@article{a58e4f1a7ecb476a99b0b4c18409dbe7,
title = "Long-term sustained improvement in unplanned healthcare utilization in patients with inflammatory bowel disease",
abstract = "Inflammatory bowel diseases (IBD) are associated with unpredictable disease exacerbation and need for urgent care. We aimed to assess long-term sustained improvement in emergency department (ED) utilization following completion of a multicenter quality improvement (QI) initiative. Methods: After the QI initiative, we developed an “urgent care toolkit” for sites to implement. We measured patient- and provider-reported outcomes at clinical visits. Results: Improvements in ED utilization and hospitalization were sustained for over 3 years following completion of the initiative. Conclusions: Efforts to sustain improvements after a QI initiative can result in long-term improvement in patient outcomes.",
author = "{IBD Qorus} and Melmed, {Gil Y.} and Brant Oliver and Alice Kennedy and Hou, {Jason K.} and Donald Lum and Siddharth Singh and {van Deen}, {Welmoed K.} and Ridhima Oberai and {Alandra Weaver}, S. and James Testaverde and Siegel, {Corey A.} and Ostro, {Arthur H.} and Dryden, {Gerald W.} and Jennifer Seminerio and Kaufman, {Lia C.} and Metwally, {Mark John} and Fudman, {David I.} and Williams, {Emmanuelle D.} and Bank, {Jeffrey S.} and Betteridge, {John D.} and Forster, {Erin M.} and Tuskey, {Anne Graves} and Mattar, {Mark C.} and Nirmal Kaur and Cherfane, {Cynthia E.} and Fine, {Sean D.} and Hou, {Jason K.} and Saurabh Kapur and Wasan, {Sharmeel Kaur} and Donald Lum and Wolf, {Douglas Charles} and Gerich, {Mark E.} and David Hudesman and Fudman, {David I.} and Aguilar, {Humberto I.} and Sprung, {Brandon Scott} and Flynn, {Ann D.} and McConnell, {Ryan A.} and Rubin, {David T.} and Ziad Younes and Gaidos, {Jill K.J.} and Lukin, {Dana J.} and Sagi, {Sashidhar Varma} and Tse, {Chung Sang} and Shah, {Samir Ashok} and Zachary Feinberg and Stephanie Burwell and Fiske, {Hannah Winthrop} and Andrew Krane and Kwon, {Michelle H.}",
note = "Publisher Copyright: Copyright {\textcopyright} 2025 by The American College of Gastroenterology.",
year = "2025",
doi = "10.14309/ajg.0000000000003454",
language = "English",
journal = "American Journal of Gastroenterology",
issn = "0002-9270",
publisher = "Wolters Kluwer Health",
}