Patient-Centered IBD Home Solutions Resulted in Fewer Hospital Visits, Improved Quality of Life

Patient-Centered IBD Home Solutions Resulted in Fewer Hospital Visits, Improved Quality of Life
The application of patient-centered medical home (PCMH) solutions for patients with inflammatory bowel diseases (IBDs) resulted in less visits to the emergency department, fewer hospitalizations and overall improved quality of life in its first year, according to a presentation made recently at the American College of Gastroenterology Annual Scientific Meeting (ACG 2016). The presentation was given by Miguel D. Regueiro, MD, a professor of medicine at the University of Pittsburgh Medical Center (UPMC). “Enrollment of IBD patients in a patient-centered medical home in which there’s a payer-provider model is feasible. There’s a significant improvement in quality of life that we saw in the first year, and saw by a short period of three visits,” Regueiro said in a press release. “There’s a significant decrease in unplanned care in terms of ER and hospitalization.” The PCMH included 308 patients aged 16 to 50 years with confirmed ulcerative colitis (UC) and Crohn’s disease who held insurance through UPMC. The primary reason for physician visits in the past year had been IBD-related, according to Regueiro. Before enrolling in PCMH, this group of patients had 322 emergency department visits, with 41.7% of patients having at least one visit. There also were 160 hospitalizations with 30.6% admitted for care. After one year in the PCMH, there was a 51.9% decrease in emergency department visits for the total cohort (155 visits since enrollment). In patients with at
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