P163 Improving a SLE-Quality indicator tool in an outpatient tertiary care setting

作者：Jun Chu, Elaine Poncio, Isabel Ochoa, Yenealem Temesgen‐Oyelakin, Michael Davis, Sarthak Gupta, Zerai Manna, Marquis Chapman, Eileen Chu, Aidan Donnellan, Sarfaraz Hasni · 发表于：Poster presentations · 年份：2020 · DOI：10.1136/lupus-2020-eurolupus.205 · 被引用次数：1 · 研究领域：Systemic Lupus Erythematosus Research

Background The care for patients with lupus is complex as they may exhibit multiple concomitant medical and socioeconomic issues. To address all their needs according to the current guidelines is a daunting task in busy outpatient practices. However, incorporating quality indicators in patient care has been found to decrease mortality and morbidity, improve patient satisfaction, and reduce costs. To improve the quality of care following recommendations from published guidelines, ACR, and EULAR, we embarked on a comprehensive quality improvement project by developing a checklist tool that incorporates the major SLE-Quality indicators (SLE-QI). Method The project was launched in October 2017. A SLE-QI checklist detailing quality indicators was created based on published recommendations for standard of care. The checklist included a set of 20 SLE-QIs that address several important aspects of SLE care including diagnosis and disease monitoring, general prevention strategies, screening for comorbidities, drug toxicity monitoring, assessment of renal disease, reproductive health, and quality of life in daily practice. A standardized document template for clinic visits was developed that incorporated these quality indicators. Clinic progress notes were reviewed weekly to determine if these indicators were used and addressed. If SLE-QIs were missing, efforts were made to reach out to providers to address the missing QIs. Results At the beginning of the assessment, documentation ...