2027-P: TechMeet Teams Up to Tackle Pump Use: A Quality Improvement Initiative

Introduction and Objective: Rates of insulin pump use among youth with type 1 diabetes (T1D) are suboptimal despite evidence that use improves glycemia. Quality improvement initiatives are a strategy to increase pump use. Methods: A multidisciplinary quality improvement team (TechMeet) developed a process map and key driver diagram which informed change ideas and interventions aimed at increasing percent of patients with T1D using pumps. Iterative Plan-Do-Study-Act cycles were undertaken to improve pump awareness among patients and clinicians, streamline the process of pump education and increase pump initiation. Interventions included monitoring patients’ continuous glucose monitor data sufficiency, shifting from group to 1:1 virtual and in-person pre-pump education classes, increasing availability of first post-diagnosis clinician visits with time allotted for pre-pump education, increasing use of outside pump trainers and offering insulin pump education for clinicians. Results: Sixty-nine percent of patients with type 1 diabetes were using insulin pumps at baseline. Interventions were implemented every 1-2 months over a 9-month period. Pump use was maintained despite increases in patient volume (Figure). Conclusion: Through targeted interventions to increase pump initiation, insulin pump use was maintained during a period of increasing patient volume. Downstream effects of newly implemented interventions are expected to result in increasing rates of pump use in the coming months. Disclosure A. Perkins: None. S. Majidi: Advisory Panel; Current; Sanofi. R. Longendyke: Advisory Panel; Ended; Sanofi. S.L. Holly: None. A. Danner: None. J.K. Reilly: None. J. Grundman: Advisory Panel; Current; Sanofi.