Developing clinical indicators for oncology: the inaugural cancer care indicator set for the Australian Council on Healthcare Standards

2021 ◽  
Author(s):  
Eva Segelov ◽  
Christine Carrington ◽  
Sanchia Aranda ◽  
David Currow ◽  
John R Zalcberg ◽  
...  
Keyword(s):  
Cancer Care ◽  
Clinical Indicators ◽  
Care Indicator ◽  
Australian Council

Measuring The Quality Of Cancer Care In The Barwon South Western Region, Victoria, Australia

2020 ◽  
Author(s):  
Leigh M Matheson ◽  
Graham Pitson ◽  
Cheng Hon Yap ◽  
Madhu Singh ◽  
Ian Collins ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Services ◽  
Quality Indicators ◽  
Cancer Care ◽  
Population Based ◽  
Western Region ◽  
Clinical Indicators ◽  
Clinical Quality ◽  
Quality Registry

ABSTRACT Objective The implementation of clinical quality indicators for monitoring cancer care in regional, rural and remote areas. Design Retrospective data from a population-based Clinical Quality Registry for lung, colorectal, and breast cancer. Setting All major Health Services in the Barwon South Western Region, Victoria, Australia. Participants All patients diagnosed with cancer presenting to a Health Service Intervention(s) Main Outcome Measures(s) Clinical Quality Indicators for Lung, Colorectal and Breast Cancer Results Clinical indicators included the following: discussion at multidisciplinary meetings, timeliness of care provided, type of care for different stages of the disease and survival outcomes. Many of the derived clinical indicator targets were reached. However, variation led to improvement in tumour stage being recorded in the medical record; improved awareness of the need for adjuvant chemotherapy for colorectal cancer; a reduction in time to treatment for lung cancer; reduced time to surgery for breast cancer; and highlighted the 30 day mortality post treatment for all of the tumour streams. Conclusions Clinical quality indicators allow for valuable insights into patterns of care, driving improvement in the quality of cancer care. These indicators are easily reproduced and may be of use to other cancer centres and health services.

Matching ICD-9-CM Codes to Clinical Indicators — Is it the Way to Go?

1997 ◽  
Vol 27 (4) ◽  
pp. 168-170
Author(s):  
Rachel Portelli ◽  
Jenny Brosi ◽  
Brian Collopy
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Performance Monitoring ◽  
Clinical Indicators ◽  
Evaluation Program ◽  
Clinical Indicator ◽  
National Centre ◽  
Australian Council ◽  
Indicator Data ◽  
Care Evaluation

In early 1997, the Australian Council on Healthcare Standards (ACHS) Care Evaluation Program (CEP) collaborated with the National Centre for Classification in Health (NCCH) to determine the feasibility of matching ICD-9-CM codes with a selected number of clinical indicators developed by CEP. While the results of this activity were encouraging, CEP is hesitant in advocating the use of ICD-9-CM as the complete answer to the data collection ‘burden’ experienced by health care organisations collecting clinical indicator data.1 CEP is concerned that obtaining clinical indicator data through ICD-9-CM coding alone may limit clinician participation in quality activities, narrow the focus of performance monitoring to one department, potentially compromise the intent of the indicators, and encourage a culture of ‘near enough is good enough’. This paper examines the limitations of ICD-9-CM coding as the sole means of extracting clinical indicator data.

A Project Management Strategy for Collection and Reporting of Casemix Profiles and Hospital Clinical Indicators

1997 ◽  
Vol 27 (3) ◽  
pp. 109-115
Author(s):  
Nicole Mair
Keyword(s):  
Project Management ◽  
Data Collection ◽  
Data Management ◽  
Management Strategy ◽  
Hospital Staff ◽  
Clinical Indicators ◽  
Medical Specialists ◽  
Software Vendor ◽  
Australian Council ◽  
Collection Methods

A newly developed strategy and computerised system for collection and reporting of hospital clinical indicators and doctor activity. A project was developed to analyse, plan and implement a data management strategy for Australian Council on Healthcare Standards (ACHS) clinical indicators. This project incorporated objectives for review of all available clinical indicators, analysis of appropriate medical and surgical clinical indicators, review and redesign of data collection methods, and feed-back processes suitable for hospital staff and visiting medical specialists. In conjunction with a software vendor, the hospital developed a computerised system for collection and reporting of clinical indicators. In addition to this, the system extracts data from the hospital's main database, to provide doctors with information regarding their own patient cases (doctor profiles), overview of activities of their specialty (specialty profiles) and casemix analysis.

scholarly journals A national clinical indicator database: Issues of reliability and validity

1997 ◽  
Vol 20 (4) ◽  
pp. 84 ◽  
Author(s):  
Joanne L Booth ◽  
Brian T Collopy
Keyword(s):  
Health Care ◽  
Performance Indicator ◽  
Reliability And Validity ◽  
Qualitative Information ◽  
Clinical Indicators ◽  
Clinical Indicator ◽  
Acute Health Care ◽  
Australian Council

The introduction of performance (clinical) indicators into the accreditation processby the Australian Council on Healthcare Standards is in keeping with global trendsand has enabled the establishment of a National Aggregate Database reflectingstandards of care in acute health care organisations. The database contains bothquantitative and qualitative information on the processes and outcomes of patientcare and changes in practice induced through indicator monitoring. Of fundamentalimportance to the integrity of the database are the issues of indicator validity,responsiveness and reliability. This paper considers these issues, drawing parallels, asappropriate, to other performance indicator programs and studies.

scholarly journals A Review of the ACHS Clinical Indicator Program after 20 years

2016 ◽  
Vol 11 (2) ◽  
pp. 12-17
Author(s):  
Brian Collopy ◽  
Christine Dennis ◽  
Linda O’Connor ◽  
Myu Nathan
Keyword(s):  
Performance Indicator ◽  
Clinical Care ◽  
Evidence Base ◽  
National Database ◽  
Healthcare Organisation ◽  
Clinical Indicators ◽  
Clinical Indicator ◽  
Australian Council ◽  
Medical Discipline ◽  
Royal Australian College

The Clinical Indicator Program, which was introduced into the Australian Council on Healthcare Standards’ accreditation program two decades ago, has grown from one set addressed by 115 healthcare organisations to 22 sets with data received from over 800 healthcare organisations, resulting in a national database which is unique in its clinical diversity, reflecting every major medical discipline involved in hospital practice. The process for Clinical Indicator selection and review remains with the providers of the care, but the selection criteria are better defined and the evidence base strengthened. Early responses to their introduction were encouraging as improvements in patient management and outcomes were sought and achieved following review of comparative data, and some examples of these are provided. Clinical Indicator revision remains an important and major task and the original Hospital- Wide set of Clinical Indicators is now in its 12th version. The development and use of Clinical Indicators is increasing world-wide, and in Australia there are other organisations, including the Australian Commission on Safety and Quality in Healthcare, looking at Clinical Indicators to further understand the performance of healthcare organisations. As clinical care changes, the challenges for the Australian Council on Healthcare Standards are to ensure the Clinical Indicators continue to reflect current practice, to retain clinician support, and also to ensure that the existence of its extensive and long-standing national clinical database is more widely known and utilised. Abbreviations: ACHS: Australian Council of Healthcare Standards; ACIR – Australasian Clinical Indicator Report; ANZICS – Australian and New Zealand Intensive Care Society; APD – Adult Patient Database; CI – Clinical Indicators; HCO – HealthCare Organisation; PIRT – Performance Indicator Reporting Tool; RACMA - Royal Australian College of Medical Administrators.

Cancer support nurses: a co-ordinating role in cancer care

1998 ◽  
Vol 7 (2) ◽  
pp. 125-128 ◽  
Author(s):  
McILLMURRAY ◽  
CUMMINGS ◽  
HOPKINS ◽  
McCANN
Keyword(s):  
Cancer Care ◽  
Cancer Support

199: Correlates of Access to Prostate Cancer Care in a Statewide Public Assistance Program

2007 ◽  
Vol 177 (4S) ◽  
pp. 67-67
Author(s):  
David C. Miller ◽  
Laura Baybridge ◽  
Lorna C. Kwan ◽  
Ronald Andersen ◽  
Lillian Gelberg ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Cancer Care ◽  
Public Assistance ◽  
Assistance Program

205: Variations in Prostate Cancer Care According to Race, Geographic Region, and Literacy: Initial Findings from the Compare Registry

2006 ◽  
Vol 175 (4S) ◽  
pp. 66-67
Author(s):  
Charles L. Bennett ◽  
Oliver Sartor ◽  
Susan Halabi ◽  
Michael W. Kattan ◽  
Peter T. Scardino
Keyword(s):  
Prostate Cancer ◽  
Cancer Care ◽  
Geographic Region
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