23 Quality of Care Initiative Improves Outcomes for Patients With Inflammatory Bowel Disease

Health Economic Impact of a Multicenter Quality-of-Care Initiative for Reducing Unplanned Healthcare Utilization Among Patients With Inflammatory Bowel Disease

“…Overall, 23 (13 academics and 10 communities) of 27 sites provided data to support clinical probability estimates for the baseline and intervention periods. Characteristics of the patients and their outcomes during the Collaborative are presented elsewhere (7). Table 1 presents the process of care changes that each site implemented for reducing unplanned healthcare utilization; the median number of interventions per center was 5 (range: 2-7).…”

“…This economic analysis was exempt from review by the Cedars-Sinai Institutional Review Board because only site-level, deidentified data were used. We fully describe the IBD Qorus BTS Collaborative elsewhere (7), but in brief, sites proposed, developed, and implemented various clinical care process changes for reducing unplanned healthcare utilization (Table 1). Given the pragmatic nature of the Collaborative, each site chose and implemented process of care changes from a toolkit of interventions that best fit their practice's needs and existing infrastructure and personnel (7).…”

“…During the Collaborative, data on IBD-related ED visits and hospitalizations within the past 6 months were collected using patient surveys at clinic visits (7); both outcomes are in the Standard Set of measures for IBD developed by an international working group (8). Notably, van Deen and colleagues found that IBD Qorus patients' self-reported survey data were highly accurate for both ED visits (92% agreement) and hospitalizations (96% agreement) after reviewing their electronic health records (9).…”

“…US healthcare expenditures associated with inflammatory bowel diseases (IBDs) are considerable at up to $25 billion/year (1-4), 60% of which is attributable to IBD-related emergency department (ED) visits and hospitalizations (4,5). To improve IBD outcomes and decrease costs, IBD Qorus-a multicenter adult IBD learning health system (6)-used a breakthrough series (BTS) Collaborative approach to quality improvement for reducing unplanned healthcare utilization (7). Sites tested and implemented various interventions and demonstrated statistically significant reductions in hospitalizations (7).…”

“…To improve IBD outcomes and decrease costs, IBD Qorus-a multicenter adult IBD learning health system (6)-used a breakthrough series (BTS) Collaborative approach to quality improvement for reducing unplanned healthcare utilization (7). Sites tested and implemented various interventions and demonstrated statistically significant reductions in hospitalizations (7). In this study, we estimated the health economic impact of participation in the Collaborative for IBD Qorus, as a whole, and for each individual site.…”