Practice-Changing Strategies to Deliver Affordable, High-Quality Cancer Care: Summary of an Institute of Medicine Workshop

2013 ◽  
Vol 9 (6S) ◽  
pp. 54s-59s ◽  
Author(s):  
Erin P. Balogh ◽  
Peter B. Bach ◽  
Peter D. Eisenberg ◽  
Patricia A. Ganz ◽  
Robert J. Green ◽  
...  
Keyword(s):  
Quality Of Care ◽  
21St Century ◽  
Cancer Care ◽  
Institute Of Medicine ◽  
High Quality ◽  
Quality Cancer Care

The authors summarize presentations and discussion from the Delivering Affordable Cancer Care in the 21st Century workshop and focus on proposed strategies to improve the affordability of cancer care while maintaining or improving the quality of care.

Proposed Agenda for the Measurement of Quality-of-Care Outcomes in Oncology Practice

1999 ◽  
Vol 17 (8) ◽  
pp. 2614-2614 ◽  
Author(s):  
Jeanne S. Mandelblatt ◽  
Patricia A. Ganz ◽  
Katherine L. Kahn
Keyword(s):  
Breast Cancer ◽  
Quality Of Care ◽  
Outcome Measures ◽  
Cancer Care ◽  
The United States ◽  
Leadership Role ◽  
Institute Of Medicine ◽  
Oncology Practice ◽  
The Impact

ABSTRACT: Cancer is an important disease, and health care services have the potential to improve the quality and quantity of life for cancer patients. The delivery of these services also has recently been well codified. Given this framework, cancer care presents a unique opportunity for clinicians to develop and test outcome measures across diverse practice settings. Recently, the Institute of Medicine released a report reviewing the quality of cancer care in the United States and called for further development and monitoring of quality indicators. Thus, as we move into the 21st century, professional and regulatory agencies will be seeking to expand process measures and develop and validate outcomes-oriented measures for cancer and other diseases. For such measures to be clinically relevant and feasible, it is key that the oncology community take an active leadership role in this process. To set the stage for such activities, this article first reviews broad methodologic concerns involved in selecting measures of the quality of care, using breast cancer to exemplify key issues. We then use the case of breast cancer to review the different phases of cancer care and provide examples of phase-specific measures that, after careful operationalization, testing, and validation, could be used as the basis of an agenda for measuring the quality of breast cancer care in oncology practice. The diffusion of process and outcome measures into practice; the practicality, reliability, and validity of these measures; and the impact that these indicators have on practice patterns and the health of populations will be key to evaluating the success of such quality-of-care paradigms. Ultimately, improved quality of care should translate into morbidity and mortality reductions.

scholarly journals Delivering High-Quality and Affordable Care Throughout the Cancer Care Continuum

2013 ◽  
Vol 31 (32) ◽  
pp. 4151-4157 ◽  
Author(s):  
Ya-Chen Tina Shih ◽  
Patricia A. Ganz ◽  
Denise Aberle ◽  
Amy Abernethy ◽  
Justin Bekelman ◽  
...  
Keyword(s):  
Cancer Care ◽  
Primary Care Physicians ◽  
New Technologies ◽  
Financial Burden ◽  
The United States ◽  
Institute Of Medicine ◽  
High Quality ◽  
Care Continuum ◽  
Quality Cancer Care ◽  
Cancer Care Continuum

The national cost of cancer care is projected to reach $173 billion by 2020, increasing from $125 billion in 2010. This steep upward cost trajectory has placed enormous an financial burden on patients, their families, and society as a whole and raised major concern about the ability of the health care system to provide and sustain high-quality cancer care. To better understand the cost drivers of cancer care and explore approaches that will mitigate the problem, the National Cancer Policy Forum of the Institute of Medicine held a workshop entitled “Delivering Affordable Cancer Care in the 21st Century” in October 2012. Workshop participants included bioethicists, health economists, primary care physicians, and medical, surgical, and radiation oncologists, from both academic and community settings. All speakers expressed a sense of urgency about the affordability of cancer care resulting from the future demographic trend as well as the high cost of emerging cancer therapies and rapid diffusion of new technologies in the absence to evidence indicating improved outcomes for patients. This article is our summary of presentations at the workshop that highlighted the overuse and underuse of screening, treatments, and technologies throughout the cancer care continuum in oncology practice in the United States.

scholarly journals Florida Initiative for Quality Cancer Care: Changes in Psychosocial Quality of Care Indicators Over a 3-Year Interval

2015 ◽  
Vol 11 (1) ◽  
pp. e103-e109 ◽  
Author(s):  
Paul B. Jacobsen ◽  
Ji-Hyun Lee ◽  
William Fulp ◽  
Erin M. Siegel ◽  
David Shibata ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Cancer Care ◽  
Psychosocial Care ◽  
Well Being ◽  
Audit And Feedback ◽  
Quality Cancer Care

Findings suggest that more intensive efforts than audit and feedback will be required to improve the quality of psychosocial care, and that greater recognition of problems with emotional well-being may tax the ability of practices to link patients with appropriate services.

Patient Centeredness and Engagement in Quality-of-Care Oncology Research

2015 ◽  
Vol 11 (3) ◽  
pp. 176-179 ◽  
Author(s):  
Steven B. Clauser ◽  
Christopher Gayer ◽  
Elizabeth Murphy ◽  
Navneet S. Majhail ◽  
K. Scott Baker
Keyword(s):  
Quality Of Care ◽  
Interdisciplinary Research ◽  
Care Delivery ◽  
Patient Centeredness ◽  
Patient Centered ◽  
High Quality ◽  
Research Teams ◽  
Quality Cancer Care ◽  
Oncology Research

The Patient-Centered Outcomes Research Institute seeks to partner with diverse interdisciplinary research teams who demonstrate a commitment to the inclusion and engagement of patients and stakeholders as they work to develop high-quality cancer care delivery systems.

scholarly journals Florida Initiative for Quality Cancer Care: Improvements on Colorectal Cancer Quality of Care Indicators during a 3-Year Interval

2014 ◽  
Vol 218 (1) ◽  
pp. 16-25.e4 ◽  
Author(s):  
Erin M. Siegel ◽  
Paul B. Jacobsen ◽  
Ji-Hyun Lee ◽  
Mokenge Malafa ◽  
William Fulp ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Quality Of Care ◽  
Cancer Care ◽  
Quality Cancer Care

scholarly journals Evaluating the Quality of Colorectal Cancer Care in the State of Florida: Results From the Florida Initiative for Quality Cancer Care

2012 ◽  
Vol 8 (4) ◽  
pp. 239-245 ◽  
Author(s):  
Erin M. Siegel ◽  
Paul B. Jacobsen ◽  
Mokenge Malafa ◽  
William Fulp ◽  
Michelle Fletcher ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Quality Of Care ◽  
Cancer Care ◽  
The State ◽  
Quality Cancer Care ◽  
Systemic Level ◽  
Care Practices

Although the quality of care delivered within the Florida Initiative for Quality Cancer Care practices seems to be high, several components of care were identified that warrant further scrutiny on a systemic level and at individual centers.

scholarly journals Building Quality from the Ground Up in a Cancer Center

2021 ◽  
pp. 135-143
Author(s):  
Arslan Babar ◽  
Alberto J. Montero
Keyword(s):  
Cancer Care ◽  
Cancer Center ◽  
Institute Of Medicine ◽  
Cancer Centers ◽  
Quality Cancer Care ◽  
Process And Outcome ◽  
Donabedian Model ◽  
Quality In Healthcare ◽  
Patient Centric

AbstractThe Institute of Medicine defines quality in healthcare as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge. This concept is highly relevant for cancer care that involves patients with complex diseases in the setting of rapidly evolving treatment landscape that requires provision of appropriate services in a patient-centric and technically competent manner. This chapter uses the Donabedian model to review the structural, process, and outcome-based quality domains that lay the foundation for a robust system to measure, monitor, and improve quality of care at cancer centers. The infrastructure and personnel, systems, and culture needed for ensuring provision of high-quality cancer care are reviewed.

Quality of care in non-small cell lung cancer (NSCLC): Findings from the Florida Initiative for Quality Cancer Care (FIQCC).

2010 ◽  
Vol 28 (15_suppl) ◽  
pp. 6018-6018
Author(s):  
T. Tanvetyanon ◽  
M. Corman ◽  
W. J. Fulp ◽  
J. Lee ◽  
P. B. Jacobsen ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Quality Of Care ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Cancer Care ◽  
Small Cell ◽  
Small Cell Lung ◽  
Quality Cancer Care

Institute of Medicine Report on Delivery of High-Quality Cancer Care

2014 ◽  
Vol 10 (3) ◽  
pp. 193-195 ◽  
Author(s):  
Patricia A. Ganz
Keyword(s):  
Cancer Care ◽  
Institute Of Medicine ◽  
High Quality ◽  
Quality Cancer Care ◽  
Care System

The Institute of Medicine saw a cancer care system in crisis. This article highlights the key findings of its report and recommendations.

Sign in / Sign up

Export Citation Format

Share Document