Table 1.
Results from T1DX-QI Telemedicine Survey
No. of centers | % of centers | |
---|---|---|
Tools for conducting telemedicine visits | ||
Videoconferencing software only | 7 | 33% |
Phone calls only | 1 | 5% |
Both videoconferencing software and phone calls | 13 | 62% |
Types of software used | ||
Videoconference | 9 | 43% |
Zoom | 13 | 62% |
FaceTime® | 4 | 19% |
Microsoft teams | 2 | 10% |
Doximity | 3 | 14% |
WebEx® | 4 | 19% |
BlueJeans | 1 | 5% |
Health system developed technology | 1 | 5% |
Google Duo | 1 | 5% |
WhatsApp™ | 1 | 5% |
Insurance coveragea | ||
Telephone visit coverage | 19 | 95% |
Video visit coverage | 20 | 100% |
Tools used for accessing diabetes device data | ||
Medtronic (CareLink™) | 21 | 100% |
Tandem t:slim (t:connect®) | 21 | 100% |
Dexcom (Clarity®) | 21 | 100% |
Glooko™ | 20 | 95% |
Tidepool™ | 8 | 38% |
Abbott Libre (LibreView™) | 5 | 24% |
Nightscout | 1 | 5% |
Workflow for EHR download | ||
Either clinic staff or provider captures download | 7 | 33% |
Clinic staff captures download | 11 | 52% |
Provider captures download | 2 | 10% |
Data integrated into the EHR and clinic staff provide support | 1 | 5% |
Non-MD providers participating in telemedicinea | ||
RD | 19 | 95% |
CDCES | 18 | 90% |
Social worker | 16 | 80% |
RN | 12 | 60% |
Psychologist | 3 | 15% |
MD and diabetes team workflowa | ||
Separately by phone and in conjunction with video visit | 5 | 25% |
Separately for both | 11 | 55% |
In conjunction for video visits | 4 | 20% |
Workflow available to support care components | ||
Participation of interpreters | 19 | 90% |
Obtaining patient laboratories | 13 | 62% |
Depression screening | 8 | 38% |
Virtual device traininga | ||
Provides insulin pump training using telephone or video | 20 | 100% |
Provides CGM training using telephone or video | 14 | 70% |
Institutional goal for the overall percentage of diabetes telemedicine visits | ||
Unsure | 12 | 57% |
0%–20% | 2 | 10% |
21%–40% | 4 | 19% |
41%–50% | 3 | 14% |
20 clinics reported.
CDCES, certified diabetes care and education specialist; CGM, continuous glucose monitoring; EHR; RD, registered dietitian; RN, registered nurse; T1DX-QI, T1D Exchange Quality Improvement Collaborative.