Quality Program-Endoscopy (QP-E)
Endoscopy is crucial for the effective management of diverse digestive problems such as gastroesophageal reflux disease, peptic ulcer disease, inflammatory bowel disease and the detection, and in some cases, the prevention of gastrointestinal cancers. With 1.6 million endoscopic procedures performed annually in Canada it is essential that patients receive the highest quality care. High quality endoscopy requires well‐trained healthcare professionals working in an appropriate environment with proper equipment to deliver care that is responsive to patients’ needs.
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- To develop a mechanism for continuous quality improvement in the delivery of endoscopy services in Canada.
- To demonstrate that gastroenterologists provide quality care and quality endoscopy with available resources.
- Based on the above, to advocate for additional resources and increased numbers of gastroenterologists.
- To allow gastroenterologists to obtain a 'quality endorsement' for their endoscopy practice or for their endoscopy unit.
- To support communication/liaison between gastroenterologists and endoscopy nursing staff and endoscopy unit managers, to improve the overall quality of endoscopy service delivery.
- To demonstrate that a global assessment of endoscopy services can lead to improvements in specific outcome measures such as patient satisfaction, wait-times and resource utilization.
How to Register for the Program
If your endoscopy team is interested in participating in the QP-E, please submit the registration form below or for more information please e-mail.
Two Main Elements of QP-E
The U.K. has led the quality in endoscopy movement since 2004 when Dr. Roland Valori and team introduced the Global Rating Scale – a web-based endoscopy service evaluation tool that evaluates multiple components of endoscopy service from a patient-focused perspective. The GRS has been adapted for Canada and a Canadian website launched thanks to our U.K.colleagues.
The Practice Audit in GastroEnterology (PAGE) examines consecutive outpatients undergoing colonoscopy over a two-week period. Survey questions are completed in the endoscopy suite at the time of the procedure on smartphone or the web. The audit provides information on specific colonoscopy outcome measures that serve as baseline data, allowing participants to subsequently determine the effects of their targeted improvements in the C-GRS©.
Canada-Global Rating Scale© (C-GRS©)
The C-GRS© examines 12 items related to Clinical Quality and the Quality of the Patient Experience as outlined below:
|Clinical Quality||Quality of the Patient Experience|
C-GRS© Webinar Tutorial
Practice Audit in Gastroenterology (PAGE)
Key variables recorded include dates of referral, consultation and procedure, timing of scope insertion and withdrawal, extent of exam and quality of the bowel preparation. The website for registered users of the practice audit allows users to compare their individual results to aggregate national results.
PAGE is an Accredited Self-Assessment Program (Section Three) as defined by the Maintenance of Certification Program of the Royal College and approved by the Canadian Association of Gastroenterology for 12 hours of Section Three credits for a total of 36 credits!
As a side project to PAGE, Drs. Catharine Walsh and Samir Grover are carrying out a program evaluation to look at the effectiveness of a short, 10-minute online video that reviews techniques endoscopists can use to modify their colonoscopy performance with the aim of improving their adenoma detection rate. Those willing to take part in this program evaluation will be randomized to either receive or not receive access to the video link. Subsequently Drs. Walsh and Grover will look at aggregated (de-identified) data from PAGE to compare colonoscopy quality metrics between those who did and did not view the video. If you are willing to participate in the program evaluation (randomized to receive link to video or not), please make note in the comments section of the registration form.
Please note that endoscopists not randomized to receive the video link as part of the program evaluation, can still be sent the link to view the video upon completion of the study period.