The latest issue of the Journal of Oncology Practice (JOP) features a new Special Series focusing on Real-World Approaches to Quality Improvement in Oncology. The issue includes research and commentary that share practical examples of approaching quality measurement and improvement that can guide physicians and others in the oncology field.
The series contains articles related to oncology practice across the entire spectrum of quality—from measurement through improvement, to finding the infrastructure to support quality efforts in real practice environments.
The series foreword from Arif H Kamal MD, MBA, MHS and Monika K. Krzyzanowska MD, who have served roles on ASCO’s Quality of Care Committee, outline the importance of keeping high quality care at the forefront of practice as care delivery continues to evolve. They also note that these broad shifts in how care is provided can make it even more challenging for oncologist to fit quality assessment and improvement into their daily workload.
This latest Special Series complements other JOP content including Quality in Action studies and the ASCO Quality Care Symposium series. The Journal hopes that by continuing to share practical examples of quality-based research and quality improvement projects, it will inspire others throughout the oncology field to take on quality improvement efforts.
Several articles in the series use ASCO’s Quality Oncology Practice Initiative (QOPI®) to address their practice’s need for measuring quality and creating tangible change. The program has become a go-to resource for the oncology field to continuously measure and drive the improvement process. Research in this series also provides exciting new insights on new models of care, including several focused on palliative care integration, the Oncology Care Model, and the implementation of care networks.
Some of the studies included in the Special Series include:
- Practice Transformation – Early Impact of OCM on Hospital Admissions, implemented a cost-efficient, reproducible, and scalable campaign targeting emergency room (ER) avoidance and hospitalizations, to decrease hospital admissions at an Oncology Care Model (OCM) practice. To address a key component of OCM and a gap in the hospital’s admission of cancer patients to the ER, a phone triage unit was established. The intervention resulted in nearly $798,000 in Medicare savings for inpatient cost per quarter over 1,600 patients. Read more.
- Benefits and Challenges of Growing Oncology Networks in the U.S., highlights the many questions that loom for the sustainability of different large cancer delivery network models as new changes come to oncology care. In this Editorial, new JOP Editor-in-Chief Linda D. Bosserman, MD, FACP, FASCO writes how the field can assess and address changes, including value-based care, to create a strong staff and practice, and to expand high quality and high value care for patients. Read more.
- Quality Improvement Training in a Variety of Cancer Care Delivery Settings Experiences from a Comprehensive Cancer Center, Academic Medical Center and Community Practices, reports the combined experience of providing training to oncologists in a variety of local settings and assess the impact of the training on the individual participants and for the institutions. All 15 quality improvement tools assessed had 80% of trainees rating themselves in the top three categories (Knowledge, Understanding, Wisdom) after the training. P No participants had met these levels prior to the training. Read more.
- Measuring the Impact of Academic Cancer Network Development on Clinical Integration, Quality of Care and Patient Satisfaction, used QOPI® measures to trend if the acquisition and integration of community oncology practices by Smilow Cancer Hospital at Yale New Haven had improved outcomes in quality of care, disease team integration, clinical trial accrual, and patient satisfaction at network practice sites. Smilow Care Centers saw improvement on a variety of measures, including those related to tumor staging and quantifying and addressing pain during office visits. Read more.