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© Estrella Gastroenterology 2009
Quality Measures

The American College of Gastroenterology among other entities have determined several factors that deserve special attention to help improve the quality of colonoscopy, and here are a few of the items that can be selectively tracked in performance improvement programs within a practice:

- Colonoscopy is being performed for an approved indication
- Colon cleansing preps are being administered in a way to optimize
  visualization of the colon

- The cecum (where the colon begins) is being reached 95% of the time or
- The scope is being withdrawn 6 minutes or longer (on average) to allow
   sufficient time for examination of the colon
- Adenomatous polyps are being detected in > 25% of men, and > 15% of
   women during routine screening examinations of the colon
- Once adenomatous polyps have been detected, the next examination is being
  done at an appropriate interval, not too soon, and not in a delayed manner

- Biopsies are being routinely taken when evaluating patients with diarrhea, or
   when following up patients with Crohn's disease or Ulcerative Colitis