Constructing an Inflammatory Bowel Disease Patient–Centered Medical Home

Reduced Unplanned Care and Disease Activity and Increased Quality of Life After Patient Enrollment in an Inflammatory Bowel Disease Medical Home

“…Details of the design, implementation, and flow of UPMC Total Care-IBD program have been previously published. 5, 6 The multidisciplinary care team included a social worker, dietitian, schedulers, nurse coordinators, and advanced practice providers, and was led by a gastroenterologist (M.R.) and psychiatrist (E.S.).…”

“…5 Initiated in July 2015 with ongoing active enrollment, UPMC Total Care-IBD has assumed care for over 650 patients to date. We aimed to investigate the feasibility, durability, and impact of Total Care-IBD after one year of enrollment and treatment.…”

Editorial: better outcomes for Crohn's disease—more than just the drugs?

“…Many of the improvements in outcomes we now see are likely to be due to improved communication between patients and members of the IBD multidisciplinary teams through IBD telephone helplines and electronic portals for IBD patients to communicate more openly. Rapid access to out‐patient care will also reduce hospitalisations …”

“…Rapid access to out-patient care will also reduce hospitalisations. 6 However, the effect of the biological drugs, infliximab and adalimumab, is likely to play an important role in the observations made from Ontario by Rahman et al These drugs have enabled gastroenterologists to focus on new targets such as fistula healing, and to target mucosal healing with more confidence. 7 Over time, the outcomes from using these drugs in the right patients, with the right targets, at the right dose and with the right combinations have incrementally improved.…”

PROMises Made, PROMises To Be Kept: Patient-Reported Outcome Measures in Inflammatory Bowel Diseases

“…Besides offering close disease activity monitoring, effective implementation of PROMs improves patient engagement in care with downstream benefits in the new value-based models of care. 2,3,14 In conclusion, PROMs increasingly are becoming an integral component of IBD care. The quest for development of an ideal PROM for clinical trials and practice is in full swing, and in the coming decade they will change the way we practice IBD for the better.…”