Evolution of the T1D Exchange Quality Improvement Collaborative (T1DX-QI): Using Real-World Data and Quality Improvement to Advance Diabetes Outcomes

The T1D Exchange Quality Improvement Collaborative (T1DX-QI) is a framework used to systematically improve systems and processes. It was established in 2016 and has continued to evolve throughout the past 6 years (Figure 1). In health care settings, the T1DX-QI allows health care professionals, patients with type 1 diabetes, and families to be part of a process that evaluates and improves many areas of health care for everyone who touches the health care system (1). Learning health systems (LHSs) are systems in which “science, informatics, incentives, and culture are aligned for continuous improvement and innovation” (2). T1DX-QI is an LHS that is real-world data–enabled and now includes more than 45 pediatric and adult sites (Figure 2 and Supplementary Table S1). The T1DX-QI special article collection in this issue of Clinical Diabetes highlights T1DX-QI’s continued expansion and contributions to diabetes care.