Table 2.

QI Process Improvement Topics

	QI topic	Outcome	Example of process improvement
IBD	BMD evaluation	% of patients appropriately tested	Templated reminder notes in patients’ charts
	Vaccination	% of IBD patients vaccinated	Reminder letters for recurrent vaccines
	Dysplasia screening	% of IBD patients appropriately screened	Automated reminder letters to patients
	Immunosuppressants	% of patients undergoing screening for TB and HBV before anti-TNF	Preauthorization checklist for TB/HBV screening
IBS	Diagnosis of IBS	% of patients receiving appropriate work-up, including endoscopy or screening for celiac disease	Routine audits to assess % of patients receiving appropriate testing
Colorectal cancer	Colorectal cancer screening	% of patients screened at appropriate intervals	Automated reminder letters to patients
GERD	Endoscopic referral	% of patients with alarm symptoms referred for endoscopy at initial evaluation	Templated reminder alerts and automated endoscopic referral
	Medication therapy	% of patients on PPI undergoing annual reassessment of symptoms	System-based alerts detecting chronic PPI use
	BE	% of patients undergoing appropriate surveillance	Mandatory interval specification at time of pathology review
Liver	HCC screening	% of biannually screened at-risk patients	Electronic medical record screening sheet with reminder alerts
	Esophageal varices	% of patients appropriately screened for esophageal varices	Automated physician alert and patient letter for surveillance endoscopy
Celiac disease	BMD evaluation	% of patients appropriately tested	Templated reminder notes in patients’ charts

TNF, tumor necrosis factor.