Quality indicators in breast cancer care

2010 ◽  
Vol 46 (13) ◽  
pp. 2344-2356 ◽  
Author(s):  
M. Rosselli Del Turco ◽  
A. Ponti ◽  
U. Bick ◽  
L. Biganzoli ◽  
G. Cserni ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Breast Cancer Care

Multidisciplinary team meeting and EUSOMA quality indicators in breast cancer care: A French regional multicenter study

The Breast ◽  
2019 ◽  
Vol 46 ◽  
pp. 170-177 ◽  
Author(s):  
E. Pons-Tostivint ◽  
L. Daubisse-Marliac ◽  
P. Grosclaude ◽  
E. Oum sack ◽  
J. Goddard ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Multicenter Study ◽  
Multidisciplinary Team ◽  
Cancer Care ◽  
Breast Cancer Care ◽  
Multidisciplinary Team Meeting ◽  
Team Meeting

Using a disease pathway management approach to improve the quality of breast cancer care in Ontario.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 109-109
Author(s):  
Andrea Eisen ◽  
Jasmin Soobrian ◽  
Ashley Tyrrell ◽  
Clement Li ◽  
Derek Muradali ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Care ◽  
Performance Measurement ◽  
Quality Indicators ◽  
Cancer Care ◽  
Evidence Based ◽  
Breast Cancer Care ◽  
Patient Journey ◽  
The Impact

109 Background: Disease Pathway Management (DPM) is used by Cancer Care Ontario (CCO) to set priorities for cancer control, plan cancer services, and improve the quality of care in Ontario by promoting standardization. The DPM approach applies a framework to examine the performance of the entire system from prevention to end of life care, and to identify any gaps within the system. In 2014, DPM began its breast cancer pathway initiative by mapping the patient journey, depicting evidence-based best practice along the breast cancer care continuum, identifying where further guidance is needed for clinical decision making, and identifying gaps in quality of care and performance measurement indicators. Objective: To evaluate the impact of DPM on quality assessment of breast cancer care in Ontario. Methods: DPM convened a multidisciplinary breast cancer working group (WG) of 40 experts from across Ontario. The WG held 12 meetings and used guidelines developed by CCO’s Program in Evidence Based Care (or other sources as needed) to generate pathways for the prevention, screening and diagnosis, treatment, and follow-up care for breast cancer. The pathways were used as a framework to review the existing inventory of provincial breast cancer quality indicators, and to identify areas where evidence based guidance is needed. The pathways were subjected to an extensive review process before publication. Results: The expert WG identified 28 priority areas, including opportunities to develop guidance in areas where it is lacking (e.g. role of perioperative breast MRI; indications for contralateral prophylactic mastectomy) and system barriers that may hinder optimal care (e.g. biomarker assessment). The WG also used the pathways as a framework for evaluating performance measurement indicators by mapping 48 existing quality indicators for breast cancer to the pathway. Conclusions: The CCO DPM Breast Cancer pathways facilitated a province-wide, multidisciplinary process to promote quality standards, to identify gaps and overlaps in performance and quality measurement, and to recommend additional indicators more relevant to the quality of breast cancer care in Ontario.

scholarly journals Degree of Variability in Performance on Breast Cancer Quality Indicators: Findings From the Florida Initiative for Quality Cancer Care

2011 ◽  
Vol 7 (4) ◽  
pp. 247-251 ◽  
Author(s):  
Jhanelle E. Gray ◽  
Christine Laronga ◽  
Erin M. Siegel ◽  
Ji-Hyun Lee ◽  
William J. Fulp ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Breast Cancer Care ◽  
Quality Cancer Care

The Florida Initiative for Quality Cancer Care has identified how multiple aspects of breast cancer care can be improved.

Evaluation of quality measures for breast cancer care in a community setting

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 6545-6545
Author(s):  
L. L. Dietrich ◽  
R. Ballandby ◽  
J. Lee ◽  
D. Sullivan ◽  
M. A. Mathiason ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Quality Measures ◽  
Care Quality ◽  
Adherence Rate ◽  
Breast Cancer Care ◽  
Recommended Care ◽  
Nccn Guidelines ◽  
Guideline Compliance

6545 Background: Compliance with National Initiative for Cancer Care Quality (NICCQ) quality indicators and National Comprehensive Cancer Network (NCCN) guidelines for breast cancer care are proposed measures of quality breast cancer care. Previously, we had determined NCCN guideline compliance rates for breast cancer care by physician review of electronic medical record (EMR). In the present study, we sought to compare NCCN guideline compliance and NICCQ adherence at our institution in regard to percent compliance, time taken to complete review, and comparison of physician reviewer (PR) versus non-physician reviewer (NPR). Methods: Review of the EMR was conducted for all 200 female patients who were newly diagnosed with breast cancer and treated at our multi-specialty institution in 2004. A PR and a NPR reviewed compliance with NICCQ quality indicators and NCCN guidelines for breast cancer care and time spent reviewing charts was recorded. Results: Adherence rate was less than 85% in only 7 of 36 NICCQ breast cancer quality measures for PR and only 6 of 36 for NPR. Patients overall received 91.5 % of NICCQ recommended care according to PR and 89.8% according to NPR. NICCQ measures were divided into categories to correspond with NCCN guideline categories and results are compared and summarized in the table below. Differences in observed compliance rates between PR and NPR were not significant for NCCN (except in pre-op workup where NPR was more accurate) or overall NICCQ audit, however differences were seen in individual NICCQ items with small numbers of patients. Average time for review of charts for NCCN guideline compliance vs. NICCQ adherence was not significantly different (6.8 vs. 6.3 minutes for PR and 8.3 vs. 8.9 minutes for the NPR). Conclusions: Our adherence rates for NICCQ and NCCN measures compare favorably with published values. Despite both being proposed quality measures, comparison of adherence rates for the two systems varied. PR is slightly faster than NPR but offset by PR's time value. A NPR performs as well, if not better, than a PR. No significant financial relationships to disclose. [Table: see text]

Patient Navigation and the Quality of Breast Cancer Care: An Analysis of the Breast Cancer Care Quality Indicators

2012 ◽  
Vol 19 (10) ◽  
pp. 3251-3256 ◽  
Author(s):  
Joseph J. Weber ◽  
Debra C. Mascarenhas ◽  
Lisa S. Bellin ◽  
Rachel E. Raab ◽  
Jan H. Wong
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Patient Navigation ◽  
Care Quality ◽  
Breast Cancer Care
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