Development of a national audit tool for children and young people with juvenile idiopathic arthritis: a BSPAR project funded by the Health Care Quality Improvement Partnership

Research output: Contribution to journalArticlepeer-review

  • External authors:
  • Flora McErlane
  • Helen E. Foster
  • Kathryn Bailey
  • Joanna Cobb
  • Joyce E. Davidson
  • Sharon Douglas
  • Andrew Fell
  • Mark Friswell
  • Clarissa Pilkington
  • Helen Strike
  • Nicola Smith
  • Gavin Cleary

Abstract

Objectives: Timely access to holistic multidisciplinary care is the core principle underpinning management of juvenile idiopathic arthritis (JIA). Data collected in national clinical audit programmes fundamentally aim to improve health outcomes of disease, ensuring clinical care is equitable, safe and patient-centred. The aim of this study is to develop a tool for national audit of JIA in the UK.
Methods: A staged and consultative methodology was used across a broad group of relevant stakeholders to develop a national audit tool, with reference to pre-existing standards of care for JIA. The tool comprises key service delivery quality measures assessed against two aspects of impact, namely disease related outcome measures and patient/carer reported outcome (PROM) and experience measures (PREM).
Results: Eleven service-related quality measures were identified, including those that map to current standards for commissioning of JIA clinical services in the UK. The 3-variable JADAS composite disease activity score and presence/absence of sacro-iliitis in patients with enthesitis related arthritis were identified as the primary disease-related outcome measures, with presence/absence of uveitis a secondary outcome. Novel PROMs and PREMs were developed and face validity confirmed by relevant patient/carer groups.
Conclusion: A tool for national audit of JIA has been developed with the aim of benchmarking current clinical practice and setting future standards and targets for improvement. Staged implementation of this national audit tool should facilitate investigation of variability in levels of care and drive quality improvement. This will require engagement from patients and carers, clinical teams and commissioners of JIA services.

Bibliographical metadata

Original languageEnglish
Pages (from-to)140-151
Number of pages12
JournalRheumatology
Volume57
Issue number1
Early online date23 Oct 2017
DOIs
Publication statusPublished - 1 Jan 2018

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