IBD Standards and Benchmarking - Gastrointestinal Nursing Conference · 2006 –IBD Audit launched...
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IBD Standards and Benchmarking Delivering sustained quality improvement in IBD care Jackie Glatter, Health Services Programme Manager, Crohn’s & Colitis UK
Transcript of IBD Standards and Benchmarking - Gastrointestinal Nursing Conference · 2006 –IBD Audit launched...
IBD Standards and Benchmarking Delivering sustained quality improvement in IBD care
Jackie Glatter, Health Services Programme Manager, Crohn’s & Colitis UK
Provide an overview of the new IBD Standards and Benchmarking Tool
Consider how these might benefit/affect nurses – and look for opportunities to use them to enhance patient care
Aims of session
2006 – IBD Audit launched
2009 – IBD Standards launched
2007 – IBD Standards Group formed
2011 – IBDQIP – first round pilots
2008 - IBD Audit into the Annual Health check
2010 - IBD Audit in the National Programme
2012 - Audit results onto NHS Choices /funding extended to 2014
- IBD Registry pilot starts- Peer support visits piloted
2013 – IBD Standards updatedIBD Registry launched
2014 – Registry – Early adopters
2015 – IBD Audit Roadshows; NICE Quality StandardMy Crohn’s and Colitis Care
2016 – RCP IBD Audit ends
2017 – RCP Biologics audit passed to UK IBD RegistryIBD UK launches
2019 – New IBD Standards, Benchmarking Tool and Patient Survey
IBD: The road to excellence?
Number of significant developments in IBD care since 2013
Increased formulary
Advancing technology
Increasing emphasis on remote follow up/patient-led care
IBD nurse impact
IBD Nurse R1 & R2
No IBD nurse R1IBD nurse R2
No IBD nurse R1 & R2
Is there written information for patients with IBD on whom to contact in the event of a relapse?
95% (79/83) 94% (16/17) 28% (13/46) P=0.001*
How soon could a relapsed patient be seen in clinic:<7 days?
85% (71/83) 71% (12/17) 48% (22/46) P=0.001*
Kemp K, OC-094 UK inflammatory bowel disease audit: nurse correlations between 2006 and 2008, Gut 2010;59:A39.
ibduk.org [email protected]
Number of significant developments in IBD care since 2013
Increased formulary
Advancing technology
Increasing emphasis on remote follow up/patient-led care
IBD UK organisations
Number of significant developments in IBD care since 2013
Increased formulary
Advancing technology
Increasing emphasis on remote follow up/patient-led care
Aims of IBD UK
Goal
To ensure that people with IBD have the best
possible outcomes from their treatment
and care
Defining quality -what does 'good'
look like and how is it
measured?
Embedding quality
improvement in IBD services and
care
Sharing good practice &
communication
Raising IBD on the political
agenda
Monitoring and reporting on
progress
Number of significant developments in IBD care since 2013
Increased formulary
Advancing technology
Increasing emphasis on remote follow up/patient-led care
2019 IBD Standards
Online surveys of 151 health care professionals, including 67 nurses; 689 patients & patient reference group
‘Standards help to plan and develop local services, to understand what a ‘great’ service should look like & with business case development for new resources’
The consensus IBD Standards following three rounds of modified e-DelphiPatient journey: referral, diagnosis, treatment & long-term management
To work together to deliver safe, consistent, high quality, personalised care for people with IBD whatever their age and wherever they live in the UK.
To support and empower people to manage their conditions.
Process
Timelineibduk.org
Website – ibduk.org
Launch Launch
Sharing Good Practice
Resources and Guidelines
‘One- Stop’ Shop
Website – ibduk.org
Website – ibduk.org
Launch Launch
Website – ibduk.org
Website – ibduk.org
Launch Launch
Website – ibduk.org
Launch Launch
Website – ibduk.org
Launch
Flare management
Launch
Access to an IBD Nurse Specialt
Launch
Guidance
Launch
Patient Survey
Launch
Reports
It was
a real eye-opener
Dr Amar Wahid“
It really makes
you think
Dr Phil Smith“
A total of
24pieces of press coverage,
with a reach of
3,054,334
92%
of IBD services in the
UK registered for the
IBD Benchmarking
Tool
210
227or 10,220
IBD Patient Surveys
completed, covering
99%of services in
the UK
23,285IBD Patient Survey
leaflets and
819162
posters sent to
IBD
services
345,000IBD UK website visits,
with our animation
reaching nearly
25,000people
345,000
345,000Submitted service
self-assessments
135
In progress
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• Easier monitoring and improvement of service quality; Standardisation of best practice across the sites
• Enabling services to be benchmarked against national standards ; Support implementation of the BSG, ACPGBI NICE, guidelines
• Contribute to delivery of IBD Quality Accounts
• Supporting risk management and avoidance
• Supporting improved access and more patient centred personalised care
• Funding and business cases for staff (IBD nurse specialists, dietitian, psychologist, administrator)
• Support for service improvement (establishment of multidisciplinary team, rapid biologics initiation, joint gastroenterology/surgical clinic, fast track for perianal Crohn’s surgery)
• Enhance IBD care to improve patient outcomes and experience
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How can the Standards help you…
• Expand capacity-day case infusion, outpatient and emergency contact for IBD patients
• Alternative models of patient care such as virtual clinics and tele-clinics, dedicated advice line as well as ‘one stop’ drop in clinics
• Improve patient safety - increase in pharmacy and specialist IBD nurse roles to implement biological switching
• Buildings - increase bed:toilet ratio
• Alternative solutions to increasing capacity – e.g. IBD support workers, navigator roles; Redesigning IBD pathways - piloting community nurse role
• Protected time & funding to use UK IBD Registry, training staff
• Increased patient support (patient advice line, patient education, rapid access for flares, access to self management , patient panel, annual patient open day)
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Example Business Cases
•Template QI Plans
•Seminars
•QI Toolkit
•Buddying
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What next?
• IBD Patient Survey 2020
•Full Benchmarking 2021
What difference could this make?
