Clinic, Denne Mohandas, BA
  2. Improvement in Screening for Depression in Adolescents with Diabetes, Angel Nip, MD (virtual)
  3. Increasing Patient Engagement Through the Use of Online Diabetes Questionnaire, Stephanie Ogburn, RN, BSN, CDCES, Candice Williams, NP
  4. “TechQuity” and Peer Support to Reduce Disparities in Glycemic Outcomes in Children with Type 1 Diabetes (T1D), Jenise Wong, MD, PhD (virtual)

2:15 – 3:15 pm

Rapid Insulins and Ultra Rapid Insulins (Brickell)
Halis K Akturk, MD

View on YouTube

3:15 – 3:55 pm

Travel time to clinic tours

3:55 – 5:00 pm

University of Miami Tours
Pediatric Clinic – Adult Clinic & DRI

5:30 pm

Shuttle/Metro back to Hyatt

6:30 – 8:30 pm

Dinner and Awards Ceremony at Marabu
701 S Miami Ave Brickell City Center 4th Floor, Miami, FL 33131

All times in EST

7:00 – 8:00 am

Breakfast

8:00 – 8:15 am

Logistics and Welcome (Brickell)
Nicole Rioles, MA

8:15 – 8:45 am

Comprehensive Psychosocial Screening Program in a Pediatric Diabetes Clinic (Brickell)
Alan Delamater, PhD

8:50 – 9:50 am

Breakout Session #3

Developing Collaborative Infrastructure (Orchid A)

Facilitated by Vana Raman, MD

  1. Scholarly Dissemination from the T1DX-QI Network, 2020 – 2022, Nicole Rioles, MA
  2. Building Capacity for Quality Improvement Among T1D Exchange QI Coordinators, Ori Odugbesan, MD, CPHQ
  3. Review of Common Errors During EMR Data Mapping and
    Transformation to the T1D Exchange QI Data Specification, Anton Wirsch, MS
  4. User Value: Comparisons Between Data-Mapped and Non-Mapped T1D Exchange Quality Improvement Portal Users, Ann Mungmode, MPH, CPHQ

Decision, Support and Care Continuity (Orchid C)

Facilitated by Alissa Guarneri, MD

  1. Artificial Intelligence Decision Support Enhances Engagement and Integration with Home Diabetes Care, Gajanthan Muthuvel, MD (virtual)
  2. Improving Patient Continuity of Care in Pediatric Endocrinology Fellowship, Jonathan Tatum, MD (virtual)
  3. The Diabetes, Data & Devices (D3) Education Program: Motivating Patient-Driven Review of Diabetes Data and Insulin Dose Changes, Ashley Garrity, MPH
  4. Increasing Frequency of Clinic Visits among Medicaid Insured Children and Adolescents with Type 1 Diabetes, Carla Demeterco-Berggren, MD, MPH

Identifying, Delaying and Reducing DKA Admissions & Supporting High-Risk Populations (Orchid D)

Facilitated by Andrew Ahmann, MD

  1. Using Quality Improvement Techniques to Reduce Delayed Hospital Follow-up in Youth with Known T1DM Admitted in DKA, Andie Kaminsky, RN, BSN, CPN, CDCES
  2. A Program to Decrease Diabetic Ketoacidosis (DKA) Admissions:
    Diabetes Wellness Program (DWP)
    Pediatric Diabetes Program, Roberto Izquierdo, MD
  3. Utilization of a CGM-Based Dashboard to Identify At-Risk Patients with Type 1 Diabetes (T1D), Britaney Spartz
  4. Implementation of a Wellness Program for People with Diabetes with HbA1c >9%, Jeniece Ilkowitz, RN, MA, CDCES

9:50 – 10:05 am

Break

10:05 – 10:35 am

Team-Science Approaches and the Value of Early Screening (Brickell)
Alberto Pugliese, MD

10:40 – 12:00 pm

Committee Presentations (Brickell)
Shivani Agarwal, MD, MPH and Shideh Majidi, MD, MDCS Publications
Daniel DeSalvo, MD and Carol Levy, MD, Data Governance
Joyce Lee, MD, PhD and Marina Basina, MD, PhD Data Science
Facilitated by Devin Steenkamp, MBChB and Todd Alonso, MD, Clinical Leadership

QI Champions (Orchid C-D)
Facilitated by Ori Odugbesan, MD, CPHQ and Ann Mungmode, MPH, CPHQ

12:00 – 1:00 pm

Lunch

Journal of Diabetes Partnership
Robert Rapaport, MD

Patient Speaker
Ariana and Adrian Rodriguez

1:00 – 2:00 pm

Panel Discussion: Advocating for Change (Brickell)
Laurel Koester, MPH, Francesco Vendrame, MD, MPH, Janine Sanchez, MD, Ori Odugbesan, MD, CPHQ, and Amanda Waks

Facilitated by Osagie Ebekozien, MD, MPH, CPHQ

2:00 – 3:00 pm

Breakout Session #4

Health Equity and SDOH (Brickell)
Ori Odugbesan, MD, CPHQ Nana-Hawa Yayah Jones, MD, and Jenise Wong, MD, PhD (virtual)

Behavioral Health, Education & Patient Engagement (Orchid B)
Christy Byer-Mendoza, MSN, RN, CPN, CNS, Cynthia Munoz, PhD, Amy Ohmer

Care Transitions (Orchid D)
Ann Mungmode, Faisal Malik, and Sarah Corathers, MD (virtual)

Technology, Device Use, and TIR/A1C Targets (Orchid C)
Nudrat Noor, PhD, MPH, Mark Clements, MD, PhD, and Francisco Pasquel, MD, MPH (virtual)

Building QI Capacity (Orchid A)
Don Buckingham, MBOE CPHQ, Curtis Yee, BBA (virtual)

3:00 – 3:15 pm

Wrap-up Evaluation (Brickell)
Dave Walton, MBA

All times in EST

Q1- How many team members am I allowed to bring?
A1 – T1DX will cover the costs for 2 team members and will reserve the hotel rooms for any additional members. Any additional members will need to be covered by your institution.

Q2- What time does the learning session begin?
A2- The learning session will begin at 8 am on Monday 11/7/2022 and end around 5:30pm after clinic tours. Following the tours we will have a group dinner. Day two will begin at 8:00 am and end at 3:00 pm to allow travel back home on 11/8/2022.

Q3- When should I fly in and fly out?
A3- We recommend flying in on the evening of Sunday 11/6/2022 and flying out after 3pm on 11/8/2022.

Q4- How will I be reimbursed?
A4- Fill out this form. T1DX will cover economy flights only (no business or first-class).

Q5- Will there be food accommodations?
A5- T1DX will be sending out a survey to ask about food allergies and accommodations before the learning session.

Q6- When will the agenda be posted?
A6- The agenda will be available after 10/1/2022.

Q7- How many team members can attend virtually?
A7- There is no limit to virtual attendees. Please email qi@t1dexhcnage.org to RSVP if you have not done so already.

Q8- What hotel will we be staying at?
A8- We will be staying at the Hyatt Regency Miami, which is about 15 minutes from Miami International Airport. (400 S, SE 2nd Ave, Miami, FL 33131)

Q9- How do I sign up for a breakout session?
A9- You can sign up for a breakout session using this survey link.