Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes
Author(s) -
Priya Prahalad,
Osagie Ebekozien,
G. Todd Alonso,
Mark A. Clements,
Sarah Corathers,
Daniel J. DeSalvo,
Marisa Desimone,
Joyce M. Lee,
Ilona Lorincz,
Ryan McDonough,
Shideh Majidi,
Ori Odugbesan,
Kathryn Obrynba,
Nicole Rioles,
Manmohan K. Kamboj,
NanaHawa Yayah Jones,
David M. Maahs
Publication year - 2021
Publication title -
clinical diabetes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.931
H-Index - 37
eISSN - 1945-4953
pISSN - 0891-8929
DOI - 10.2337/cd21-0026
Subject(s) - medicine , continuous glucose monitoring , psychological intervention , quality management , diabetes mellitus , type 1 diabetes , young adult , type 2 diabetes , quality of life (healthcare) , pediatrics , gerontology , endocrinology , nursing , operations management , management system , economics
Continuous glucose monitoring (CGM) use is associated with improved A1C outcomes and quality of life in adolescents and young adults with diabetes; however, CGM uptake is low. This article reports on a quality improvement (QI) initiative of the T1D Exchange Quality Improvement Collaborative to increase CGM use among patients in this age-group. Ten centers participated in developing a key driver diagram and center-specific interventions that resulted in an increase in CGM use from 34 to 55% in adolescents and young adults over 19–22 months. Sites that performed QI tests of change and documented their interventions had the highest increases in CGM uptake, demonstrating that QI methodology and sharing of learnings can increase CGM uptake.
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