The Inflammatory Bowel Disease Medical Home: From Patients to Populations

2019 ◽  
Vol 25 (12) ◽  
pp. 1881-1885 ◽  
Author(s):  
Benjamin Click ◽  
Miguel Regueiro
Keyword(s):  
Inflammatory Bowel Disease ◽  
Chronic Disease ◽  
Bowel Disease ◽  
Medical Home ◽  
Patient Centered ◽  
Medical Homes ◽  
Inflammatory Bowel

This review explores the concept, experience, and future of value-based, patient-centered specialty medical homes using inflammatory bowel disease as a model chronic disease.

scholarly journals Constructing an Inflammatory Bowel Disease Patient–Centered Medical Home

2017 ◽  
Vol 15 (8) ◽  
pp. 1148-1153.e4 ◽  
Author(s):  
Miguel Regueiro ◽  
Benjamin Click ◽  
Diane Holder ◽  
William Shrank ◽  
Sandra McAnallen ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Medical Home ◽  
Inflammatory Bowel Disease Patient ◽  
Disease Patient ◽  
Patient Centered Medical Home ◽  
Patient Centered ◽  
Inflammatory Bowel

The Pediatric Inflammatory Bowel Disease Medical Home: A Proposed Model

2021 ◽  
Author(s):  
Hilary K Michel ◽  
Brendan Boyle ◽  
Jennie David ◽  
Amy Donegan ◽  
Barb Drobnic ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Psychosocial Development ◽  
Bowel Disease ◽  
Medical Home ◽  
Care Delivery ◽  
Adult Population ◽  
Care Quality ◽  
Care Needs ◽  
Patient Centered ◽  
Inflammatory Bowel

Abstract Care for patients with inflammatory bowel disease (IBD) can be complex and costly. Care delivery models to address these challenges and improve care quality are essential. The patient-centered medical home (PCMH), which was developed in the primary care setting, has recently been applied successfully to the adult IBD population. Following the tenets of the PCMH, this specialty medical home (SMH) emphasizes team-based care that is accessible, comprehensive, patient/family-centered, coordinated, compassionate, and continuous and has demonstrated improved patient outcomes. Children and young adults with IBD have equally complex care needs, with additional challenges not faced by the adult population such as growth, physical and psychosocial development, and transition of care from pediatric to adult providers. Thus, we advocate that the components of the PCMH are equally—if not more—important in caring for the pediatric patient population. In this article, we review what is known about the application of the PCMH model in adult IBD care, describe care delivery within the Center for Pediatric and Adolescent IBD at Nationwide Children’s Hospital as an example of a pediatric IBD medical home, and propose a research agenda to further the development and dissemination of comprehensive care delivery for children and adolescents with IBD.

The Impact of Transition Readiness and Stress on Patient-Centered Outcomes in Young Adults With Inflammatory Bowel Disease

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kathleen A. Rhodes ◽  
Jean T. Walker ◽  
Lei Zhang ◽  
Kayla L. Carr ◽  
Karen P. Winters ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Young Adults ◽  
Bowel Disease ◽  
Patient Centered ◽  
Transition Readiness ◽  
Inflammatory Bowel ◽  
The Impact

scholarly journals P226 Assessing the effectiveness of the nurse navigator role in an inflammatory bowel disease medical home: A retrospective cohort study

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S255-S255
Author(s):  
C G Heisler ◽  
K Gawdat ◽  
N Nazer ◽  
M Stewart ◽  
B Currie ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Cohort Study ◽  
Healthcare System ◽  
Bowel Disease ◽  
Retrospective Cohort Study ◽  
Medical Home ◽  
Retrospective Cohort ◽  
Nurse Navigator ◽  
Inflammatory Bowel ◽  
The Mean

Abstract Background Patients living with chronic illnesses require long-term and often repeated interactions with the healthcare system. inflammatory bowel disease (IBD) is an incurable, chronic gastrointestinal disease which frequently flares and remits. The nurse navigator (NN) serves as the point of first contact for IBD connecting patients with their multidisciplinary care team in order to facilitate and expedite assessment, treatment and navigation through the healthcare system with the goal of improving disease-related outcomes while reducing healthcare system burden. The aim of this study was to assess the impact of implementation of an IBD NN role within a multidisciplinary IBD Medical home on access to care, disease-related outcomes, patient satisfaction with care, and healthcare resource use. Methods This was a retrospective cohort study comparing an IBD patient population that had access to a 24/7 NN-led helpline to a reference population who did not have access to such a service. Data between August 2017 and October 2019 were extracted from patient charts. Distribution of the number of flares and time to clinical assessment between the NN exposed cohort and a non-NN exposed cohort are planned using multivariate analysis. This is a preliminary description of the NN-exposed cohort only. Results Preliminary results identified a total of 643 patients in the NN-exposed cohort. The majority of our NN-exposed population were female (64.3%). The mean age was 46.42 ± 16.86 years. Sixty-five per cent of patients had CD, 33% UC and 2% IBDU. Of the 729 calls extracted, care coordination (39%) was the most frequent indication for calls followed by flare (25%), and medication education (16%). Patients made the majority (52.8%) of calls compared with NN initiated calls (47.2%). The mean number of calls per patient was 2.64 ± 2.51 (range 1–18) during the study period. Time to clinic assessment post flare call was on average 10.22 ± 8.51 days. Conclusion These results are descriptive of the NN-exposed cohort. Data comparing outcomes amongst the NN-exposed cohort to the non-exposed cohort will be presented at ECCO.

scholarly journals EXAMINATION OF THE EFFICACY OF A CHRONIC DISEASE SELF-MANAGEMENTRAMME (CDSMP) FOR PATIENTS WITH INFLAMMATORY BOWEL DISEASE (IBD): A PILOT STUDY

Gut ◽  
2013 ◽  
Vol 62 (Suppl 2) ◽  
pp. A28.1-A28
Author(s):  
M Forry ◽  
E McDonnell ◽  
J Wilson O'Raghallaigh ◽  
O Kelly ◽  
A O'Toole ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Chronic Disease ◽  
Pilot Study ◽  
Bowel Disease ◽  
Inflammatory Bowel
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