Colonoscopic Quality Indicators

88% of gastroenterologists are either currently capturing quality indicators data or plan to do so in the next two years, according to an independent, national survey commissioned by Caris Diagnostics and ProVation® Medical.

The American Society for Gastroenterology (ASGE) and The American College of Gastroenterology (ACG) have recommended certain quality indicators for colonoscopy in the article Quality Indicators for Colonoscopy *. Based on these recommendations, Caris Diagnostics has committed to help our clients gather, measure and track the data needed to meet industry reporting guidelines. Clinicians have found these reports useful for quality tracking as required by accrediting agencies such as AAAHC and have used these data when working with managed care providers.  In addition, these reports may be helpful in commincation with referring physicians.

Caris Dx can help you:

• Measure and track colonoscopic quality indicators
• Compare your practice’s Quality Indicators against the GI societies’ guidelines
• Prepare your practice for pay for performance

Capture

• The number of adenomatous polyps and their rate of detection. Caris Dx has developed the capability to code and retrieve a variety of specific pathology diagnoses, such as, adenomatous polyps, and combine that with total number of screening colonoscopies to measure the adenoma detection rate
• Cecal withdrawal times, cecal intubation rate and many other data elements through our proprietary interface with ProVation® Medical

For our clients not using a procedure documentation system, Caris Dx will be adding the ability to track the
same quality indicators through our PathConnect pathology management system.

Benchmark

• Compare your practice with a national database of Caris Dx clients
• Compare your physicians within your practice

Your data will only be visible to you and will not be shared

Report Caris Dx has a series of reports to help you track and compare your practice  (see sample reports below) The reports can be sorted at the practice or individual physician level Reports delivered on a quarterly basis

 

Cecal Intubation Rates   Effective colonoscopists should be able to intubate and photo document the cecum in >90% of all cases and in >95% of cases when the indication is screenings in a healthy adult.*

 

Withdrawal Time   Mean withdrawal time should be >6 minutes in colonoscopies with normal results performed in patients with intact colons.*

 

Adenoma Detection Rate   Among healthy asymptomatic patients undergoing screening colonoscopy, adenomas should be detected in >25% of men and >15% of women more than 50 years old.

 

Summary Report

 

* The American Society for Gastroenterology (ASGE) and The American College of Gastroenterology (ACG) Task Force on Quality Endoscopy. Quality Indicators for Colonscopy. Am J Gastroenterol 2006; 101:873-885