Pediatric Grand Rounds (RECORDING) Innovations to Address Health Inequities in Care Amongst LatinX People Living with Diabetes

This presentation is a recording of a Stanford Pediatric Grand Rounds Session.  World-renowned experts will present the latest research, practice guidelines, and treatment protocols to advance best practices in the care of pediatric patients. These online recordings will provide pediatricians and family physicians with up-to-date clinical information on a wide range of clinical issues encountered in daily pediatric practice. 

This recording will discuss an overview of health inequities and how they relate to health outcomes in LatinX people living with diabetes, as well as innovative programs aimed to close the inequity gaps. We will discuss a novel approach aimed to improve health and decrease avoidable hospitalizations, an alternative model of care to the one-on-one medical appointment, and how telehealth has impacted this patient population.

1. Evaluate emerging research, updated guidelines, and treatment protocols in order to develop strategies for best practice in the care of pediatric patients.
2. Describe some of the cultural challenges specific to LatinX
3. List some of the new programs of care that can help mind the gap
4. Explain some of the barriers and facilitators, as well as benefits and drawbacks of telehealth

In support of improving patient care, Stanford Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Credit Designation 
American Medical Association (AMA) 
Stanford Medicine designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credits^TM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accessibility Statement
 Stanford University School of Medicine is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008.  If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

Cultural and Linguistic Competency
The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area for the purpose of complying with California Assembly Bill 1195. Moreover, the Stanford University School of Medicine Multicultural Health Portal contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws.  You are encouraged to visit the Multicultural Health Portal: https://laneguides.stanford.edu/multicultural-health

References/Bibliography
Borschuk, A. P., & Everhart, R. S. (2015). Health disparities among youth with type 1 diabetes: A systematic review of the current literature. Families, Systems, & Health, 33(3), 297–313.

Foster NC et al. State of Type 1 Diabetes Management and Outcomes from the T1D Exchange in 2016–2018. Diabetes Technology & Therapeutics Vol. 21, No. 2.

Addala A et al. A Decade of Disparities in Diabetes Technology Use and HbA1c in Pediatric Type 1 Diabetes: A Transatlantic Comparison. American Diabetes Association. vol. 44 no. 1 133-140.

Anderson J, Gavin J, Kruger D. Current Eligibility Requirements for CGM Coverage Are Harmful, Costly, and Unjustified. Diabetes Technology & Therapeutics Vol. 22, No. 3. 2020.

Ravi S J et al. Pediatric Medicaid Patients With Type 1 Diabetes Benefit From Continuous Glucose Monitor Technology. Journal of Diabetes Science and Technology. Volume: 15 issue: 3, page(s): 630-635. 2020.
Delamater A M et al. Risk for metabolic control problems in minority youth with diabetes. Diabetes Care 1999 May;22(5):700-5.

Povisen L, Olsen B, Ladelund S. Journal of Advanced Nursing. 50(6), 576-582. 2018.

Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, health, and cost. Health Affairs. Institute for Healthcare Improvement. 2008 May/June;27(3):759-769.

Health Affairs vol 31 no 8 1777-1785, 2012.


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Mitigation of Relevant Financial Relationships

Stanford Medicine adheres to the Standards for Integrity and Independence in Accredited Continuing Education. 

There are no relevant financial relationships with ACCME-defined ineligible companies for anyone who was in control of the content of this activity, except those listed in the table below. All of the relevant financial relationships listed for these individuals have been mitigated.