Health Economic Impact of a Multicenter Quality-of-Care Initiative for Reducing Unplanned Healthcare Utilization Among Patients With Inflammatory Bowel Disease. (3rd December 2021)

• Record Type: Journal Article
• Authors: Almario, Christopher V.; Kogan, Lawrence; van Deen, Welmoed K.; Scott, Frank I.; Singh, Siddharth; Hou, Jason K.; Lum, Donald; Aguilar, Humberto; Betteridge, John; Flynn, Ann; Gerich, Mark; Kaufman, Lia; Mattar, Mark C.; Mize, Carrie; Ostrov, Arthur; Shah, Samir A.; Younes, Ziad; Weaver, S. Alandra; Heller, Caren; Siegel, Corey A.; Melmed, Gil Y.
• Is Part Of: American journal of gastroenterology. Volume 116:Number 12(2021)
• Page Start: 2459
• Page End: 2464
• Publication Date: 2021-12-03
• Subjects: Stomach -- Diseases -- Periodicals; Intestines -- Diseases -- Periodicals; Gastroenterology -- Periodicals; Gastrointestinal Diseases -- Periodicals; Electronic journals; Periodicals; 616.33
• DOI: 10.14309/ajg.0000000000001540
• Languages: English
• ISSNs: 0002-9270

Abstract

Abstract : INTRODUCTION: A multicenter adult inflammatory bowel disease learning health system (IBD Qorus) implemented clinical care process changes for reducing unplanned emergency department visits and hospitalizations using a Breakthrough Series Collaborative approach. METHODS: Using Markov decision models, we determined the health economic impact of participating in the Collaborative from the third-party payer perspective. RESULTS: Across all 23 sites, participation in the Collaborative was associated with lower annual costs by an average of $2, 528 ± $233 per patient when compared with the baseline period. DISCUSSION: Implementing clinical care process changes using a Collaborative approach was associated with overall cost savings. Future work should examine which specific interventions are most effective and whether such cost savings are sustainable.