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dc.contributor.authorSheu, Josephine
dc.contributor.authorChun, Stanford
dc.contributor.authorO'Day, Emily
dc.contributor.authorCheung, Sara
dc.contributor.authorCruz, Rusvelda
dc.contributor.authorLightdale, Jenifer R.
dc.contributor.authorFishman, Douglas S.
dc.contributor.authorBousvaros, Athos
dc.contributor.authorHuang, Jeannie S.
dc.date2022-08-11T08:10:12.000
dc.date.accessioned2022-08-23T16:59:16Z
dc.date.available2022-08-23T16:59:16Z
dc.date.issued2017-05-01
dc.date.submitted2017-05-19
dc.identifier.citationJ Pediatr Gastroenterol Nutr. 2017 May;64(5):671-678. doi: 10.1097/MPG.0000000000001488. <a href="https://doi.org/10.1097/MPG.0000000000001488">Link to article on publisher's site</a>
dc.identifier.issn0277-2116 (Linking)
dc.identifier.doi10.1097/MPG.0000000000001488
dc.identifier.pmid27977544
dc.identifier.urihttp://hdl.handle.net/20.500.14038/43546
dc.description.abstractOBJECTIVES: Beginning in 2013, the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) sponsored and developed subspecialty field-specific quality improvement (QI) activities to provide Part 4 Maintenance of Certification (MOC) credit for ongoing certification of pediatric gastroenterologists by the American Board of Pediatrics. Each activity was a Web-based module that measured clinical practice data repeatedly over at least 3 months as participants implemented rapid cycle change. Here, we examine existing variations in clinical practice among participating pediatric gastroenterologists and determine whether completion of Web-based MOC activities improves patient care processes and outcomes. METHODS: We performed a cross-sectional and prospective analysis of physician and parent-reported clinical practice data abstracted from Web-based MOC modules on the topics of upper endoscopy, colonoscopy, and informed consent collected from pediatric gastroenterologists from North America from 2013 to 2016. RESULTS: Among 134 participating pediatric gastroenterologists, 56% practitioners practiced at an academic institution and most (94%) were NASPGHAN members. Participating physicians reported data from 6300 procedures. At baseline, notable practice variation across measured activities was demonstrated. Much of the rapid cycle changes implemented by participants involved individual behaviors, rather than system/team-based improvement activities. Participants demonstrated significant improvements on most targeted process and quality care outcomes. CONCLUSIONS: Pediatric gastroenterologists and parents reported baseline practice variation, and improvement in care processes and outcomes measured during NASPGHAN-sponsored Web-based MOC QI activities. Subspecialty-oriented Web-based MOC QI activities can reveal targets for reducing unwarranted variation in clinical pediatric practice, and can effectively improve care and patient outcomes.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=27977544&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttps://doi.org/10.1097/MPG.0000000000001488
dc.subjectGastroenterology
dc.subjectPediatrics
dc.titleOutcomes From Pediatric Gastroenterology Maintenance of Certification Using Web-based Modules
dc.typeJournal Article
dc.source.journaltitleJournal of pediatric gastroenterology and nutrition
dc.source.volume64
dc.source.issue5
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/peds_pp/116
dc.identifier.contextkey10187206
html.description.abstract<p>OBJECTIVES: Beginning in 2013, the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) sponsored and developed subspecialty field-specific quality improvement (QI) activities to provide Part 4 Maintenance of Certification (MOC) credit for ongoing certification of pediatric gastroenterologists by the American Board of Pediatrics. Each activity was a Web-based module that measured clinical practice data repeatedly over at least 3 months as participants implemented rapid cycle change. Here, we examine existing variations in clinical practice among participating pediatric gastroenterologists and determine whether completion of Web-based MOC activities improves patient care processes and outcomes.</p> <p>METHODS: We performed a cross-sectional and prospective analysis of physician and parent-reported clinical practice data abstracted from Web-based MOC modules on the topics of upper endoscopy, colonoscopy, and informed consent collected from pediatric gastroenterologists from North America from 2013 to 2016.</p> <p>RESULTS: Among 134 participating pediatric gastroenterologists, 56% practitioners practiced at an academic institution and most (94%) were NASPGHAN members. Participating physicians reported data from 6300 procedures. At baseline, notable practice variation across measured activities was demonstrated. Much of the rapid cycle changes implemented by participants involved individual behaviors, rather than system/team-based improvement activities. Participants demonstrated significant improvements on most targeted process and quality care outcomes.</p> <p>CONCLUSIONS: Pediatric gastroenterologists and parents reported baseline practice variation, and improvement in care processes and outcomes measured during NASPGHAN-sponsored Web-based MOC QI activities. Subspecialty-oriented Web-based MOC QI activities can reveal targets for reducing unwarranted variation in clinical pediatric practice, and can effectively improve care and patient outcomes.</p>
dc.identifier.submissionpathpeds_pp/116
dc.contributor.departmentDepartment of Pediatrics, Division of Pediatric Gastroenterology
dc.source.pages671-678


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