Inflammatory bowel diseases (IBDs) are chronic and impose significant, multidimensional burdens on patients and health care systems.
The increasing prevalence of IBD will only worsen this problem globally—population health management strategies are needed to increase quality of care and population health outcomes while reducing health care costs.
Dr Parambir Dulai and colleagues from California, USA discuss the key components of population health management in IBD.
Effective implementation of population health management strategies requires accurate identification of at-risk patients and key areas of variability in care.
|Performance measurement is integral to any population health management strategy|
The team report that improving outcomes of the at-risk population requires implementation of a multicomponent chronic care model designed to shift delivery of ambulatory care from acute, episodic, and reactive encounters, to proactive, planned, long-term care.
The researchers note that this is achieved through team care of an activated patient with the help of remote monitoring, clinical information systems, and integrated decision support, with accompanying changes in delivery systems.
Performance measurement is integral to any population health management strategy.
This involves developing and implementing meaningful metrics of different phases of quality of IBD care and measuring them efficiently using modern clinical information systems.
Dr Dulai's team concludes, "Such an integrated framework of population health management in IBD will facilitate the delivery of high-value care to patients."