Outcomes From Pediatric Gastroenterology Maintenance of Certification Using Web-based Modules

Area of Science:

• Pediatric Gastroenterology
• Quality Improvement Science
• Medical Education & Certification

Background:

• The North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) developed web-based quality improvement (QI) activities for Maintenance of Certification (MOC) credit.
• These activities aim to assess and improve ongoing certification for pediatric gastroenterologists.

Purpose of the Study:

• To examine practice variations among pediatric gastroenterologists.
• To determine if completing web-based MOC QI activities improves patient care processes and outcomes.

Main Methods:

• A cross-sectional and prospective analysis of physician and parent-reported data from 2013-2016.
• Data were collected via web-based MOC modules focusing on upper endoscopy, colonoscopy, and informed consent.

Main Results:

• 134 pediatric gastroenterologists participated, reporting data from 6300 procedures.
• Baseline practice variation was observed, with many improvements focusing on individual behaviors.
• Significant improvements were noted in targeted process and quality care outcomes.

Conclusions:

• Baseline practice variation was reported by physicians and parents.
• NASPGHAN-sponsored web-based MOC QI activities effectively improve pediatric care processes and patient outcomes.
• These activities identify targets for reducing unwarranted variation in clinical pediatric practice.