Table 1

Summary of methodological approach for establishing key performance indicators (KPIs) in inflammatory bowel disease (IBD)

Initial stakeholder meeting to propose and develop KPIsFour KPIs were proposed through meetings with key stake holders and a preliminary methodological approach for the QI process outlined:

  1. Time from primary care referral to diagnosis in secondary care

  2. Time to treatment recommendation following a diagnosis

  3. Appropriate use of steroids

  4. Advanced therapies prescreening and assessment

Delphi survey round 1KPIs with methodology of the QI process presented to a clinical IBD expert panel and patients
Statements across the following themes for each of the candidate KPIs presented to the panel for ranking using a 5-point Likert scale (’strongly agree’, ‘agree’, ‘neither agree nor disagree’, ‘disagree’, ‘strongly disagree'

  • Is the KPI being measured is a relevant and critical part of a patient’s experience?

  • Does the methodological process appropriately represent that journey?

  • What standards would be acceptable to help understand performance?

  • Is the QI process achievable nationally?

  • Is it an important clinical priority in the current era?

  • Does engaging in this QI initiative have the potential to lead to a favourable change?

Round 1 report and stakeholder meetingReport following round 1 generated for review.
Stakeholder meetings to update the KPI and QI methodology based on feedback from round 1
Delphi survey round 2KPIs with updated methodology of the QI process presented to the wider BSG membership
Statements presented to survey opinions and challenges on local relevance (utility) and feasibility for participation in this QI programme using a 5-point Likert scale
Round 1 report and stakeholder meetingReport following round 2 generated for review
Stakeholder meetings to update the KPI and QI methodology based on feedback from round 2

  • BSG, British Society of Gastroenterology; QI, quality improvement.