THE MICHIGAN COLLABORATIVE FOR TYPE 2 DIABETES

Shifting the paradigm of type 2 diabetes care through dissemination of best practices and partnering to remove barriers to care.

APR23
Upcoming Event

MCT2D Spring 2025 Regional Meeting (Grand Rapids)

illustration of health care providers, primary care, pharmacy, nephrology, and endocrinology working together
APR7
Recent News

2024 Endocrinology Care Coordination QI Projects

In Spring 2024, MCT2D asked our 26 participating Michigan endocrinology practices to work with their physician organization to choose a participating MCT2D primary care practice to partner with to address a care coordination issue between the two practices.
Each partnership group chose its own issue to work on, since MCT2D wanted to allow practices to focus on the specific factors that were impacting their shared patients. This resulted in a large range of projects, including creating more diabetes friendly meal options for hospitalized patients, implementing a consult-lite approach for patients beginning a continuous glucose monitors (CGM), and developing specific plans to refer patients back to primary care after reaching treatment goals with endocrinology.

Why Care Coordination?


One of MCT2D’s primary goals is to enhance collaboration and communication between primary care and specialty practices in the treatment of patients with type 2 diabetes. While both endocrinologists and primary care physicians have been involved in MCT2D since its launch, their primary interaction in MCT2D prior to this project was limited to endocrinologists providing education on CGM and diabetes medications.
This initiative marked the first time both specialties worked together on a meaningful, self-directed care coordination project—one that directly fostered collaboration and delivered mutual benefits.
map of michigan with distribution of PCP, endocrinology, and nephrology practices distributed and displayed as circles on the map to indicate location

MCT2D’s 395 participating practices including primary care (blue), nephrology (teal), and endocrinology (orange) across the state.

QI Project Timeline


01 April 2024

All endocrinology practices were required to identify their partnering primary care practice, ahead of our regional meetings so that the clinical champions could meet in person. Clinical champions were encouraged to meet with their partnering PCP practice and PO administrative leads to brainstorm potential areas for collaboration and determine the roles of the PCP practice and endocrinology practice for the proposed partnership.

15 June 2024

Project plans due. Partnering endocrinology and primary care practices submitted their plan to MCT2D including the focus of their work, the role of the PCP practice, the role of the endocrinology practice, their goals, and anticipated challenges. The project was intended to start following the submission of the project plan and continue throughout the value-based reimbursement year, ending in March 2025.

21 November 2024

At the Endocrinology Clinical Champion meeting, three endocrinologists gave a presentation of the work that they were doing and the progress that they had made.

April - May 2025

Spring 2025 MCT2D regional meetings
Each endocrinology practice has created a poster (see sliding gallery below) to showcase the results of their work at each of the seven regional meetings across the state, allowing attendees to learn about these collaborations, including successes and lessons learned.

Highlights from the QI Projects


Collaboration between specialists is important for ensuring that type 2 diabetes patients receive the best care possible. There are numerous opportunities to improve patient care through collaboration, as demonstrated by the vast array of projects chosen by our participating practices.
This is especially important considering that across the state, the wait time to see an endocrinologist can be high, and many of these projects have supported the streamlining of care so that it is provided efficiently and effectively. Projects included revamping the meal options offered to hospitalized T2D patients, offering a consult-lite approach to patients who are just beginning on a CGM, and defining appropriate referrals.

Browse the 2024 Endocrinology and Primary Care Care Coordination QI Projects


Next Steps


This project has provided a unique opportunity for primary care providers and endocrinologists to collaborate in ways that were previously uncommon. Each partnership group has specific next steps based on the focus of their collaboration, with most planning to build on the progress and advancements made throughout the year.
The five new endocrinology practices that joined MCT2D this year will be working on PCP partnership projects in 2025, following a similar timeline to the one outlined above.
Additionally, MCT2D will be introducing a performance measure for endocrinologists in 2025, aimed at optimizing billing for continuous glucose monitor (CGM) interpretations. This initiative ensures that patients receive the necessary guidance and support when initiating CGM use.
Learn More

RESOURCE LIBRARY

Access content for MCT2D members including events, requirements, forms, and more.

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Featured Resource

Guide for Starting Patients on a Low Carb Lifestyle

A green, yellow, and red light system for adjusting diabetes medications like GLP-1 RAs, DPP-4i's, basal and bolus insulin, and sulfonylureas and monitoring blood glucose and adapting nutrition goals while adopting a low carb lifestyle.

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FIND MORE POINT OF CARE TOOLS


PROJECTS

Innovative projects addressing type 2 diabetes care in support of MCT2D initiatives.

FEATURED PROJECTS


MCT2D CGM User Experience Program

The CGM UEP program is open to physicians, nurse practitioners, physician assistants, and pharmacists at any MCT2D practice with the goal of building clinicians' familiarity with using a CGM and ultimately, increasing understanding of the patient experience through an off-label provider trial.

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OUR PATIENTS

Innovative projects addressing type 2 diabetes care in support of MCT2D initiatives.

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Patient Perspectives

Meet Frankie, MCT2D patient advisor

Meet Frankie, MCT2D patient advisor Frankie, who started on a lower carb lifestyle with the support of his doctor in September 2021. He's since lost 120 pounds and no longer takes insulin.

If I could’ve had this information as a young man, my whole life would’ve been different.

323
primary care practices
24
endocrinology practices
14
nephrology practices
24/34
of all physician organizations in Michigan

7 regions across Michigan

Badger Region
Bluegill Region
Bluejay Region
Blackbear Region
Riverwalk Region
Wolf Region
Dunes Region
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