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Implementation of the Quality Oncology Practice Initiative at a university comprehensive cancer center.

TitleImplementation of the Quality Oncology Practice Initiative at a university comprehensive cancer center.
Publication TypeJournal Article
Year of Publication2009
AuthorsBlayney, DW, McNiff, K, Hanauer, DA, Miela, G, Markstrom, D, Neuss, M
JournalJ Clin Oncol
Volume27
Issue23
Pagination3802-7
Date Published2009 Aug 10
ISSN1527-7755
KeywordsCancer Care Facilities, Guideline Adherence, Humans, Medical Oncology, Medical Records, Michigan, Outcome and Process Assessment (Health Care), Physician's Practice Patterns, Program Evaluation, Quality Assurance, Health Care, Quality Indicators, Health Care, Quality of Health Care, Societies, Medical, Universities
Abstract

PURPOSE: The Quality Oncology Practice Initiative (QOPI) is a voluntary program developed by the American Society of Clinical Oncology (ASCO) to aid oncology practices in quality self-assessment. Few academic cancer centers have been QOPI participants.METHODS: We implemented the QOPI process at the University of Michigan Comprehensive Cancer Center, a large, hospital-based academic cancer center, and report our experience with five rounds of data collection. Patient medical records were selected using QOPI-specified procedures and abstracted locally; results were entered into an ASCO-maintained database and analyzed.RESULTS: Abstractors who were not directly involved with patient care required an average of 62.3 minutes per medical record (4.7 minutes per data element) to abstract data. We found that compliance with quality measures was uniformly high when measures were structured into our electronic medical record. Results from other measures, including those measuring chemotherapy administration in the last 2 weeks of life, were initially markedly different from those reported by other QOPI participants. Our practice changed toward the QOPI national practice norm after a presentation of the results at a faculty research conference. We found that other measures were consistently greater than 90%, including disease-specific diagnosis and treatment measures.CONCLUSION: Measuring and showing performance data to physicians was sufficient to change some aspects of physician behavior. Improvement in other measures requires structural practice changes. QOPI, an oncologist-developed system, can be adapted for use in practice improvement at an academic medical center.

DOI10.1200/JCO.2008.21.6770
Alternate JournalJ. Clin. Oncol.
PubMed ID19487377
People: 
David Hanauer
University of Michigan Comprehensive Cancer Center at North Campus Reserach Complex
1600 Huron Parkway, Bldg 100, Rm 100 
Mailing Address: 2800 Plymouth Rd, NCRC 100-1004
Ann Arbor, MI 48109-2800 
Ph. (734) 764-8848 Fax. (734) 615-0517
Please acknowledge the Cancer Center Support Grant (P30 CA046592) when publishing manuscripts or abstracts that utilized the services of the University of Michigan's Comprehensive Cancer Center's Shared Resource: Cancer Informatics.
Suggested language: "Research reported in this [publication/press release] was supported by the National Cancer Institute of the National Institutes of Health under award number P30CA046592."

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