2021-P: Describing the FTE of Diabetes Care Teams across the T1D Exchange QI Collaborative

Introduction and Objective: Multidisciplinary staffing is fundamental to high-quality diabetes care and to organized quality improvement efforts that depend on continuous measurement and improvement. However, staffing capacity across diabetes centers engaged in quality improvement has not been well described. Methods: The T1DX-QI annual member survey was administered via Qualtrics from August-October 2025 to collect data for calendar year 2024. Centers reported mean full-time equivalent (FTE) staffing across diabetes care team roles, stratified by adult versus pediatric practice. Results: Sixty-one of 64 centers (97%) responded to the FTE questions; 67% 41 were pediatric and 33% 20 adult centers. Mean total physician FTEs per center were lower in adult than pediatric centers (7 range 1-18 vs. 10 1-30). Adult centers reported lower staffing across multiple roles central to care delivery, including registered nurses, dietitians, social workers, pharmacists, and QI personnel. CDCES-associated staffing was modest overall but more prevalent in pediatric centers. Conclusion: Marked variation in multidisciplinary and QI staffing exists across T1DX-QI centers, with adult centers demonstrating greater workforce constraints. These data provide actionable benchmarks to inform workforce planning, resource allocation, and the design of sustainable quality improvement initiatives. Disclosure N. Rioles: None. D.R. Himsworth: None. M. Gallagher: Research Support; Current; BioMarin Pharmaceutical Inc., T1D Exchange, IQVIA Inc., MannKind Corporation, National Institute of Diabetes and Digestive and Kidney Diseases, Sanofi-Aventis U.S., Diamyd. F. Vendrame: None. C. Rainey: None. S. Thapa: None. Funding The Leona M. and Harry B. Helmsley Charitable Trust