Meet the winners that showcased their innovative solutions at the 2025 Clinical Update Conference!
The Team-Based Care Spotlight Challenge was a competition showcasing the most innovative and effective strategies for improving the lives of people with diabetes through team-based, multidisciplinary care.
Four finalists showcased their innovative approaches at CUC ‘25!
MercyOne Genesis
The MercyOne Genesis diabetes care management team that supports patients longitudinally in achieving personalized health goals. This team, consisting of two certified health coach RNs, a clinical pharmacist, and a community health coordinator, collaborates with primary care providers to optimize diabetes treatment, assist with medication costs, promote lifestyle changes, and connect patients to community resources. The team acts as an extension of the in-office primary care team with specialized focus and training in comprehensive diabetes care management.
CommonSpirit Health—Mercy Primary Care
We have created a diabetes center that supports advanced diabetes care in our rural region. We do not have access to endocrinology for 4-6 hours drive through some rugged mountain terrain and have many patients in the area with T1D, complex T2D and T1D in pregnancy. A team was created with support from each clinic discipline (MA, RN, PS, clinic supervisor, PM) and we meet twice monthly to determine how we can best train our clinical teams, support our patients, as well as add services to our clinic. We have hosted trainings for providers and nurses on CGM candidates, placement and interpretation. We have trained MAs and RNs to order and download CGM reports. We enrolled in a yearlong diabetes management program with Medicaid to receive a $10k grant to bring diabetic retinopathy screening into primary care. Three team members have trained in clinical research requirements. We are soon becoming a regional home for many patients with diabetes and have acquired space adjacent to our primary care practice to develop a clinical center of excellence in diabetes care.
HealthyIQ
Obesity Experiential Learning Discussion Map programs that leverage proven principles, insights and assets of the diabetes Conversation Map program which improved over 50M lives of people with diabetes in 129 countries. This product has been validated by 60+ publications.
Blue Circle Health
Blue Circle Health (BCH) offers free clinical care, education, and support to adults with T1D through generous funding from the Helmsley Charitable Trust. The BCH patient journey begins with the evidence-based T1D diabetes distress assessment scale (T1D-DDAS) to identify individual needs. The results drive the prioritization of services (insurance navigation, social work, peer support, endocrinology, etc.). The EHR and team-based care are designed to capture needs, not billing codes, and progress toward meeting them. Patients are “Full Circle”/graduated after acknowledging their needs are met. Post Full Circle analysis of the DDAS showed improvements in all categories of diabetes-related distress.