There is increasing focus on quality improvement with regard to survivorship care services. Outcome measures should be built into the survivorship care program as it is developed, thus allowing the care delivery system to respond to areas demonstrating a need for improvement. As efforts to provide survivorship care expand, ASCO and others will continue to develop needed quality measures in care delivery.
ASCO’s Quality Oncology Practice Initiative (QOPI®)
QOPI is an oncologist-led, practice-based quality improvement program. The program’s goal is to promote excellence in cancer care by helping practices create a culture of self-examination and improvement. The process employed for improving cancer care includes measurement, feedback and improvement tools for hematology-oncology practices.
Currently, QOPI includes several measures related to survivorship care. These measures include assessing treatment plan and summary taking as well as preparation and delivery of follow-up care plans. Visit the QOPI homepage to learn more about the program.
ASCO’s Breast Cancer Registry Pilot Program
From September 2009 to December 2010, twenty diverse oncology practices participated in the Breast Cancer Registry Pilot Program. The three goals of the Pilot Program were to:
- Generate an anonymized breast cancer registry database to inform future quality of care and research initiatives;
- Evaluate practices' perceived burden, value, usefulness, and effectiveness of patient discussions regarding treatment and survivorship using the treatment plan and summary reports generated by the Breast Cancer Registry; and
- Evaluate patients' perspectives regarding treatment and survivorship discussions integrating the treatment plan and summary reports generated by the registry.
The treatment plans and summaries generated from the registry were overwhelmingly accepted by patients, oncologists, and other medical personnel. Learn more about the findings of the pilot program:
Commission on Cancer Accreditation Standards
In September, 2012, the American College of Surgeons' Commission on Cancer released the Cancer Program Standards 2012 Version 1.1: Ensuring Patient Centered Care. The report outlines the standards focusing on patient-centered needs and brings an additional focus onto quality of care and outcomes.
These new 2012 standards were implemented in 2015 and focus on patient-centered areas, including the provision of treatment and survivorship plans. To achieve or maintain accreditation with the Commission on Cancer, cancer programs must develop and implement a process to disseminate comprehensive care summaries and follow-up care plans to cancer patients completing their cancer treatments.
For more information, read the entire 2012 standards report.
National Cancer Survivorship Resource Center - Moving Beyond Patient Satisfaction: Tips to Measure Program Impact
The National Cancer Survivorship Resource Center is a collaboration between the American Cancer Society and the George Washington University Cancer Institute, funded by the Centers for Disease Control and Prevention. Its goal is to shape the future of cancer survivorship care and improve the quality of life of cancer survivors as they transition from treatment to recovery. The Survivorship Center has developed resources for cancer survivors, health care professionals, and the policy and advocacy community.
The National Cancer Survivorship Resource Center published a brief guide detailing indicators and outcome measures. The guide can be used to monitor the success of survivorship programs.