Indicator

Denominator

Numerator

Bone densitometry for patients with IBD

Patients >20 years old with Crohn's disease or ulcerative colitis

Of those in the denominator, patients who underwent bone densitometry within the last 5 years

Preventive medications for high risk patients on aspirin / NSAIDs

High-risk patients (>70 years old, underlying comoborbidity or concomitant medications) on chronic aspirin / NSAIDs therapy

Of those in the denominator, patients who were prescribed proton pump inhibitors

Colonoscopy following positive FOBT

Patients with positive FOBT

Of those in the denominator, patients who underwent colonoscopy within 6 months

EGD in Barrett's esophagus

Patients with a diagnosis of Barrett's esophagus

Of those in the denominator, patients who underwent EGD within the last 3 years

Poor preparation for colonoscopy

Patients who underwent colonoscopy

Of those in the denominator, patients for whom the interpretation of the gastroenterologist was "medium preparation", "poor preparation", "no preparation" or "unable to perform colonoscopy",

EGD for GERD patients over 45 years

Patients over 45 years old with a diagnosis of GERD

Of those in the denominator, patients who underwent EGD within the last 3 years

Unplanned EGD / surgery following EGD

Patients who underwent EGD

Of those in the denominator, patients who underwent unplanned repeat EGD or surgery within 72 hours

Repeated colonoscopy for patients with CRC

Patients with CRC in colonoscopy

Of those in the denominator, patients who underwent follow-up colonoscopy within 12-18 months

IBD = Inflammatory Bowel Disease; NSAIDS = Non-steroidal Anti-inflammatory Drugs; FOBT = Fecal Occult Blood Test; EGD = Esophago-Gastro-Duodenoscopy; CRC = Colorectal Cancer
Table 1: Quality indicators developed for assessing the Integrated Gastroenterology Service.