INS and diabetes mellitus: The T1D Exchange Quality Improvement Collaborative (T1DX-QI) collaborates among diabetes centers in the United States to enhance diabetes care delivery for patients with T1D.9 Through plan-do-study-act (PDSA) cycles led by T1DX-QI, the rate of insulin pump use in 12- to 26-year-olds increased from 45% to 58% for 22 months in 5 participating centers.9 Another single-center study decreased the time from decision to initiating pump starts from 132.5 to 98.5 days (P = 0.007) through various interventions, including optimizing patient education and support around technology.10