The Michigan Collaborative for Type 2 Diabetes: Building a Statewide Collaborative From The Ground Up | Recording-The Michigan Collaborative for Type 2 Diabetes: Building a Statewide Collaborative From The Ground Up

Video Transcription

Video Summary

This ADA-hosted, CE-accredited webinar introduced the Michigan Collaborative for Type 2 Diabetes (MCT2D), a statewide quality improvement (QI) collaborative launched in 2021 and funded through Blue Cross Blue Shield of Michigan’s long-running Collaborative Quality Initiative model. Speakers Dr. Lauren Oshman (family physician, program director) and Dr. Heidi Diaz (clinical pharmacist, co-director) described how MCT2D functions as a learning health system: collecting multi-source data, analyzing performance, and supporting practice change through shared learning and practical tools.<br /><br />MCT2D enrolls practices through Michigan physician organizations, engages multidisciplinary clinical champions, and incorporates a compensated patient advisory board and a multi-stakeholder steering committee. To avoid manual chart abstraction, the program built a population registry using electronic feeds routed through the state health information exchange (MIHIN) and supplemented with claims (BCBSM and Medicaid), while acknowledging major data completeness and governance challenges.<br /><br />Early QI efforts focused on three pillars—guideline-directed medications, low-carbohydrate/lifestyle strategies, and CGM—then evolved into performance measures aligned with HEDIS (A1C control, urine albumin-creatinine screening) and an endocrinology CGM interpretation/billing metric. The presenters emphasized human-centered design, education events, widely shared free resources, and value-based incentives as key “secret sauce” elements, along with ongoing challenges such as medication costs, team variability, EMR differences, and slow system change.

Keywords

Michigan Collaborative for Type 2 Diabetes (MCT2D)

type 2 diabetes quality improvement collaborative

learning health system

Blue Cross Blue Shield of Michigan Collaborative Quality Initiative

population health registry via MIHIN

HEDIS diabetes measures (A1C control, UACR screening)

continuous glucose monitoring (CGM) implementation and billing

guideline-directed diabetes medications and lifestyle/low-carbohydrate strategies

multidisciplinary clinical champions and patient advisory board