Summary

for people ages 18 years and up (full criteria)
at San Diego, California and other locations
study started
estimated completion:

Description

Summary

Innovative programs exist that suggest that care for people with chronic conditions is optimized when patients and providers have the information they need at the point of care and over time, to engage in shared planning and execution of treatment goals and care plans. This project aims to build an Inflammatory Bowel Disease Learning Health System, a shared information environment, that highlights collaboration among patients, clinicians and care team members, and researchers; for effective use of data for guiding care, value, improvement, and research.

Details

To demonstrate the impact of an Adult Inflammatory Bowel Disease (IBD) Learning Health System approach the study collaborators will design, build, implement, and evaluate in up to 30 IBD care sites the the following four key components of the IBD Learning Health System: 1) a Health Information Technology (HIT) environment that can "feed-forward" PROs and clinical data to be used at the point of care and integrated into a registry (IBD Plexus); 2) decision-support dashboards for use by patients and clinicians in real time to coproduce care; 3) meaningful reports for patients and clinicians; and 4) multi-stakeholder collaborative networks for improvement and research. The Learning Health System model also includes one more additional component that is desired, yet is outside the scope of this project; 5) patient facilitated networks that connect patients at their convenience.

Prior work from Sweden and the US show that successful uptake of the model can offer important benefits. Patients will be able to use web-based tools to monitor their health and manage their care, securely share data with clinicians in a timely manner, visualize outcomes that matter to them, and compare their results to other people. Clinicians will have new information that can improve their ability to track patient outcomes and costs over time; use PRO data to support pre-visit planning, shared decision-making at the point of care, and post-visit monitoring; and receive comparative performance reports to support quality improvement, public reporting, and professional development. Researchers will benefit by having PROs and cost data added to data registries to support clinical, translational, and comparative effectiveness research.

Study collaborators will evaluate and determine the technological, social/community, and policy roadmap that will allow the implementation of such a system at scale across multiple, diverse clinical settings. Understanding these factors will pave the way for broad uptake of a feed-forward coproduction information systems that supports coproduction of optimal health and high value care for IBD patients.

Keywords

Crohn's Disease Ulcerative Colitis Crohn Disease Colitis, Ulcerative Intestinal Diseases Inflammatory Bowel Diseases

Eligibility

You can join if…

Open to people ages 18 years and up

  • 18 years of age or older
  • Diagnosis of Crohn's disease or ulcerative colitis or IBD undetermined
  • Accept the terms and conditions of Informed Consent
  • Affiliated with a participating IBD Care site

You CAN'T join if...

Locations

  • UC San Diego Health Inflammatory Bowel Disease Center
    San Diego California 92037 United States
  • Keck Medical Center at University of Southern California Digestive Health Center (USC/Keck)
    Los Angeles California 90033 United States

Details

Status
accepting new patients by invitation only
Start Date
Completion Date
(estimated)
Sponsor
Dartmouth-Hitchcock Medical Center
ID
NCT02791854
Study Type
Observational [Patient Registry]
Last Updated
May 6, 2018