Building Data Infrastructure to Evaluate and Improve Quality: The National Cancer Data Base and the Commission on Cancer's Quality Improvement Programs

It is only in the last decade that the quality of cancer care delivery has begun to be seriously measured. The authors focus on efforts by the Commission on Cancer to develop the oncology quality agenda using the National Cancer Data Base.

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Medicare’s Stewardship Role to Improve Care Delivery: Opportunities for the Biden Administration

Journal of Health Politics Policy and Law ◽

10.1215/03616878-8970838 ◽

2021 ◽

Author(s):

Robert Berenson

Keyword(s):

Quality Improvement ◽

Pay For Performance ◽

Care Delivery ◽

Improve Quality ◽

Medicare Advantage ◽

Payment Methods ◽

Strategic Direction ◽

Medicare Program ◽

Improvement Programs ◽

Quality Improvement Programs

Abstract Medicare initiatives have been instrumental in improving care delivery and payment, as exemplified by its role in broadly expanding the use of telehealth during the COVID pandemic. Medicare innovations have been adopted or adapted in Medicaid and by private payers, while Medicare Advantage plans successfully compete with TM only because their payment rates are tied by regulation to those in the traditional Medicare program. However, Medicare has not succeeded in implementing new, value-based payment approaches that also would serve as models for other payers, nor has Medicare succeeded in improving quality by relying on public reporting of measured performance. It is increasingly clear that burdensome attention to measurement and reporting distracts from what could be successful efforts to actually improve care through quality improvement programs, with Medicare leading in partnership with providers, other payers, and patients. Although Congress is unlikely to adopt candidate Biden’s proposals to decrease the eligibility age for Medicare or adopt a public option based on Medicare prices and payment methods in the marketplaces, the incoming Biden administration has an opportunity to provide overdue, strategic direction to the pursuit of value-based payments and to replace failed pay-for-performance with provider-managed projects to improve quality and reduce health disparities.

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Quality of Care for Patients with Type 2 Diabetes Mellitus in the Netherlands and the United States: A Comparison of Two Quality Improvement Programs

Health Services Research ◽

10.1111/j.1475-6773.2004.00254.x ◽

2004 ◽

Vol 39 (4p1) ◽

pp. 709-726 ◽

Cited By ~ 13

Author(s):

Gerlof D. Valk ◽

Carry M. Renders ◽

Didi M. W. Kriegsman ◽

Katherine M. Newton ◽

Jos W. R. Twisk ◽

...

Keyword(s):

Diabetes Mellitus ◽

United States ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Quality Improvement ◽

The United States ◽

Improvement Programs ◽

Quality Improvement Programs

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Opportunities for Quality Improvement Programs (QIPs) in the Nutrition Support of Patients with Cancer

Healthcare ◽

10.3390/healthcare8030227 ◽

2020 ◽

Vol 8 (3) ◽

pp. 227 ◽

Cited By ~ 1

Author(s):

Mary Beth Arensberg ◽

Julie Richards ◽

Jyoti Benjamin ◽

Kirk Kerr ◽

Refaat Hegazi

Keyword(s):

Quality Improvement ◽

Health Outcomes ◽

Cancer Care ◽

Nutrition Support ◽

Oral Nutrition ◽

Patients With Cancer ◽

Treatment Interruptions ◽

Improvement Programs ◽

Quality Improvement Programs

Malnutrition in patients with cancer is a ubiquitous but neglected problem that can reduce patient survival/quality of life and increase treatment interruptions, readmission rates, and healthcare costs. Malnutrition interventions, including nutrition support through dietary counseling, diet fortification, oral nutrition supplements (ONS), and enteral and parenteral nutrition can help improve health outcomes. However, nutritional care standards and interventions for cancer are ambiguous and inconsistently applied. The lack of systematic malnutrition screening and intervention in ambulatory cancer care has especially significant consequences and thus the nutrition support of patients with cancer represents an area for quality improvement. United States healthcare payment models such as the Oncology Care Model are linked to quality of care and health outcomes. Quality improvement programs (QIPs) can advance patient-centered care, perfect care processes, and help healthcare professionals meet their quality measure performance goals. Malnutrition QIPs like the Malnutrition Quality Improvement Initiative (MQii) have been shown to be effective in identifying and treating malnutrition. However, little is known about or has been reported on nutrition or malnutrition-focused QIPs in cancer care. This paper provides information to support translational research on quality improvement and outlines the gaps and potential opportunities for QIPs in the nutrition support of patients with cancer.

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Headmaster Management to Improve Teacher Performance in Singkawang Senior High Schools

JETL (Journal Of Education Teaching and Learning) ◽

10.26737/jetl.v4i2.1697 ◽

2019 ◽

Vol 4 (2) ◽

pp. 305

Author(s):

Syahrudin Syahrudin

Keyword(s):

High School ◽

Quality Improvement ◽

High Schools ◽

School Principals ◽

Teacher Performance ◽

Improvement Program ◽

School Work ◽

Improvement Programs ◽

Quality Improvement Programs

The progress of education of a school as an educational institution is influenced by the role of the principal as an education manager. It is very much determined by the principal's ability to manage human resources from the planning to evaluation aspects. This study aims to reveal the management of school principals to improve the performance of teachers in Singkawang State High School 3 with a focus on 1) The description of the planning of quality improvement programs for teacher performance by the headmaster of State High School 3 Singkawang, 2) The implementation of programs to improve the quality of teacher performance by principals in State High Schools 3 Singkawang, 3) Program evaluation activities to improve the quality of teacher performance carried out by school principals in SMA 3 Singkawang. The research method used is descriptive research with a qualitative approach. Data collected by in-depth interviews, participant observation, documentation, and analyzed through data reduction, data presentation, conclusions or verification. Data reliability testing is done by extending the period of observation, and triangulation and member checking. The results of the study conclude 1) planning of quality improvement programs for teacher performance is carried out with reference to the vision and mission and school work plans. 2) implementation of improving the quality of teacher performance is carried out by holding a program of continuous professional development in the form of technical guidance (BIMTEK) learning development activities, In House Training (IHT) and workshops aimed at improving teacher competence and quality of learning, 3) Evaluation of teacher performance is carried out by carrying out activities academic supervision of teachers and managerial supervision of administration. Based on the results of the study suggested the following things: 1) planning for improving the quality of teacher performance, especially in school work plans need to be improved in a continuous professional improvement program. 2) The form of carrying out continuous professional improvement activities should be adjusted to what is required by the teacher. 3) Evaluation activities should be carried out consistently to improve teacher quality.

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Assessment of quality of care in vascular surgery and the emergence of quality improvement programs

Reviews in Vascular Medicine ◽

10.1016/j.rvm.2016.08.001 ◽

2016 ◽

Vol 6-7 ◽

pp. 29-36 ◽

Cited By ~ 1

Author(s):

Reza Mofidi ◽

Hanafiah Harunarashid ◽

Peng Wong ◽

Simon Milburn

Keyword(s):

Quality Improvement ◽

Quality Of Care ◽

Vascular Surgery ◽

Improvement Programs ◽

Quality Improvement Programs

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Manajemen Kurikulum dalam Upaya Peningkatan Mutu Pendidikan

Journal Of Administration and Educational Management (ALIGNMENT) ◽

10.31539/alignment.v3i2.1580 ◽

2020 ◽

Vol 3 (2) ◽

pp. 214-221

Author(s):

Yuhasnil Yuhasnil

Keyword(s):

Quality Improvement ◽

Human Resources ◽

Curriculum Design ◽

Local Governments ◽

Quality Of Education ◽

Curriculum Management ◽

Literature Study ◽

Improvement Programs ◽

Quality Improvement Programs

The research objective is to examine curriculum management in an effort to improve the quality of education. The method used is literature study. With the aim of seeing curriculum management in improving the quality of education through improving the quality of human resources. Efforts to improve the quality of education must be supported by all parties, including managers of educational institutions at the central, regional and school levels including in the classroom. In the implementation of decentralized education in the era of regional autonomy, each region should have its own quality improvement curriculum design which is an elaboration or implementation of the education curriculum set by the center. This is in accordance with the demands of the curriculum, where both local governments and even lower levels (schools) are given the freedom to describe quality improvement programs so that in the future each region competes with each other for the advancement of education in their respective regions. Keywords: Curriculum Management, Education Quality, Human Resources

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PENERAPAN MANAJEMEN PENDIDIKAN DALAM MEWUJUDKAN VISI SEKOLAH (STUDI DI SMP NEGERI 1 SALOMEKKO)

Adaara: Jurnal Manajemen Pendidikan Islam ◽

10.35673/ajmpi.v7i1.307 ◽

2017 ◽

Vol 7 (1) ◽

pp. 584-603

Author(s):

SARIL Saril

Keyword(s):

Quality Improvement ◽

Learning Process ◽

Leadership Skills ◽

Islamic Education ◽

Work Unit ◽

Education Management ◽

Teachers And Students ◽

Improvement Programs ◽

Quality Improvement Programs

Abstract: Implementation of Education Management in Achieving Vision The school implements by conducting activities in each work unit so that it can be organized towards the same goal of allocating resources to develop and implement and sekolmpok people who are directed to work together for planning, organizing implementation and supervision. Facilitate the learning process, create program activities in schools, develop plans and quality improvement programs, evaluate the implementation, apply the system in accordance with the expectations of the school so that the regular learning process regularly with effective and efficient. The independence of professionalism to schools merupankan one factor to be able to encourage schools in menjujdukan vision and mission. Therefore, in applying a curriculum required by a strict, professional principal with strong management and leadership skills to be able to take decisions and initiatives to improve the quality of the school. Implementation of education management has been able to run well because seen from the vision and mission of the school is quite applicable by many teachers and students also can apply all that has terpapan in the future. Keywords: Management of Islamic Education and vision

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Oncology quality improvement as a cornerstone of the transition to accountable care.

Journal of Clinical Oncology ◽

10.1200/jco.2012.30.34_suppl.141 ◽

2012 ◽

Vol 30 (34_suppl) ◽

pp. 141-141

Author(s):

John C. Ruckdeschel ◽

William T. Sause ◽

Tom Belnap ◽

Cory Jones ◽

Braden D. Rowley

Keyword(s):

Quality Improvement ◽

Quality Of Care ◽

Axillary Dissection ◽

Ductal Carcinoma ◽

Care Delivery ◽

Effective Means ◽

Breast Conservation ◽

Improve Quality ◽

Accountable Care

141 Background: Accountable care is defined as moving the incentives for health care from a system that rewards volume and procedures to one that rewards improvements in the quality of care for a defined population. To prevent this process from deteriorating into solely a cost reduction exercise, physicians, and hospitals need to develop a valid, reproducible, and effective means of measuring quality and impacting behavior to reduce variation and improve quality of care. The Intermountain Healthcare Oncology Clinical Program’s (OCP) experience with Oncology Quality Improvement (OQI) offers several key lessons for enabling this process. Methods: OQI initiatives are developed by a multidisciplinary physician-based team tasked with directing standardization and ensuring optimal care delivery. The team uses clinical knowledge, peer-reviewed literature, and data from an enterprise data warehouse to develop goals. Performance is measured against a goal which focuses on variation between physicians and facilities. Individual physician data is compared to de-identified data of peers, facilities, and the system. A physician champion performs academic detailing for physician groups across the system and is critical to the success of the program. Results: Over the past decade, the OCP initiated over 30 projects designed to measure and improve quality of oncology care delivery. Breast cancer projects included breast conservation in surgical management, reducing axillary dissection for ductal carcinoma in situ and sentinel node biopsy rather than axillary dissection. The OCP also explored standardizing lymph node resection during colorectal cancer surgery and subsequently the utilization of adjuvant chemotherapy. Imaging based goals included improving mammography callback rates and using PET/CT during preoperative assessment of lung cancer. In most instances the process resulted in significant, sustainable OQI. Conclusions: The investment in program and clinician staff is significant, and the requirements and costs for a sophisticated data system are real. However, an OQI program can provide meaningful improvements in the quality of cancer care and is an important step to facilitate the transition to accountable care.

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