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Targeted Physician Education and Standardizing Documentation Improves Documented Reporting with Inflammatory Bowel Disease Quality Measures in a Large Academic and Private Practice.

Abstract：

BACKGROUND:Prior studies have shown poor compliance with quality measures for IBD at academic and private practices. We sought to provide focused interventions to improve compliance and documentation with the IBD measures. METHODS:Two centers, academic practice (AP) and private practice (PP), initially reviewed their compliance with eight established IBD quality measures in consecutive charts. A multi-faceted intervention was developed to improve awareness and documentation of these measures. The initial data and the quality measures were reviewed at a group meeting. Following this, a handout summarizing the measures was placed in each exam room. The AP added a new screen to the EHR that summarized the relevant IBD history, while the PP added a new template that was filled out and imported into the charts. Three months after this intervention, charts were reviewed for compliance with the measures. RESULTS:The intervention cohort consisted of 768 patients (AP = 569/PP = 199) compared to the initial cohort of 566 patients (AP = 367/PP = 199). Improvement was seen throughout all measures compared to the initial cohort. The AP reported compliance with all relevant measures in 21% and the PP in 60% compared to 7 and 10% in the initial cohort. PP had ≥ 75% compliance with every measure, of which only assessment for bone loss and pneumococcal vaccination was under 80%. In contrast, the AP compliance ranged from 35 to 100% with assessment for bone loss, influenza, and pneumococcal vaccination scoring lowest. CONCLUSION:Our study demonstrates that focused low-cost interventions can significantly improve compliance with IBD quality measures in different practice settings.

journal_name

Dig Dis Sci

journal_title

Digestive diseases and sciences

authors

Feuerstein JD,Papamichael K,Popejoy S,Nadelson A,Lewandowski JJ,Geissler K,Martinez-Vazquez M,Leffler DA,Ariyabuddhiphongs K,Thukral C,Cheifetz AS

doi

10.1007/s10620-017-4845-y

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

36-45

issue

eissn

0163-2116

issn

1573-2568

pii

10.1007/s10620-017-4845-y

journal_volume

pub_type

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Targeted Physician Education and Standardizing Documentation Improves Documented Reporting with Inflammatory Bowel Disease Quality Measures in a Large Academic and Private Practice.