A Process for Measuring the Quality of Cancer Care: The Quality Oncology Practice Initiative

Neuss, Michael N.; Desch, Christopher E.; McNiff, Kristen; Eisenberg, Peter D.; Gesme, Dean H.; Jacobson, Joseph O.; Jahanzeb, Mohammad; Padberg, Jennifer; Rainey, John M.; Guo, Jeff J.; Simone, Joseph V.

doi:10.1200/jco.2005.05.948

Cited by 229 publications

(161 citation statements)

References 15 publications

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“…11 ASCO is also supporting the Quality Oncology Practice Initiative (QOPI), which, under the leadership of the board's last chair, examines ways in which outpatient oncology can perform better. 12 The most recent report on QOPI describes this initiative and again credits the board's 1999 quality-of-cancer-care report. 13 In 2005 the IOM released Assessing the Quality of Cancer Care: An Approach to Measurement in Georgia, which extended the board's earlier quality work.…”

Section: F R O M T H E F I E L Dmentioning

confidence: 99%

Influencing Cancer Policy

Herdman

McGuire²,

Simone

2006

Health Affairs

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Section: F R O M T H E F I E L Dmentioning

confidence: 99%

Influencing Cancer Policy

Herdman

McGuire²,

Simone

2006

Health Affairs

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“…In Ontario, Canada's most populous province, gaps in care identified through measurement are being used to drive quality improvement, particularly in relation to access to services. In the U.S., a number of cancer organizations have developed formal quality-measurement systems, including the American Society of Clinical Oncology's Quality of Oncology Practice Initiative (QOPI) [35] and the American College of Surgeons' Commission on Cancer Rapid Quality Reporting System [36]. The QOPI, originally developed by a group of community oncologists as a means of evaluating adherence with care processes, continues to grow and evolve, and is currently being used by approximately 10% of American oncology practices [37].…”

Section: International Experiencementioning

confidence: 99%

Responding to Acute Care Needs of Patients With Cancer: Recent Trends Across Continents

et al. 2016

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Remarkable progress has been made over the past decade in cancer medicine. Personalized medicine, driven by biomarker predictive factors, novel biotherapy, novel imaging, and molecular targeted therapeutics, has improved outcomes. Cancer is becoming a chronic disease rather than a fatal disease for many patients. However, despite this progress, there is much work to do if patients are to receive continuous highquality care in the appropriate place, at the appropriate time, and with the right specialized expert oversight. Unfortunately, the rapid expansion of therapeutic options has also generated an ever-increasing burden of emergency care and encroaches into end-of-life palliative care. Emergency presentation is a common consequence of cancer and of cancer treatment complications. It represents an important proportion of new presentations of previously undiagnosed malignancy. In the U.K. alone, 20%-25% of new cancer diagnoses are made following an initial presentation to the hospital emergency department, with a greater proportion in patients older than 70 years. This late presentation accounts for poor survival outcomes and is often associated with poor patient experience and poorly coordinated care.The recent development of acute oncology services in the U.K. aims to improve patient safety, quality of care, and the coordination of care for all patients with cancer who require emergency access to care, irrespective of the place of care and admission route. Furthermore, prompt management coordinated by expert teams and access to protocol-driven pathways have the potential to improve patient experience and drive efficiency when services are fully established. The challenge to leaders of acute oncology services is to develop bespoke models of care, appropriate to local services, but with an opportunity for acute oncology teams to engage cancer care strategies and influence cancer care and delivery in the future. This will aid the integration of highly specialized cancer treatment with high-quality care close to home and help avoid hospital admission. The Oncologist 2016;21:301-307 Implications for Practice: Emergency presentations of cancer patients to health care services can be associated with high risks and poor outcomes. Systematic approaches are described to create best practice for these patients based on expert teams and careful organization of services in all hospitals. These approaches, called "acute oncology" in the U.K., may improve care and avoid unnecessary deaths.

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“…Audit processes that rely on written medical records may under-or over-estimate what really happened to a patient especially if documentation is poor. 30 Conventional paper-based audit and feedback methods are only modestly effective 31 and are difficult to maintain on a continuous basis.…”

Section: Absence Of Tools To Assess the Impact Of Cpgmentioning

confidence: 99%