Quraishi, Mohammed Nabil, Dobson, Elizabeth, Ainley, Rachel, Din, Shahida, Wakeman, Ruth, Cummings, Fraser, Sebastian, Shaji, Bloom, Stuart, Limdi, Jimmy K, Dhar, Anjan et al (show 6 more authors)
(2023)
Establishing key performance indicators for inflammatory bowel disease in the UK.
FRONTLINE GASTROENTEROLOGY, 14 (5).
pp. 407-414.
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Abstract
<h4>Background and aims</h4>Healthcare quality improvement (QI) is the systematic process to continuously improve the quality of care and outcomes for patients. The landmark Inflammatory Bowel Disease (IBD) UK National Audits provided a means to measure the variation in care, highlighting the need to define the standards of excellence in IBD care. Through a consensus approach, we aimed to establish key performance indicators (KPIs), providing reliable benchmarks for IBD care delivery in UK.<h4>Methods</h4>KPIs that measure critical aspects of a patient journey within an IBD service were identified though stakeholder meetings. A two-stage Delphi consensus was then conducted. The first involved a multidisciplinary team of IBD clinicians and patients to refine definitions and methodology. The second stage assessed feasibility and utility of the proposed QI process by surveying gastroenterology services across UK.<h4>Results</h4>First, the four proposed KPIs were refined and included time from primary care referral to diagnosis in secondary care, time to treatment recommendation following a diagnosis, appropriate use of steroids and advanced therapies prescreening and assessment. Second, the Delphi consensus reported >85% agreement on the feasibility of local adoption of the QI process and >75% agreement on the utility of benchmarking of the KPIs.<h4>Conclusions</h4>Through a structured approach, we propose quantifiable KPIs for benchmarking to improve and reduce the individual variation in IBD care across the UK.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Inflammatory bowel disease |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 21 Aug 2023 15:49 |
| Last Modified: | 21 Aug 2023 15:49 |
| DOI: | 10.1136/flgastro-2023-102409 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3172265 |
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