Article Document Information Content Entity Continuant Continuant Entity Entity Review Generically Dependent Continuant 2025-05-07T07:21:33 RDF description of Health-system-based interventions to improve care in pediatric and adolescent type 1 diabetes [review] - http://repository.healthpartners.com/individual/document-rn679 15 Current Diabetes Reports 2022-02-21T22:48:57.408-06:00 Quality of Health Care Diabetes public Health-system-based interventions to improve care in pediatric and adolescent type 1 diabetes [review] 19580 10.1007/s11892-015-0664-8 Organizational Innovation document-rn679 Interventions Pediatrics <p>Despite significant advances in pharmacology and technology, glycemic targets are difficult to achieve for patients with type 1 diabetes (T1D) and management remains burdensome for patients and their families. Quality improvement (QI) science offers a methodology to identify an aim, evaluate complex contributors to the goal, and test potential interventions to achieve outcomes of interest. Day-to-day management of diabetes is often an iterative process but interventions exist at all care levels: individual patient and family, clinic, and larger population and health system. This article reviews current literature and proposes novel QI interventions for enhancing health outcomes, with attention to essential determinants or drivers of improved glycemic control and patient experience for pediatric T1D in the context of the Chronic Care Model. In-depth consideration of key drivers of successful T1D care, including self-management and integration of technology, are explored, and examples of larger health systems with improved outcomes, including Learning Health Systems are highlighted.<p> 12500 Blood 11 review