Joseph D Feuerstein1, Konstantinos Papamichael2, Sara Popejoy3, Adam Nadelson4, Jeffrey J Lewandowski2, Kathy Geissler3, Manuel Martinez-Vazquez5, Daniel A Leffler2, Kim Ariyabuddhiphongs6, Chandrashekhar Thukral3,7, Adam S Cheifetz2. 1. Department of Medicine and Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street 8e Gastroenterology, Boston, MA, 02215, USA. jfeuerst@bidmc.harvard.edu. 2. Department of Medicine and Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street 8e Gastroenterology, Boston, MA, 02215, USA. 3. Rockford Gastroenterology Associates, Rockford, IL, USA. 4. Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. 5. Gastroenterology Service Dr. José Eleuterio González University Hospital, Monterrey, Nuevo León, Mexico. 6. Department of Medicine and Division of Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. 7. University of Illinois at Chicago College of Medicine, Rockford, IL, USA.
Abstract
BACKGROUND: Prior studies have shown poor compliance with quality measures for IBD at academic and private practices. We sought to provide focused interventions to improve compliance and documentation with the IBD measures. METHODS: Two centers, academic practice (AP) and private practice (PP), initially reviewed their compliance with eight established IBD quality measures in consecutive charts. A multi-faceted intervention was developed to improve awareness and documentation of these measures. The initial data and the quality measures were reviewed at a group meeting. Following this, a handout summarizing the measures was placed in each exam room. The AP added a new screen to the EHR that summarized the relevant IBD history, while the PP added a new template that was filled out and imported into the charts. Three months after this intervention, charts were reviewed for compliance with the measures. RESULTS: The intervention cohort consisted of 768 patients (AP = 569/PP = 199) compared to the initial cohort of 566 patients (AP = 367/PP = 199). Improvement was seen throughout all measures compared to the initial cohort. The AP reported compliance with all relevant measures in 21% and the PP in 60% compared to 7 and 10% in the initial cohort. PP had ≥ 75% compliance with every measure, of which only assessment for bone loss and pneumococcal vaccination was under 80%. In contrast, the AP compliance ranged from 35 to 100% with assessment for bone loss, influenza, and pneumococcal vaccination scoring lowest. CONCLUSION: Our study demonstrates that focused low-cost interventions can significantly improve compliance with IBD quality measures in different practice settings.
BACKGROUND: Prior studies have shown poor compliance with quality measures for IBD at academic and private practices. We sought to provide focused interventions to improve compliance and documentation with the IBD measures. METHODS: Two centers, academic practice (AP) and private practice (PP), initially reviewed their compliance with eight established IBD quality measures in consecutive charts. A multi-faceted intervention was developed to improve awareness and documentation of these measures. The initial data and the quality measures were reviewed at a group meeting. Following this, a handout summarizing the measures was placed in each exam room. The AP added a new screen to the EHR that summarized the relevant IBD history, while the PP added a new template that was filled out and imported into the charts. Three months after this intervention, charts were reviewed for compliance with the measures. RESULTS: The intervention cohort consisted of 768 patients (AP = 569/PP = 199) compared to the initial cohort of 566 patients (AP = 367/PP = 199). Improvement was seen throughout all measures compared to the initial cohort. The AP reported compliance with all relevant measures in 21% and the PP in 60% compared to 7 and 10% in the initial cohort. PP had ≥ 75% compliance with every measure, of which only assessment for bone loss and pneumococcal vaccination was under 80%. In contrast, the AP compliance ranged from 35 to 100% with assessment for bone loss, influenza, and pneumococcal vaccination scoring lowest. CONCLUSION: Our study demonstrates that focused low-cost interventions can significantly improve compliance with IBD quality measures in different practice settings.
Authors: Siddhartha Parker; Laura Chambers White; Chad Spangler; Jessica Rosenblum; Shannon Sweeney; Emily Homan; Steven P Bensen; L Campbell Levy; Maria Conception C Dragnev; Kristen Moskalenko-Locke; Pamela Rich; Corey A Siegel Journal: Inflamm Bowel Dis Date: 2013-08 Impact factor: 5.325
Authors: Joseph D Feuerstein; Jeffrey J Lewandowski; Manuel Martinez-Vazquez; Daniel A Leffler; Adam S Cheifetz Journal: Dig Dis Sci Date: 2014-10-14 Impact factor: 3.199
Authors: Welmoed K van Deen; Martijn G H van Oijen; Kelly D Myers; Adriana Centeno; William Howard; Jennifer M Choi; Bennett E Roth; Erin M McLaughlin; Daniel Hollander; Belinda Wong-Swanson; Jonathan Sack; Michael K Ong; Christina Y Ha; Eric Esrailian; Daniel W Hommes Journal: Inflamm Bowel Dis Date: 2014-10 Impact factor: 5.325
Authors: Joseph D Feuerstein; Natalia E Castillo; Sana S Siddique; Jeffrey J Lewandowski; Kathy Geissler; Manuel Martinez-Vazquez; Chandrashekhar Thukral; Daniel A Leffler; Adam S Cheifetz Journal: Clin Gastroenterol Hepatol Date: 2015-10-20 Impact factor: 11.382