Cancer Survivorship Plans: A Paradigm Shift in the Delivery of Quality Cancer Care

2011 ◽  
pp. 169-185 ◽  
Author(s):  
Julia H. Rowland ◽  
Patricia A. Ganz
Keyword(s):  
Cancer Survivorship ◽  
Cancer Care ◽  
Paradigm Shift ◽  
Quality Cancer Care

Assuring Quality Cancer Survivorship Care: We've Only Just Begun

2015 ◽  
pp. e583-e591 ◽  
Author(s):  
Deborah K. Mayer ◽  
Charles L. Shapiro ◽  
Paul Jacobson ◽  
Mary S. McCabe
Keyword(s):  
Cancer Survivorship ◽  
Cancer Care ◽  
Outcome Measurement ◽  
Quality Metrics ◽  
Leadership Role ◽  
Care Plan ◽  
Institute Of Medicine ◽  
Survivorship Care ◽  
Cancer Society ◽  
Quality Cancer Care

Clinical practice guidelines, quality metrics, and performance improvement projects are the key tools of the national movement to improve and assure quality cancer care. Each of these evaluation instruments is intended to assess quality from a unique perspective, including that of the individual provider, the practice/hospital, and the health care system. A number of organizations have developed or endorsed quality measures specific to cancer, however, these have not formally included survivorship measures. Fortunately, the American Society of Clinical Oncology (ASCO), the National Comprehensive Cancer Network, the American Cancer Society, and the American College of Surgeons (ACoS) have taken a leadership role in developing survivorship guidelines and quality metrics. Both ASCO and ACoS have focused their efforts on the treatment summary and care plan, a document that was proposed in the 2006 Institute of Medicine report on cancer survivorship. ASCO has proposed a care plan template for implementation and incorporation into the electronic health records (EHR), which will lend itself to structure, process, and outcome measurement. ACoS, conversely, has included the care plan in its cancer program standards with annual evaluation metrics. In addition, ASCO has developed a number of key survivorship-relevant metrics as part of its Quality Oncology Practice Initiative (QOPI), a tool developed to measure quality cancer care and assess adherence to guidelines across academic and community practices. Together, these efforts will direct us to more effective ways to disseminate guideline recommendations and to better methods of assessing quality survivorship care nationally.

Cancer Survivorship: A New Challenge in Delivering Quality Cancer Care

2006 ◽  
Vol 24 (32) ◽  
pp. 5101-5104 ◽  
Author(s):  
Julia H. Rowland ◽  
Maria Hewitt ◽  
Patricia A. Ganz
Keyword(s):  
Cancer Survivorship ◽  
Cancer Care ◽  
Quality Cancer Care

scholarly journals Evaluating Barriers and Opportunities in Delivering High-Quality Oncology Care in a Resource-Limited Setting Using a Comprehensive Needs Assessment Tool

2018 ◽  
pp. 1-9
Author(s):  
Chika R. Nwachukwu ◽  
Omobola Mudasiru ◽  
Lynn Million ◽  
Shruti Sheth ◽  
Hope Qamoos ◽  
...  
Keyword(s):  
Palliative Care ◽  
Needs Assessment ◽  
Cancer Care ◽  
Assessment Tool ◽  
Hospital Staff ◽  
Teaching Hospitals ◽  
High Quality ◽  
Middle Income ◽  
Quality Cancer Care ◽  
Oncology Care

Purpose Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation. Methods Using a comprehensive NAQ, in-depth interviews were conducted with 17 hospital staff involved in cancer care at two teaching hospitals in Nigeria. Data were analyzed using content analysis and organized into a framework with preset codes and emergent codes, where applicable. Results Data from the interviews were organized into six broad themes: staff, stuff, system, space, lack of palliative care, and provider bias, with key barriers within themes including: financial, infrastructural, lack of awareness, limited human capacity resources, lack of palliative care, and provider perspective on patient-related barriers to cancer care. Specific solutions based on ability to reasonably implement were subcategorized into short-, medium-, and long-term goals. Conclusion This study provides a framework for a streamlined initial needs assessment and a unique discussion on the barriers to high-quality oncology care that are prevalent in resource-constrained settings. We report the feasibility of collecting and organizing data using a streamlined NAQ and provide a thorough and in-depth understanding of the challenges in this setting. Knowledge gained from the assessments will inform steps to improve oncology cancer in these settings.

The Florida Initiative for Quality Cancer Care: A Regional Project to Measure and Improve Cancer Care

2009 ◽  
Vol 16 (4) ◽  
pp. 318-327 ◽  
Author(s):  
Mokenge P. Malafa ◽  
Michelle M. Corman ◽  
David Shibata ◽  
Erin M. Siegel ◽  
Ji-Hyun Lee ◽  
...  
Keyword(s):  
Cancer Care ◽  
Quality Cancer Care ◽  
Regional Project

Can We Really Define Quality Cancer Care?

2014 ◽  
Vol 29 (6) ◽  
pp. 10-10
Author(s):  
Matthew Farber
Keyword(s):  
Cancer Care ◽  
Quality Cancer Care
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