Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes

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 incre...

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Published in:Clinical diabetes 2021-07, Vol.39 (3), p.264-271
Main Authors: Prahalad, Priya, Ebekozien, Osagie, Alonso, G Todd, Clements, Mark, Corathers, Sarah, DeSalvo, Daniel, Desimone, Marisa, Lee, Joyce M, Lorincz, Ilona, McDonough, Ryan, Majidi, Shideh, Odugbesan, Ori, Obrynba, Kathryn, Rioles, Nicole, Kamboj, Manmohan, Jones, Nana-Hawa Yayah, Maahs, David M
Format: Article
Language:English
Subjects:
Diabetes
Disease management
Glucose
Glucose monitoring
Quality control
Quality improvement
Studies
Teenagers
Young adults
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cited_by cdi_FETCH-LOGICAL-c3186-86ffbf99239b4286c3b93cf377bb6c3b0468a04d09a4df73211170495759cb043
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container_issue 3
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container_title Clinical diabetes
container_volume 39
creator Prahalad, Priya
Ebekozien, Osagie
Alonso, G Todd
Clements, Mark
Corathers, Sarah
DeSalvo, Daniel
Desimone, Marisa
Lee, Joyce M
Lorincz, Ilona
McDonough, Ryan
Majidi, Shideh
Odugbesan, Ori
Obrynba, Kathryn
Rioles, Nicole
Kamboj, Manmohan
Jones, Nana-Hawa Yayah
Maahs, David M
description 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.
doi_str_mv 10.2337/cd21-0026
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subjects Diabetes
Disease management
Glucose
Glucose monitoring
Quality control
Quality improvement
Studies
Teenagers
Young adults
title Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes
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