Quality of care in Crohn's disease

Table 1 Measures to provide quality care to patient with Crohn’s disease

Delivery of high quality, safe and integrated clinical care for IBD patients based on multi-disciplinary team called IBD Comprehensive Care Unit

Delivery of care at the local center and if needed with rapid access to more specialized IBD care center

Patient education and support

Care for IBD patients that is patient-centered, responsive to individual needs

Regular audit of the care provided and outcomes

IBD: Inflammatory bowel disease.

Table 2 Quality of care indicators in inflammatory bowel disease

	Quality of care indicators
10 quality of care indicators by	IBD: type, anatomic location and activity all assessed
American Gastroenterology Association	IBD preventive care: corticosteroid sparing therapy
	IBD preventive care: corticosteroid related iatrogenic injury - bone loss assessment
	IBD preventive care: influenza immunization
	IBD preventive care: pneumococcal immunization
	Testing for latent tuberculosis before initiating anti-TNF therapy
	Assessment of hepatitis B virus before initiating anti-TNF therapy
	Testing for Clostridium difficile - inpatient measure
	Prophylaxis for venous thromboembolism - inpatient measure
	IBD preventive care: tobacco user - screening and cessation intervention
CCFA top 10 quality outcome indicators of IBD	Corticosteroid use
	Proportion of patients with steroid-free clinical remission for a 12-mo period
	Proportion of patients currently taking prednisone
	Number of days per month and year lost from school or work because of IBD
	Number of days hospitalized per year because of IBD
	Number of emergency room visits per year for IBD
	Proportion of patients with malnutrition
	Proportion of patients with anemia
	Proportion of patients with normal disease-targeted health-related quality of life
	Proportion of patients currently taking narcotic analgesics
	Proportion of patients with nighttime bowel movements or leakage
	Proportion of patients with incontinence in the past month

IBD: Inflammatory bowel disease; TNF: Tumor necrosis factor; TB: Tuberculosis.