Health Economic Impact of a Multicenter Quality-of-Care Initiative for Reducing Unplanned Healthcare Utilization Among Patients With Inflammatory Bowel Disease.
Adult
Chronic Disease
Cost Savings
Delivery of Health Care
/ organization & administration
Female
Health Care Costs
Hospitalization
/ trends
Humans
Incidence
Inflammatory Bowel Diseases
/ economics
Male
Patient Acceptance of Health Care
/ statistics & numerical data
Quality Assurance, Health Care
/ standards
United States
/ epidemiology
Journal
The American journal of gastroenterology
ISSN: 1572-0241
Titre abrégé: Am J Gastroenterol
Pays: United States
ID NLM: 0421030
Informations de publication
Date de publication:
01 12 2021
01 12 2021
Historique:
received:
29
03
2021
accepted:
13
09
2021
pubmed:
4
11
2021
medline:
22
2
2022
entrez:
3
11
2021
Statut:
ppublish
Résumé
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. Using Markov decision models, we determined the health economic impact of participating in the Collaborative from the third-party payer perspective. 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. 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.
Identifiants
pubmed: 34730561
doi: 10.14309/ajg.0000000000001540
pii: 00000434-202112000-00027
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2459-2464Subventions
Organisme : NIDDK NIH HHS
ID : K23 DK117058
Pays : United States
Organisme : NIDDK NIH HHS
ID : R03 DK129631
Pays : United States
Informations de copyright
Copyright © 2021 by The American College of Gastroenterology.
Références
Bounthavong M, Li M, Watanabe JH. An evaluation of health care expenditures in Crohn's disease using the United States Medical Expenditure Panel Survey from 2003 to 2013. Res Soc Adm Pharm 2017;13(3):530–8.
Gunnarsson C, Chen J, Rizzo JA, et al. Direct health care insurer and out-of-pocket expenditures of inflammatory bowel disease: Evidence from a US national survey. Dig Dis Sci 2012;57(12):3080–91.
Peery AF, Crockett SD, Murphy CC, et al. Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: Update 2018. Gastroenterology 2019;156(1):254–72.
Dieleman JL, Cao J, Chapin A, et al. US health care spending by payer and health condition, 1996-2016. JAMA 2020;323(9):863–84.
Ma C, Smith MK, Guizzetti L, et al. Assessing national trends and disparities in ambulatory, emergency department, and inpatient visits for inflammatory bowel disease in the United States (2005-2016). Clin Gastroenterol Hepatol 2020;18(11):2500–9.e1.
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.
Melmed G, Brant O, Hou J, et al. Quality of care initiative improves outcomes for patients with inflammatory bowel disease. Am J Gastroenterol 2021;116(12): This issue.
Kim AH, Roberts C, Feagan BG, et al. Developing a standard set of patient-centred outcomes for inflammatory bowel disease-an international, cross-disciplinary consensus. J Crohns Colitis 2018;12(4):408–18.
van Deen WK, Freundlich N, Kown MH, et al. The Reliability of Patient Self-reported Utilization in an Inflammatory Bowel Diseases Learning Health System. Crohn's Colitis 360 2021;3:1–6.
Regueiro M, Click B, Anderson A, et al. Reduced unplanned care and disease activity and increased quality of life after patient enrollment in an inflammatory bowel disease medical home. Clin Gastroenterol Hepatol 2018;16(11):1777–85.
Beard JA, Franco DL, Click BH. The burden of cost in inflammatory bowel disease: A medical economic perspective and the future of value-based care. Curr Gastroenterol Rep 2020;22(2):6.
Del Hoyo J, Nos P, Faubel R, et al. A web-based telemanagement system for improving disease activity and quality of life in patients with complex inflammatory bowel disease: Pilot randomized controlled trial. J Med Internet Res 2018;20(11):e11602.