Updated Colonoscopy Quality Indicators: What They Mean for Your Practice | September 2024-Sept 2024 QuIC Bites- Colonoscopy Quality Indicator Updates- 9-18-24

Sept 2024 QuIC Bites- Colonoscopy Quality Indicator Updates- 9-18-24

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The GI Quality Improvement Consortium (GIQuIC) recently updated colonoscopy quality indicators in conjunction with ASGE and ACG, presenting these updates in a seminar led by Dr. Aasma Shaukat and Dr. Sunanda Kane on September 19, 2024. Key highlights include reflecting on the value of quality measures for effective colorectal cancer (CRC) detection and prevention, patient safety, and improved reimbursement and patient satisfaction through MIPS and APMs.<br /><br />The newest updates emphasize several critical metrics:<br />- **Withdrawal Time (WT) Increase**: From 6 to 8-9 minutes, promoting adequate bowel distention, washing, and methodical inspection.<br />- **Adenoma Detection Rate (ADR)**: Critical quality indicator; each 1% increase in ADR corresponds with a 3% decrease in interval CRC risk.<br />- **Sessile Serrated Lesion Detection Rate (SSLDR)**: Benchmark set at 6% to enhance CRC prevention.<br />- **Resection Documentation**: Requires 98% completion, detailing polyp size, shape, location, and resection technique.<br />- **Cold Snare Resection**: Target of 90% for polyps sized 4-9 mm to ensure thorough removal.<br />  <br />The negative impact of incomplete resection is highlighted with a high risk of metachronous neoplasia and advanced neoplasia, emphasizing the need for comprehensive removal protocols.<br /><br />Motivational supports for quality improvements such as video recording, feedback, and leveraging artificial intelligence are cited as essential to enhance the outcomes of colonoscopy practices. The importance of validated indices (like the Mayo Endoscopic Score and the Crohn's Disease Endoscopic Index of Severity) in assessing and communicating disease activity for IBD patients is stressed, further underscoring the necessity of routine use of these indices to ensure consistency and improve patient care.<br /><br />Future events relevant to the continuing education and update discussions on these indicators include the ASGE’s "Improving Quality and Safety in Your Endoscopy Unit" and "GIQuIC - Transforming Quality from Aspirational Goals to Measurable Results" at the ACG Annual Meeting in Philadelphia, October 2024.<br /><br />The presentation is recorded and availability for further consultation is provided through the GIQuIC website. For more detailed insights or queries, professionals are encouraged to engage with the GIQuIC through their contact email.

Keywords

GIQuIC

colonoscopy quality indicators

ASGE

ACG

colorectal cancer detection

Withdrawal Time

Adenoma Detection Rate

Sessile Serrated Lesion Detection Rate

Resection Documentation

artificial intelligence in endoscopy