In 2014, upon evaluation needs for IBD patients and health care providers, IBD Unit specialists at the University of Alberta and the University of Calgary, collaboratively developed the IBD Clinical Care Pathways (IBD CCPs©)

They are structured, standardized, evidence-based multidisciplinary management algorithms, identifying an appropriate sequence of clinical interventions and timeframes for IBD patients

These IBD CCPs© are supported by systematic reviews of published evidence and are comprised of protocols, algorithms, and checklists that help to harmonize clinical and administrative aspects and ensure continuity of IBD care in outpatient setting

1   Suspected IBD outpatient flare – induction regime

Management of IBD flare, including complains and history assessment, timelines and laboratory/diagnostic imaging investigations

2   IBD patients starting Biologic – induction regime

Anti-TNF therapy induction regime

3   IBD patients on Biologic – maintenance regime

Management of anti-TNF therapy, including optimization, maintenance and follow-up timelines

4   IBD and preconception or pregnant patients

Management of a pregnant IBD patient

5   IBD patients non-Biologic, non-Immunosuppressive-maintenance and adherence

Management of IBD patients on no immunosuppressants or anti-TNF therapy, follow-up timelines

6   Initiation and maintenance of Corticosteroids

Management of systemic steroid therapy, including induction, maintenance, withdrawal, and side-effects monitoring

7   Initiation of Thiopurines

Thiopurines induction regime

8   Initiation of Methotrexate (oral or subcutaneous)

Methotrexate (oral or subcutaneous) induction regime

9   C. Difficile infection

Patient orders for diagnosis and treatment of Clostridium difficile Infection

10 Structured access

Referral list of specialists

11  New patient triage and screening (Edmonton specific)

Overview of referral process and triage workflow

12  Vitamin D replacement

Overview of Vit D replacement indication and algorithms

13  Iron sucrose infusion

Iron replacement (oral and parenteral) patient orders 

14  IBD admission – patient care orders

Admission patient care orders

15  IBD discharge – patient care orders

Discharge patient care orders

16  Ulcerative colitis/Crohn’s disease surveillance

Highlights of indications and important timelines for surveillance

17  Health Maintenance

Overview of essential components of long-term health maintenance in IBD patients

18  IBD patient referral (Edmonton specific)

Overview of external referral requirements

19  Vaccination

Vaccination schedule for IBD patients

Supplemental Material

Biological therapy Summary

Comprehensive collection of biologics- and biosimilars-related documents and forms