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Improving Quality in the Care of Patients with Inflammatory Bowel Diseases.

Publication ,  Journal Article
Egberg, MD; Gulati, AS; Gellad, ZF; Melmed, GY; Kappelman, MD
Published in: Inflamm Bowel Dis
July 12, 2018

Efforts to improve healthcare quality were firmly established before the Institute of Medicine (IOM) historic 2000 and 2001 reports, To Err is Human Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century Despite the long-standing healthcare quality improvement (QI) efforts that date back to the turn of the 20th century, the IOM reports significantly advanced the awareness of healthcare quality deficits and the resulting risk to patients from those gaps in care. Studies immediately following the IOM reports emphasized and verified the presence of detrimental care gaps and highlighted a myriad of contributing factors. Studies focused specifically on the inflammatory bowel diseases (IBD), Crohn's disease and ulcerative colitis , demonstrated suboptimal patient outcomes stemming from, in part, system and provider variation. In the years that have followed, research studies have shown the persistence of suboptimal outcomes in IBD despite an awareness of key drivers for poor care quality and concerted efforts in advancing QI initiatives. In 2017, IBD advocacy groups and provider networks have demonstrated progress in furthering both pediatric and adult IBD outcomes through the use of QI methods and tools including collaborative learning networks. A significant amount of work lies ahead, however, to build upon these advances and improve IBD outcomes further. This article reviews the history of quality initiatives in healthcare, identifies ongoing gaps in IBD care with a review of current IBD improvement efforts taking place, and identifies several targets for improving IBD care quality moving forward into the 21st century.

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Published In

Inflamm Bowel Dis

DOI

EISSN

1536-4844

Publication Date

July 12, 2018

Volume

24

Issue

8

Start / End Page

1660 / 1669

Location

England

Related Subject Headings

  • Quality Improvement
  • Practice Guidelines as Topic
  • Outcome Assessment, Health Care
  • Inflammatory Bowel Diseases
  • Humans
  • Gastroenterology & Hepatology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Egberg, M. D., Gulati, A. S., Gellad, Z. F., Melmed, G. Y., & Kappelman, M. D. (2018). Improving Quality in the Care of Patients with Inflammatory Bowel Diseases. Inflamm Bowel Dis, 24(8), 1660–1669. https://doi.org/10.1093/ibd/izy030
Egberg, Matthew D., Ajay S. Gulati, Ziad F. Gellad, Gil Y. Melmed, and Michael D. Kappelman. “Improving Quality in the Care of Patients with Inflammatory Bowel Diseases.Inflamm Bowel Dis 24, no. 8 (July 12, 2018): 1660–69. https://doi.org/10.1093/ibd/izy030.
Egberg MD, Gulati AS, Gellad ZF, Melmed GY, Kappelman MD. Improving Quality in the Care of Patients with Inflammatory Bowel Diseases. Inflamm Bowel Dis. 2018 Jul 12;24(8):1660–9.
Egberg, Matthew D., et al. “Improving Quality in the Care of Patients with Inflammatory Bowel Diseases.Inflamm Bowel Dis, vol. 24, no. 8, July 2018, pp. 1660–69. Pubmed, doi:10.1093/ibd/izy030.
Egberg MD, Gulati AS, Gellad ZF, Melmed GY, Kappelman MD. Improving Quality in the Care of Patients with Inflammatory Bowel Diseases. Inflamm Bowel Dis. 2018 Jul 12;24(8):1660–1669.
Journal cover image

Published In

Inflamm Bowel Dis

DOI

EISSN

1536-4844

Publication Date

July 12, 2018

Volume

24

Issue

8

Start / End Page

1660 / 1669

Location

England

Related Subject Headings

  • Quality Improvement
  • Practice Guidelines as Topic
  • Outcome Assessment, Health Care
  • Inflammatory Bowel Diseases
  • Humans
  • Gastroenterology & Hepatology
  • 3202 Clinical sciences
  • 1103 Clinical Sciences