S1275 Implementation and Integration of GI Quality Improvement Consortium (GIQuIC) in a Large Tertiary Care Academic Health System: A Personalized Approach

INTRODUCTION: Implementation of GI Quality Improvement Consortium (GIQuIC) in a large tertiary care system can be challenging. We successfully launched GIQuIC which in 14 total hospitals and endoscopy centers with 48/85 physicians trained in GIQuIC to date. METHODS: Physician apprehension regarding measuring quality as well as constraints with appropriate documentation in the EMR have historically made quality improvement challenging. An alternative method involves a physician champion who can relate to provider frustrations while maintaining educational goals and streamlining documentation. We took a specialized approach in training our physicians (Figure 1).Initial training conducted by the physician champion involved overview of GIQuIC benefits and expectations. At 12 weeks, further training on requirements including best practice guidelines and documentation was provided. Questions were reviewed with GIQuIC and endowriter software companies with answers communicated to physicians. Side-by-side training with the data manager working individually with each physician was executed before, during, and after go live date. Tip sheets were given to physicians for quick reference (Figure 2). RESULTS: Initial variability was noted in documentation, surveillance recommendations, bowel prep, risk assessment and cecum photo documentation. GIQuIC measure criteria and documentation tips were re-communicated to physicians by email, faculty meetings, and in person. Physician scorecards were developed and de-identified reports were reviewed at quarterly faculty meetings with individual correction plans implemented. Follow-up data showed better adherence to guidelines (Figure 3). CONCLUSION: GIQuIC provides an ongoing peer-based performance assessment, implementation of quality indicators to close care gaps, and improvement of quality of care to patients by standardizing documentation and limiting variability in which metrics are measured via specific data points. Our 1:1 training approach improved physician compliance and created a more positive culture. We believe that a personalized approach for education initiatives to improve the quality of care improves acceptance from healthcare providers which overall improves the culture of quality long-term.Figure 1.: GIQuIC Implementation Process.Figure 2.: Endowriter Tip Sheets.Figure 3.: GIQuIC Summary Trend.