693 - Impact of Quality Improvement Interventions on Adherence to Quality Measures for Adult with Inflammatory Bowel Disease

Interventions to Decrease Unplanned Healthcare Utilization and Improve Quality of Care in Adults With Inflammatory Bowel Disease: A Systematic Review

“…44 Eight studies explored the effects of physician education interventions on vaccination rates. [26][27][28][29]31,32,36,39 These varied from educational sessions and materials to one-on-one audit review sessions with gastroenterologists. Three included only fellows, and 2 incorporated EMR or documentation changes in the same intervention.…”

“…Overall, these interventions showed mixed results, with 6 of these studies reporting improvement in vaccination for at least one of influenza or pneumococcal vaccinations. 26,27,29,32,36,39 Focusing on patient instead of physician education, Reich et al 34 randomized patients to receive IBD education materials or non-IBD-related information via EMR messaging. The group that received IBD-specific information, including vaccination reminders, had greater changes in the rates of both influenza and pneumococcal vaccination than the control group, despite high baseline rates of vaccination at the start of the study.…”

“…Eight other studies examined EMR-based interventions; all used the implementation of an EMR template or similar. 26,29,30,37,40,42,43,45 For example, Valluru et al 37 incorporated an IBD health maintenance template at a VA clinic, and recommendations to receive flu and pneumonia vaccination increased significantly (4% to 90% and 3% to 85%, respectively; both P < .001). In addition, Feuerstein et al 26 and Juakiem et al 29 both incorporated health maintenance documentation changes into their interventions that successfully improved documented vaccination rates.…”

“…Ten studies, all of which also addressed vaccinations, examined the rate of appropriate testing before the initiation of therapy with an anti-TNF therapy or thiopurine (Table 2). 24,26,27,29,31,36,37,39,40,42 Six studies included the use of structured documentation via an EMR template to improve screening for latent TB and/or hepatitis B status to mixed success, and 3 of 4 works examining the rate of TPMT assessment found no change in its completion rate. 24,26,29,31,37,39,40 In 2 related studies examining the effects of intensive physician education, including a one-on-one audit session, one found improvements and the other did not, although one used a pre/post design and the other used a comparator group.…”

“…24,26,27,29,31,36,37,39,40,42 Six studies included the use of structured documentation via an EMR template to improve screening for latent TB and/or hepatitis B status to mixed success, and 3 of 4 works examining the rate of TPMT assessment found no change in its completion rate. 24,26,29,31,37,39,40 In 2 related studies examining the effects of intensive physician education, including a one-on-one audit session, one found improvements and the other did not, although one used a pre/post design and the other used a comparator group. 27,36 One work explored the effect of an educational session on IBD quality measures for fellows and found that this increased rates of hepatitis B virus but not TB assessment.…”