Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes
figureposted on 30.06.2021, 21:16 by Priya Prahalad, Osagie Ebekozien, G. Todd Alonso, Mark Clements, Sarah Corathers, Daniel DeSalvo, Marisa Desimone, Joyce Lee, Ilona Lorincz, Ryan McDonough, Shideh Majidi, Ori Odugbesan, Kathryn Obrynba, Nicole Rioles, Manmohan Kamboj, Nana-Hawa Yayah Jones, David M. Maahs
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.