Quality Improvement in Inflammatory Bowel Disease

  • Jeremy AdlerEmail author
  • Richard B. Colletti
  • Wallace V. Crandall
  • Peter A. Margolis


Health services research suggests that health care could perform a great deal better than it does today. To improve the care of patients requires more than knowledge; achievement of improvements requires the application of the principles of continuous quality improvement. One of the barriers to quality improvement is unnecessary variation in care. Unnecessary variation, which erodes quality and reliability and adds to costs, is derived in part from habitual differences in practice style that are not grounded in knowledge or reason. Quality improvement efforts can reduce unnecessary variation. To attain continuous quality improvement in health care, it is necessary to repeatedly measure the processes and outcomes of care, design and implement interventions to improve the processes of care, and remeasure to determine the effect of the interventions. The road map of translational research begins with basic biomedical science and advances to clinical efficacy knowledge, to clinical effectiveness knowledge, and finally to improved health-care quality and value. Measurement and accountability of health-care quality and cost, implementation of interventions and health-care system redesign, and scaling and spread of effective interventions are necessary to transform the health-care system. In this chapter, we present an introduction to quality improvement and how it can apply to pediatric inflammatory bowel disease, with brief discussions of variation in care, the chronic illness care model, the need for quality improvement, the improvement model, the improvement collaborative, and the ImproveCareNow Network.


Pediatric Crohn disease Ulcerative colitis Inflammatory bowel disease Quality improvement Health services research Implementation science Variation in care Chronic care Collaborative network 


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Jeremy Adler
    • 1
    Email author
  • Richard B. Colletti
    • 2
    • 3
  • Wallace V. Crandall
    • 4
  • Peter A. Margolis
    • 5
  1. 1.Department of Pediatrics and Communicable DiseasesPediatric Inflammatory Bowel Disease Program, C.S. Mott Children’s Hospital, University of Michigan Health SystemAnn ArborUSA
  2. 2.Department of PediatricsUniversity of Vermont College of MedicineBurlingtonUSA
  3. 3.ImproveCareNowBurlingtonUSA
  4. 4.Department of PediatricsThe Ohio State University College of Medicine, Center for Pediatric and Adolescent Inflammatory Bowel Disease, Nationwide Children’s HospitalColumbusUSA
  5. 5.James M. Anderson Center for Health System Excellence, Cincinnati Children’s Hospital Medical CenterCincinnatiUSA

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