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“Best” Practices In Outcomes Research
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Transcript of “Best” Practices In Outcomes Research
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“Best” Practices In Outcomes Research
ISW 2013
Helsinki, Finland
Christine Laronga MD FACSComprehensive Breast Program
H. Lee Moffitt Cancer Center
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Renieri circa 1626
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RembrandtCirca 1606
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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
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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.
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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
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National Cancer Data Base
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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
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Florida Initiative for Quality Cancer Care
Gray JE. Journal of Oncology Practice 2011 Jul; 7(4): 247-51
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Florida Initiative for Quality Cancer Care
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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
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“Best” Practices
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Rapid Quality Reporting System
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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
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