QOPI for Fellows
ASCO's Quality Oncology Practice Initiative® (QOPI) is an oncologist-led, practice-based quality improvement program. QOPI's goal is to promote excellence in cancer care by helping practices create a culture of self-examination and improvement.
What Is QOPI?
"QOPI for Fellows" is solely a designation; there is not a separate QOPI. Fellowship programs use the same QOPI system and guidelines as all other participating practices.
Practices participating in QOPI conduct retrospective chart reviews, twice each year, of oncology care delivered in the outpatient setting. QOPI includes a menu of measure sets, customizable by the user; a specified chart selection strategy; a secure, web-based application for data entry; automated data analysis and reports that provide practice-specific and aggregate comparison data; and a network of resources for improvement.
Please visit the QOPI website to register for QOPI for Fellows, and find answers to some commonly asked QOPI questions.
How Can Training Programs Use QOPI for Their Fellows?
Data collection occurs in the spring and fall of each year. During data collection periods, participating fellows will identify outpatient charts according to the methodology described in the QOPI User Manual and conduct a retrospective abstraction of data from the selected charts. The number of charts abstracted will depend on the measure modules selected by the practice (a minimum of two); the minimum number of charts required for participating is 48 (24 per module) for a practice with one medical oncologist FTE. Participating physicians should not abstract their own charts.
QOPI practices submit de-identified data via a secure ASCO website. Within the QOPI Data Entry and Reporting Tool, a web-based data entry form prompts abstractors through the chart abstraction process.
Following every data collection period, the QOPI system generates a report for each practice comparing their results to the aggregate data of all other participants. Practice-specific data are kept strictly confidential. If requested, ASCO staff will provide additional reports to fellowship programs that compare fellowship data to other participating fellowship programs for each measure assessed during the collection period.
This early exposure to quality improvement positions physicians to incorporate QI into their practice from the onset. Additionally, QOPI data can be used to satisfy the requirements of the American Board of Internal Medicine's Self-Directed Practice Improvement Module, which provides 20 points towards Maintenance of Certification.
After the successful piloting of fellowship program participation in QOPI during the last three data collections, ASCO invites all medical oncology fellowship programs to register for QOPI and participate in the fall collection.
QOPI and ACGME Competencies
- Review and improve patient care through application of quality indicators.
- Apply current medical knowledge to patient care through selection, discussion and updating quality indicators.
- Utilize interpersonal and communication skills in peer review discussion.
- Assess and demonstrate professional ethical behavior, through peer review and concern for patients.
- Assess and demonstrate awareness of systems-based practice as manifested by knowledge and development of quality indicators and application of uniform standards.
- Demonstrate practice-based improvement through initial chart review, review of QOPI data, improvement of challenging areas, and follow-up on QOPI data.
Amye Tevaarwerk, MD, a fellow at the University of Wisconsin, published her experience with QOPI in the July 2008 issue of ASCO News & Forum. Dr. Laurie Lyckholm also documented her experience with the "QOPI for Fellows" Pilot Program in 2007.
To get a better idea of how how the program works and how it may help your fellows, view the slides from a presentation on QOPI at the 2007 Annual Meeting Training Program Directors' breakfast.