Quality improvement in paediatric inflammatory bowel disease: the Manitoba experience

El‐Matary, Wael; Dufault, Brenden

doi:10.1111/apa.13490

Cited by 6 publications

(3 citation statements)

References 10 publications

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“…Utilizing physician's global assessment (PGA), ICN investigators have documented a rise in remission rates from 55% to 75% over the past few years; modelling an impressive success story of QI within the field of IBD (35). In another pediatric study from Manitoba, Canada, implementing QI measures resulted in significant reductions in steroid use, IBD-related surgery and hospitalizations and IBD-related emergency room visits (36).…”

Section: Clinical Providersmentioning

confidence: 99%

Quality improvement in healthcare for patients with inflammatory bowel disease

2019

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Since inflammatory bowel diseases (IBD) are chronic disorders with typical remission and relapses and no cure, maintaining high quality of provided healthcare to patients with IBD plays a major role in the management and reducing disease-related morbidity. To hone process-based quality indicators in order to ameliorate quality of care, the indicators must be based on high quality evidence and expert consensus. ImproveCareNow (ICN) group gave us a great example of quality improvement (QI) by gaining experience in how to exercise, apply and implement QI methods in the care of children with IBD. "The American Gastroenterological Association" has developed an adult "IBD physician performance measures set" and both "Crohn's and Colitis Foundation of America" (CCFA) and "Crohn's and Colitis Canada" (CCC) have developed sets of most highly rated process and outcome measures. "The Emerging Practice in IBD Collaborative (EPIC) Canadian group" developed definitions of quality indicators for best-practice management of IBD in Canada. "Quality of Care through the Patient's Eyes (QUOTE-IBD)" was honed as a questionnaire to quantify quality of care in the eyes of patients with IBD. This is now widely used in several European countries. The current concepts of quality of care as well as quality indicators will be discussed in this article.

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Section: Clinical Providersmentioning

confidence: 99%

Quality improvement in healthcare for patients with inflammatory bowel disease

2019

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“…Quality improvement (QI) in medicine is defined as the utilisation of an evidence based approach in order to make meaningful, positive changes to healthcare [2, 3]. Clinical quality indicators are quantitative endpoints used to guide, monitor, and improve the quality of patients' care [2].…”

Section: Introductionmentioning

confidence: 99%

“…Clinical quality indicators are quantitative endpoints used to guide, monitor, and improve the quality of patients' care [2]. The use of QI in IBD is becoming increasingly recognized as a methodology for improving IBD care [3].…”

Section: Introductionmentioning

confidence: 99%

Allied Health Professional Support in Pediatric Inflammatory Bowel Disease: A Survey from the Canadian Children Inflammatory Bowel Disease Network—A Joint Partnership of CIHR and the CH.I.L.D. Foundation

El‐Matary

Benchimol

Mack

et al. 2017

Canadian Journal of Gastroenterology and Hepatology

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Objectives The current number of healthcare providers (HCP) caring for children with inflammatory bowel disease (IBD) across Canadian tertiary-care centres is underinvestigated. The aim of this survey was to assess the number of healthcare providers (HCP) in ambulatory pediatric IBD care across Canadian tertiary-care centres. Methods Using a self-administered questionnaire, we examined available resources in academic pediatric centres within the Canadian Children IBD Network. The survey evaluated the number of HCP providing ambulatory care for children with IBD. Results All 12 tertiary pediatric gastroenterology centres participating in the network responded. Median full-time equivalent (FTE) of allied health professionals providing IBD care at each site was 1.0 (interquartile range (IQR) 0.6–1.0) nurse, 0.5 (IQR 0.2–0.8) dietitian, 0.3 (IQR 0.2–0.8) social worker, and 0.1 (IQR 0.02–0.3) clinical psychologists. The ratio of IBD patients to IBD physicians was 114 : 1 (range 31 : 1–537 : 1), patients to nurses/physician assistants 324 : 1 (range 150 : 1–900 : 1), dieticians 670 : 1 (range 250 : 1–4500 : 1), social workers 1558 : 1 (range 250 : 1–16000 : 1), and clinical psychologists 2910 : 1 (range 626 : 1–3200 : 1). Conclusions There was a wide variation in HCP support among Canadian centres. Future work will examine variation in care including patients' outcomes and satisfaction across Canadian centres.

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Are Patient Self-reported Healthcare Utilization Data Reliable in Persons With IBD?

El‐Matary

2021

Crohn's &Amp; Colitis 360

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Quality improvement in paediatric inflammatory bowel disease: the Manitoba experience

Cited by 6 publications

References 10 publications

Quality improvement in healthcare for patients with inflammatory bowel disease

Quality improvement in healthcare for patients with inflammatory bowel disease

Allied Health Professional Support in Pediatric Inflammatory Bowel Disease: A Survey from the Canadian Children Inflammatory Bowel Disease Network—A Joint Partnership of CIHR and the CH.I.L.D. Foundation

Are Patient Self-reported Healthcare Utilization Data Reliable in Persons With IBD?

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