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Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes
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posted on 2021-06-30, 21:16 authored 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. MaahsContinuous 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.
