Quality Improvement Initiatives in Inflammatory Bowel Disease

被引：12

作者：

Berry S.K. ^{[1
]}

Siegel C.A. ^{[2
]}

Melmed G.Y. ^{[1
,3
]}

机构：

[1] Department of Medicine, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, 90048, CA

[2] Department of Medicine, Dartmouth-Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, 03766, NH

[3] Inflammatory Bowel Disease Center, 8730 Alden Drive, Second Floor East, Los Angeles, 90048, CA

来源：

Current Gastroenterology Reports | 2017年 / 19卷 / 8期

关键词：

Gastroenterology; Inflammatory bowel disease; Learning health system; Quality improvement; Quality measures; Specialty medical home;

D O I：

10.1007/s11894-017-0581-x

中图分类号：

学科分类号：

摘要：

Purpose of Review: This article serves as an overview of several quality improvement initiatives in inflammatory bowel disease (IBD). Recent Findings: IBD is associated with significant variation in care, suggesting poor quality of care. There have been several efforts to improve the quality of care for patients with IBD. Quality improvement (QI) initiatives in IBD are intended to be patient-centric, improve outcomes for individuals and populations, and reduce costs—all consistent with “the triple aim” put forth by the Institute for Healthcare Improvement (IHI). Summary: Current QI initiatives include the development of quality measure sets to standardize processes and outcomes, learning health systems to foster collaborative improvement, and patient-centered medical homes specific to patients with IBD in shared risk models of care. Some of these programs have demonstrated early success in improving patient outcomes, reducing costs, improving patient satisfaction, and facilitating patient engagement. However, further studies are needed to evaluate and compare the effects of these programs over time on clinical outcomes in order to demonstrate long-term value and sustainability. © 2017, Springer Science+Business Media, LLC.

引用

共 22 条

[11]

Dec 26], ICHOM—International Consortium for Health Outcomes Measurement [Internet]. ICHOM International Consortium for Health Outcomes Measurement. cited, (2016)

[12]

Calvet X., Panes J., Alfaro N., Hinojosa J., Sicilia B., Gallego M., Et al., Delphi consensus statement: Quality indicators for inflammatory bowel disease comprehensive care units, J Crohn’s Colitis. Elsevier B.V., 8, pp. 240-251, (2014)

[13]

Nguyen G.C., Devlin S.M., Afif W., Bressler B., Gruchy S.E., Kaplan G.G., Et al., Defining quality indicators for best-practice management of inflammatory bowel disease in Canada, Can J Gastroenterol Hepatol, 28, pp. 275-285, (2014)

[14]

Best care at lower cost: the path to continuously learning health care in America [Internet]. Comm Learn Heal Care Syst Am Inst Med, (2012)

[15]

Dec 26], ImproveCareNow, (2016)

[16]

Crandall W., Kappelman M.D., Colletti R.B., Leibowitz I., Grunow J.E., Ali S., Et al., ImproveCareNow: the development of a pediatric inflammatory bowel disease improvement network, Inflamm Bowel Dis, 17, pp. 450-457, (2011)

[17]

IBD Qorus: Quality driven. Care focused. [Internet]. CCFA: IBD Qorus: Quality driven. Care focused. [cited 2016 Dec 26]

[18]

What is a medical home? Why is it important? [Internet]. What is a medical home? Why is it important? [cited 2016 Dec 26]

[19]

Regueiro M.D., McAnallen S.E., Greer J.B., Perkins S.E., Ramalingam S., Szigethy E., The inflammatory bowel disease specialty medical home: a new model of patient-centered care, Inflamm Bowel Dis, 22, pp. 1971-1980, (2016)

[20]

Jan 2], medical homes dramatically cut ED visits, (2017)

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