P334 Thalidomide associated with anti-TNF-α therapy in Crohn's disease patients who lost response to anti-TNF-α: a case series

coordinators were responsible for order management and contacting and monitoring patients). In active CD the average DAI was 4.2 (QoL 44.5), versus 1.2 in remission (QoL 53.0). For active UC the average DAI was 3.6 (QoL 43.4), versus 1.4 in remission (QoL 53.0). The annual relapse rate was 10% (8% CD, 13% UC). Average annual utilization rates were: 2.7 clinic visits, 1.1 colonoscopies, 0.6 hospital admissions, and 0.9 ER visits. Conclusions: We developed and analyzed multidisciplinary coordinated IBD care pathways, which are designed to be adopted into Accountable Care Organizations. These pathways allow individual flexibility and harmonize care across providers. The monitoring of health related outcomes and associated health care expenditures was feasible.