Long-Term Sustained Improvement in Unplanned Healthcare Utilization in Patients With Inflammatory Bowel Disease

Collaborators, Affiliations

Collaborators

IBD Qorus:
Humberto I Aguilar, Jeffrey S Bank, Andrea Banty, John D Betteridge, Moheb Boktor, Stephanie Burwell, Cynthia E Cherfane, Gerald W Dryden, Zachary Feinberg, Sean D Fine, Hannah Winthrop Fiske, Ann D Flynn, Erin M Forster, David I Fudman, Jill K J Gaidos, Mark E Gerich, Jason K Hou, David Hudesman, Saurabh Kapur, Lia C Kaufman, Nirmal Kaur, Andrew Krane, Michelle H Kwon, Dana J Lukin, Donald Lum, Sophie A Malki, Daniel Marino, Mark C Mattar, Ryan A McConnell, Mark John Metwally, Arthur H Ostrov, David T Rubin, Sashidhar Varma Sagi, Jennifer Seminerio, Frank I Scott, Samir Ashok Shah, Brandon Scott Sprung, Chung Sang Tse, Anne Graves Tuskey, John F Valentine, Sharmeel Kaur Wasan, Douglas Charles Wolf, Emmanuelle D Williams, Ziad Younes

Affiliations

¹ Inflammatory Bowel and Immunobiology Research Institute, Karsh Division of Digestive and Liver Diseases, Cedars-Sinai, Los Angeles, California, USA.
² Office of Care Experience, Dartmouth Health and Geisel School of Medicine at Dartmouth, Lebanon and Hanover, New Hampshire, USA.
³ Baylor College of Medicine, Houston, Texas, USA.
⁴ The Oregon Clinic, Portland, Oregon, USA.
⁵ University of California San Diego, Louisiana Jolla, California, USA.
⁶ Erasmus School of Health Policy and Management, Department Health Services Management and Organisation, Erasmus University Rotterdam, the Netherlands.
⁷ Crohn's & Colitis Foundation, New York, New York, USA.
⁸ Center for Digestive Health, Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon , New Hampshire, USA.

PMID: 40192134
DOI: 10.14309/ajg.0000000000003454

Long-Term Sustained Improvement in Unplanned Healthcare Utilization in Patients With Inflammatory Bowel Disease

Gil Y Melmed et al. Am J Gastroenterol. 2025.

. 2025 Apr 7.

doi: 10.14309/ajg.0000000000003454. Online ahead of print.

Authors

Collaborators

IBD Qorus:
Humberto I Aguilar, Jeffrey S Bank, Andrea Banty, John D Betteridge, Moheb Boktor, Stephanie Burwell, Cynthia E Cherfane, Gerald W Dryden, Zachary Feinberg, Sean D Fine, Hannah Winthrop Fiske, Ann D Flynn, Erin M Forster, David I Fudman, Jill K J Gaidos, Mark E Gerich, Jason K Hou, David Hudesman, Saurabh Kapur, Lia C Kaufman, Nirmal Kaur, Andrew Krane, Michelle H Kwon, Dana J Lukin, Donald Lum, Sophie A Malki, Daniel Marino, Mark C Mattar, Ryan A McConnell, Mark John Metwally, Arthur H Ostrov, David T Rubin, Sashidhar Varma Sagi, Jennifer Seminerio, Frank I Scott, Samir Ashok Shah, Brandon Scott Sprung, Chung Sang Tse, Anne Graves Tuskey, John F Valentine, Sharmeel Kaur Wasan, Douglas Charles Wolf, Emmanuelle D Williams, Ziad Younes

Affiliations

¹ Inflammatory Bowel and Immunobiology Research Institute, Karsh Division of Digestive and Liver Diseases, Cedars-Sinai, Los Angeles, California, USA.
² Office of Care Experience, Dartmouth Health and Geisel School of Medicine at Dartmouth, Lebanon and Hanover, New Hampshire, USA.
³ Baylor College of Medicine, Houston, Texas, USA.
⁴ The Oregon Clinic, Portland, Oregon, USA.
⁵ University of California San Diego, Louisiana Jolla, California, USA.
⁶ Erasmus School of Health Policy and Management, Department Health Services Management and Organisation, Erasmus University Rotterdam, the Netherlands.
⁷ Crohn's & Colitis Foundation, New York, New York, USA.
⁸ Center for Digestive Health, Section of Gastroenterology and Hepatology, Dartmouth-Hitchcock Medical Center, Lebanon , New Hampshire, USA.

PMID: 40192134
DOI: 10.14309/ajg.0000000000003454

Abstract

Introduction: Inflammatory bowel diseases are associated with unpredictable disease exacerbation and need for urgent care. We aimed to assess long-term sustained improvement in emergency department utilization after completion of a multicenter quality improvement (QI) initiative.

Methods: After the QI initiative, we developed an "urgent care toolkit" for sites to implement. We measured patient-reported and provider-reported outcomes at clinical visits.

Results: Improvements in emergency department utilization and hospitalization were sustained for over 3 years after completion of the initiative.

Discussion: Efforts to sustain improvements after a QI initiative can result in long-term improvement in patient outcomes.

Keywords: Crohn's disease; Inflammatory bowel disease; quality improvement; quality of care; ulcerative colitis.

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References

1. Melmed GY, Oliver B, Hou JK, et al. Quality of Care Program reduces unplanned health care utilization in patients with inflammatory bowel disease. Am J Gastroenterol 2021;116(12):2410–8.
1. Johnson LC, Melmed GY, Nelson EC, et al. Fostering collaboration through creation of an IBD learning health system. Am J Gastroenterol 2017;112(3):406–8.
1. https://www.crohnscolitisfoundation.org/urgentcare . 2024. Accessed April 29, 2025.
1. Oliver BJ, Kennedy AM, van Deen WK, et al. Development of balanced whole system value measures for inflammatory bowel disease care in the IBD qorus collaborative using a modified Delphi process. Inflamm Bowel Dis 2022;28(3):327–36.
1. van Deen WK, Freundlich N, Kwon MH, et al. The reliability of patient self-reported utilization in an inflammatory bowel diseases learning health system. Crohns Colitis 360 2021;3:otab031.

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Crohn's and Colitis Foundation

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- Wolters Kluwer

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Long-Term Sustained Improvement in Unplanned Healthcare Utilization in Patients With Inflammatory Bowel Disease

Collaborators

Affiliations

Long-Term Sustained Improvement in Unplanned Healthcare Utilization in Patients With Inflammatory Bowel Disease

Authors

Collaborators

Affiliations

Abstract

References

Grants and funding

LinkOut - more resources

Full Text Sources