Background: There is evidence of significant variation in the care of pediatric Crohn disease patients. Variation in the delivery of effective therapy may reduce the likelihood of favorable outcomes. Quality Improvement (QI) methods aimed at improving systems of care delivery can reduce unwanted variation and improve patient outcomes.

Background: There is considerable variation in the management of pediatric inflammatory bowel disease (IBD) with little improvement in outcomes in the past 30 years. Achieving consistent reliable care processes using quality improvement (QI) methods is a first step towards improving outcomes.

Background: Differences in health care delivery systems can cause variation in the process and quality of care.

Recent reports indicate considerable variation in the management of pediatric inflammatory bowel disease(IBD). As with other chronic illnesses, quality improvement might faciliate the delivery of effective care and improve health outcomes. In children with IBD, growth and nutritional status are markers of disease activity and therapeutic effectiveness.