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Related Experiment Video

Updated: May 27, 2025

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease

Published on: June 16, 2020

Improving Systemic Sclerosis Quality of Care.

Aos Aboabat¹, Samar Aboulenain², Hila Jazayeri³

¹A. Aboabat, MBBS, Rheumatology Unit, Department of Medicine, King Saud University, Riyadh, Saudi Arabia, and Toronto Scleroderma Program, Mount Sinai Hospital, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.

The Journal of Rheumatology

|February 15, 2025

Summary

Quality improvement initiatives significantly enhanced care for systemic sclerosis (SSc) patients by increasing the use of quality indicators (QIs). This approach improved monitoring and treatment, leading to better patient outcomes.

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Area of Science:

Rheumatology
Autoimmune Diseases
Healthcare Quality Improvement

Background:

Systemic sclerosis (SSc) is a severe autoimmune disease with significant patient morbidity and healthcare expenses.
Inconsistent delivery of care, including insufficient screening and monitoring, highlights the need for improved quality indicators (QIs) in SSc management.

Purpose of the Study:

To enhance the adoption and utilization of validated quality indicators (QIs) for systemic sclerosis (SSc).
To improve the quality of care for patients with SSc through targeted interventions.

Main Methods:

An interrupted time series study was conducted across four SSc clinics utilizing the Model for Improvement methodology with Plan-Do-Study-Act (PDSA) cycles.
Root-cause analysis identified barriers to QI implementation, leading to interventions such as provider education, equipment acquisition, and standardized care with reminders.
Retrospective chart reviews and real-time run charts were used to track QI completion rates.

Main Results:

The average completion rate for baseline QIs increased from 48% to 83% within 8 months, with sustained improvements.
Monitoring and treatment QI completion rose from 40% to 77%.
Specific QI improvements included spirometry (63.5% to 92%), blood pressure self-measurement counseling (19% to 86.6%), and creatine kinase measurement (52% to 88%). Stakeholder satisfaction was high (median 4), with minimal time increase per patient.

Conclusions:

This quality improvement initiative successfully enhanced SSc care using cost-effective, practical interventions.
The study demonstrates a successful model for improving chronic disease management and sets a foundation for future research on sustainability and broader applicability.