The new frontier: Certifying quality standards in the inflammatory bowel disease care

Fiorino, Gionata; Danese, Silvio

doi:10.1002/ueg2.12122

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Significant gaps have been identified, where new work is needed and which should meet standards for high quality studies. We recommend the development of improvement initiatives based on geographically-specific guidelines and formal IBD care quality criteria [ 120 ].…”

Section: Discussionmentioning

confidence: 99%

Quality improvement exercises in Inflammatory Bowel Disease (IBD) services: A scoping review

Ridsdale,

Khurana,

Taslim

et al. 2024

PLoS ONE

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Objective Quality Improvement initiatives aim to improve care in Inflammatory Bowel Disease (IBD). These address a range of aspects of care including adherence to published guidelines. The objectives of this review were to document the scope and quality of published quality improvement initiatives in IBD, highlight successful interventions and the outcomes achieved. Design/method We searched MEDLINE, EMBASE, CINAHL and Web of Science. Two reviewers independently screened and extracted data. We included peer reviewed articles or conference proceedings reporting initiatives intended to improve the quality of IBD care, with both baseline and prospectively collected follow-up data. Initiatives were categorised based on problems, interventions and outcomes. We used the Quality Improvement Minimum Quality Criteria Set instrument to appraise articles. We mapped the focus of the articles to the six domains of the IBD standards. Results 100 studies were identified (35 full text; 65 conference abstracts). Many focused on vaccination, medication, screening, or meeting multiple quality measures. Common interventions included provider education, the development of new service protocols, or enhancements to the electronic medical records. Studies principally focused on areas covered by the IBD standards ‘ongoing care’ and ‘the IBD service’, with less focus on standards ‘pre-diagnosis’, ‘newly diagnosed’, ‘flare management’, ‘surgery’ or ‘inpatient care’. Conclusion Good quality evidence exists on approaches to improve the quality of a narrow range of IBD service functions, but there are many topic areas with little or no published quality improvement initiatives. We highlight successful quality improvement interventions and offer recommendations to improve reporting of future studies.

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Section: Discussionmentioning

confidence: 99%

Quality improvement exercises in Inflammatory Bowel Disease (IBD) services: A scoping review

Ridsdale,

Khurana,

Taslim

et al. 2024

PLoS ONE

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“…IBD is a spectrum of inflammatory chronic intestinal conditions which need a complex approach in regards of diagnosis, management and follow-up ( 113 ). Despite several guidelines ( 8 , 11 , 114 , 115 ), the approach to IBD patients remains heterogeneous across countries and even in the same country, as it depends on several factors, such as access to healthcare system, reimbursement policies, expertise of healthcare professionals and knowledge of IBD by the general population.…”

Section: Participatementioning

confidence: 99%

Personalize, participate, predict, and prevent: 4Ps in inflammatory bowel disease

et al. 2023

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Inflammatory bowel disease (IBD), which includes Crohn’s disease (CD) and ulcerative colitis (UC), is a complex, immune-mediated, disorder which leads to several gastrointestinal and systemic manifestations determining a poor quality of life, disability, and other negative health outcomes. Our knowledge of this condition has greatly improved over the last few decades, and a comprehensive management should take into account both biological (i.e., disease-related, patient-related) and non-biological (i.e., socioeconomic, cultural, environmental, behavioral) factors which contribute to the disease phenotype. From this point of view, the so called 4P medicine framework, including personalization, prediction, prevention, and participation could be useful for tailoring ad hoc interventions in IBD patients. In this review, we discuss the cutting-edge issues regarding personalization in special settings (i.e., pregnancy, oncology, infectious diseases), patient participation (i.e., how to communicate, disability, tackling stigma and resilience, quality of care), disease prediction (i.e., faecal markers, response to treatments), and prevention (i.e., dysplasia through endoscopy, infections through vaccinations, and post-surgical recurrence). Finally, we provide an outlook discussing the unmet needs for implementing this conceptual framework in clinical practice.

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Secondary Indicators for an Evaluation and Guidance System for Quality of Care in Inflammatory Bowel Disease Centers: A Critical Review of the Inflammatory Bowel Disease Quality of Care Center

Shen

Liang

Mao

et al. 2022

Inflammatory Bowel Diseases

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The number of patients with inflammatory bowel disease (IBD) has increased remarkably in recent years. However, the level of healthcare for IBD patients varies greatly among regions of China. Standardization of healthcare for IBD patients is essential to improve quality of care (QoC). The mission of the IBD Quality Care Evaluation Center (IBDQCC) is to establish indicators for QoC. Since 2017, the IBDQCC has developed structure, process, and outcome indicators with the steering committee of IBD specialists and methodologists; 28 core and 13 secondary IBD QoC indicators were selected using a Delphi methodology. Applications for certification of IBD quality care units were made voluntarily and preliminarily screened through the IBDQCC committee. “Regional” units had to meet all core indicators, and “excellence” units were required to meet all core indicators together with an additional 50% of secondary indicators. As of 2019 and 2020, 69 IBD units (all from tertiary referral hospitals) have been certified as regional IBD units in China. The certification of excellence of the IBD units is currently undergoing auditing. The awareness of and appreciation for QoC in IBD is increasing in China, especially through the quality control evaluation program initiated by the IBDQCC, with a higher number of IBD units applying for the next round of certification. Although secondary indicators seem to play relatively minor roles in QoC, they suggest additional requirements for high level centers.

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The new frontier: Certifying quality standards in the inflammatory bowel disease care

Cited by 3 publications

References 19 publications

Quality improvement exercises in Inflammatory Bowel Disease (IBD) services: A scoping review

Quality improvement exercises in Inflammatory Bowel Disease (IBD) services: A scoping review

Personalize, participate, predict, and prevent: 4Ps in inflammatory bowel disease

Secondary Indicators for an Evaluation and Guidance System for Quality of Care in Inflammatory Bowel Disease Centers: A Critical Review of the Inflammatory Bowel Disease Quality of Care Center

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