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“Best” Practices In Outcomes Research. Christine Laronga MD FACS Comprehensive Breast Program H. Lee Moffitt Cancer Center. ISW 2013 Helsinki, Finland. Renieri circa 1626. Rembrandt Circa 1606. Quality of Care. Institute of Medicine report (1999): - PowerPoint PPT Presentation
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“Best” Practices In Outcomes Research
ISW 2013
Helsinki, Finland
Christine Laronga MD FACSComprehensive Breast Program
H. Lee Moffitt Cancer Center
Renieri circa 1626
RembrandtCirca 1606
Quality of Care
• Institute of Medicine report (1999):– Recommended monitoring quality of
cancer care– Use a core set of quality of care
indicators• Closely related to outcomes• Easily modifiable• Provide clear guidance for quality
improvement efforts
Hewitt M. Institute of Medicine and National Research Council 1999
American Society of Clinical Oncology
• National Initiative for Cancer Care Quality (NICCQ)– Develop and validate a set of core
process quality of care indicators– 7 medical oncology groups
• Quality Oncology Practice Initiative (QOPI)– Conduct ongoing assessments of these
indicators within individual practices– 308 practice groups
J Clin Oncol 2005 Sep1; 23 (25):6233-9.J Clin Oncol 2013 Apr 10; 31(11): 1471-7.
American College of Surgeons Commission on Cancer
• 1510 cancer programs• National Cancer Data
Base - registry• 1 million new cases
annually• Primary use =
retrospective evaluation of care
National Cancer Data Base
Florida Initiative for Quality Cancer Care:Consortium 2004
Figure 1: FIQCC Consortium Figure 1: FIQCC Consortium Figure 1: FIQCC Consortium
Watson Clinic/CCC&R
Moffitt Cancer Center
Space Coast Medical Associates
FCS/Sarasota Memorial
Martin Memorial Medical CenterNorth Broward Medical Center
Ocala Oncology Center
Mayo Clinic Jacksonville
UF/Shands
Tallahassee MemorialFL Institute of Research, Medicine & Surgery
Jacobsen P. Journal of Oncology Practice 2007; 3: 60-65
Florida Initiative for Quality Cancer Care
Gray JE. Journal of Oncology Practice 2011 Jul; 7(4): 247-51
Florida Initiative for Quality Cancer Care
Performing Outcomes Research
• High quality data
• Mechanisms to feed back the information to the participating practices or hospitals
• Systems to act upon the data
• Participation of providers
• Ongoing re-assessment
Rayal MV. J Surg Oncol 2009 Jun 15; 99(8):488-90
“Best” Practices
Rapid Quality Reporting System
Commission on Cancer
• Add new standards for breast and colorectal
• Expand to other disease sites• Increase adoption of the RQRS• Expand public reporting of quality data• Partnering with the LIVESTRONG
foundation