Impact of a Citywide Benchmarking Intervention on Colonoscopy Quality Performance

Introduction There is marked variability in colonoscopy quality, limiting its effectiveness in colorectal cancer prevention. Multiple indicators have been established as markers for colonoscopy quality; however, there are conflicting data on the effects of quality reporting programs on endoscopist p...

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Bibliographic Details
Published in:Digestive diseases and sciences 2020-09, Vol.65 (9), p.2534-2541
Main Authors: Uche-Anya, Eugenia N., Brown, Jennifer J., Asumeng, Charles, Striplin, Jared, Carlesimo, Mari, Krauskopf, Marian, Greenwald, David, Bernstein, Brett, Itzkowitz, Steven, Schnoll-Sussman, Felice, Lebwohl, Benjamin
Format: Article
Language:English
Subjects:
Analysis
Benchmarking - standards
Benchmarks
Biochemistry
Cancer
Clinical Competence - standards
Colonoscopy
Colonoscopy - standards
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - prevention & control
Early Detection of Cancer - standards
Female
Gastroenterology
Healthcare Disparities - standards
Hepatology
Humans
Intubation
Male
Medicine
Medicine & Public Health
Middle Aged
New York City
Oncology
Original Article
Practice Patterns, Physicians' - standards
Prevention
Quality
Quality Improvement - standards
Quality Indicators, Health Care - standards
Registries
Transplant Surgery
Trends
Tumors
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Summary:Introduction There is marked variability in colonoscopy quality, limiting its effectiveness in colorectal cancer prevention. Multiple indicators have been established as markers for colonoscopy quality; however, there are conflicting data on the effects of quality reporting programs on endoscopist performance. In this study, we investigate the impact of a multicenter quarterly report card initiative on colonoscopy quality metric performance. Methods Data were collected from 194 endoscopists at 10 participating sites throughout New York City using a Qualified Clinical Data Registry from January 2013 to December 2014. Adenoma detection rate (ADR), cecal intubation rate, withdrawal time, bowel preparation quality and appropriate interval recommendations were tracked. Report cards were distributed to each site on a quarterly basis and technical assistance was provided as needed. Performance trends were analyzed using the Cochran–Armitage trend and analysis of variance tests. Results 37,258 screening colonoscopies were performed during the study period. There was a positive performance trend for ADR over time from the first quarter of 2013 to the last quarter of 2014 (15.6–25.7%; p  
ISSN:0163-2116
1573-2568
1573-2568
DOI:10.1007/s10620-020-06067-y