Practice Unit Requirements

Administrative

1. Communicate with physician organization. Respond to inquiries and requests from the physician organization partner regarding participation in the collaborative.
   Primary Responsibility of: Administrative Lead
2. Appoint a clinical champion. Each participating practice will be required to designate a clinical
   champion who will be responsible for communicating performance, QI, and educational information to members of the practice and helping to advance best practices
   Primary Responsibility of: Administrative Lead
3. Appoint a practice liaison.Determine a liaison in the practice who will work with the physician organization to ensure completeness and quality of data.
   Primary Responsibility of: Administrative Lead

Data

1. Share required data elements with MiHIN. Work with the physician organization to share required data elements for participation in MCT2D with the Michigan Health Information Network (MiHIN) and other participants in the care and care improvement process in accordance with established HIPAA and other regulatory data sharing standards.
   Primary Responsibility of: Quality Assurance Lead
2. Complete additional data fields as necessary. Although it is anticipated that the vast majority of data will be submitted automatically/electronically, the coordinating center may need practice unit assistance with completing some data elements.
   Primary Responsibility of: Quality Assurance Lead
3. Share social determinants of health data. Share results of collected social determinants of health data for patients with diabetes as required by the coordinating center.
   Primary Responsibility of: Quality Assurance Lead
4. Collect patient reported outcomes.Distribute patient reported outcomes survey flyers and support qualitative interview participation (interviews would be conducted by the coordinating center).
   Primary Responsibility of: Quality Assurance Lead
5. Support collection of remote monitoring data. In partnership with the coordinating center, support collection of remote monitoring data from continuous glucose monitoring devices, blood pressure, physical activity, and scales through partnering vendors.
6. Assist patients without internet in uploading data from remote monitoring devices. Assist patients who do not have internet access at home to upload data from remote monitoring devices.
7. Allow data to be used in publications. Allow data and information to be used in peer-reviewed publications to further advance QI efforts.

Quality

1. Commit to focusing on MCT2D quality initiatives. Learn about the following initial quality initiatives and develop a quality
   improvement plan for your practice incorporating these principles:
   1. Prescribing GLP1 agonists and SGLT2 inhibitors
   2. Expanding use of continuous glucose monitoring devices
   3. Offering low-carbohydrate diabetes diet options
   4. For patients with obesity and diabetes, supporting weight loss strategies
   Possible future QI initiatives will be driven by the data in collaboration with MCT2D participants.
   Primary Responsibility of: Administrative Lead
2. Advance best practices. Collaborate with the physician organization partner to implement best practices using feedback from MCT2D data and other metrics.
3. Provide feedback and share best practices. Provide feedback and ideas for innovation for diabetes care quality. Share best practices that your site has successfully implemented with the collaborative through presenting at meetings when requested by physician organization partner.
   Primary Responsibility of: Administrative Lead and Clinical Champion

Engagement

1. Participate in required training programs. Participate in training programs on continuous glucose monitoring devices, lower-carb diets, and new diabetes medications.
   Primary Responsibility of: PO Medical Director and Clinical Champion
2. Distribute materials to patients. Distribute patient education materials and toolkits to patients as provided by the coordinating center.
   Primary Responsibility of: Administrative Lead
3. Attend regional meetings. At minimum, the clinical champion from each practice will attend 2x yearly evening meetings conducted based on a practice’s region (regions to be determined in participation with the MCT2D coordinating center).

Description of Roles