Approximately 1.6 million people in the United States have type 1 diabetes (T1D). 1 The incidence of T1D is increasing in the United States across all populations, most significantly among Hispanic and non-Hispanic Black (NHB) patients. 2,3 Unfortunately, widespread inequities exist in health outcomes among patients with T1D in the United States. [4][5][6][7] In 2016, the T1D Exchange Quality Improvement Collaborative (T1DX-QI) was established. 8 T1DX-QI is a learning health network 9 with over 40 centers across the United States. Participating centers use continuous quality improvement (QI) methods [10][11][12] and real-world electronic medical record (EMR) data 4,6 for T1D population health improvement.The T1DX-QI is coordinated by the T1D Exchange, a Boston-based nonprofit coordinating center. The goals of the T1DX-QI were described in a separate commentary. 13 The T1DX-QI has successfully used QI principles and implementation science to improve clinical processes, including increased use of continuous glucose monitors (CGM), insulin pumps, depression screening, improved access to care, and population-level glycemic outcomes. [9][10][11][12] In 2020, the T1DX-QI established its health equity program to address inequities systematically and comprehensively in T1D outcomes. 14 This commentary describes practical approaches being employed by the T1DX-QI to address health inequities. These approaches can be Robert Rapaport and Manmohan Kamboj are co-senior authors.

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