Quality improvement in healthcare for patients with inflammatory bowel disease
Since inflammatory bowel diseases (IBD) are chronic disorders with typical remission and relapses and no cure, maintaining high quality of provided healthcare to patients with IBD plays a major role in the management and reducing disease-related morbidity. To hone process-based quality indicators in order to ameliorate quality of care, the indicators must be based on high quality evidence and expert consensus. ImproveCareNow (ICN) group gave us a great example of quality improvement (QI) by gaining experience in how to exercise, apply and implement QI methods in the care of children with IBD. “The American Gastroenterological Association” has developed an adult “IBD physician performance measures set” and both “Crohn’s and Colitis Foundation of America” (CCFA) and “Crohn’s and Colitis Canada” (CCC) have developed sets of most highly rated process and outcome measures. “The Emerging Practice in IBD Collaborative (EPIC) Canadian group” developed definitions of quality indicators for best-practice management of IBD in Canada. “Quality of Care through the Patient’s Eyes (QUOTE-IBD)” was honed as a questionnaire to quantify quality of care in the eyes of patients with IBD. This is now widely used in several European countries. The current concepts of quality of care as well as quality indicators will be discussed in this article.