A process for measuring the quality of cancer care

The quality oncology practice initiative

Michael N. Neuss, Christopher E. Desch, Kristen K. McNiff, Peter D. Eisenberg, Dean H. Gesme, Joseph O. Jacobson, Mohammad Jahanzeb, Jennifer J. Padberg, John M. Rainey, Jeff J. Guo, Joseph V. Simone

Research output: Contribution to journalArticle

168 Citations (Scopus)

Abstract

Purpose: The Quality Oncology Practice Initiative (QOPI) is a practice-based system of quality self-assessment sponsored by the participants and the American Society of Clinical Oncology (ASCO). The process of quality evaluation, development of the pilot questionnaire, and preliminary results are reported. Methods: Physicians from seven oncology groups developed medical record abstraction measures based on practice guidelines and consensus-supported indicators of quality care. Each practice completed two rounds of records review and received practice and aggregate results. Mean frequencies of responses for each indicator were compared among practices. Results: Participants universally, if informally, find QOPI helpful, and results show statistically significant variation among practices for several indicators, including assessing pain in patients close to death, documentation of informed consent for chemotherapy, and concordance with granulocytic and erythroid growth factor administration guidelines. Measures with universally high concordance include the use of serotonin antagonist antiemetics according to the ASCO guideline; the presence of a pathology report in the record; the use of chemotherapy flow sheets; and adherence to standard chemotherapy recommendations for patients with certain stages of breast, colon, and rectal cancer. Concordance with quality indicators significantly changed between survey rounds for several measures. Conclusion: Pilot results indicate that the QOPI process provides a rapid and objective measurement of practice quality that allows comparisons among practices and over time. It also provides a mechanism for measuring concordance with published guidelines. Most importantly, it provides a tool for practice self-examination that can promote excellence in cancer care.

Original languageEnglish
Pages (from-to)6233-6239
Number of pages7
JournalJournal of Clinical Oncology
Volume23
Issue number25
DOIs
StatePublished - Dec 1 2005
Externally publishedYes

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Quality of Health Care
Guidelines
Drug Therapy
Self-Examination
Neoplasms
Serotonin Antagonists
Antiemetics
Medical Oncology
Rectal Neoplasms
Informed Consent
Practice Guidelines
Documentation
Colonic Neoplasms
Medical Records
Intercellular Signaling Peptides and Proteins
Consensus
Pathology
Breast Neoplasms
Physicians
Pain

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Neuss, M. N., Desch, C. E., McNiff, K. K., Eisenberg, P. D., Gesme, D. H., Jacobson, J. O., ... Simone, J. V. (2005). A process for measuring the quality of cancer care: The quality oncology practice initiative. Journal of Clinical Oncology, 23(25), 6233-6239. https://doi.org/10.1200/JCO.2005.05.948

A process for measuring the quality of cancer care : The quality oncology practice initiative. / Neuss, Michael N.; Desch, Christopher E.; McNiff, Kristen K.; Eisenberg, Peter D.; Gesme, Dean H.; Jacobson, Joseph O.; Jahanzeb, Mohammad; Padberg, Jennifer J.; Rainey, John M.; Guo, Jeff J.; Simone, Joseph V.

In: Journal of Clinical Oncology, Vol. 23, No. 25, 01.12.2005, p. 6233-6239.

Research output: Contribution to journalArticle

Neuss, MN, Desch, CE, McNiff, KK, Eisenberg, PD, Gesme, DH, Jacobson, JO, Jahanzeb, M, Padberg, JJ, Rainey, JM, Guo, JJ & Simone, JV 2005, 'A process for measuring the quality of cancer care: The quality oncology practice initiative', Journal of Clinical Oncology, vol. 23, no. 25, pp. 6233-6239. https://doi.org/10.1200/JCO.2005.05.948
Neuss MN, Desch CE, McNiff KK, Eisenberg PD, Gesme DH, Jacobson JO et al. A process for measuring the quality of cancer care: The quality oncology practice initiative. Journal of Clinical Oncology. 2005 Dec 1;23(25):6233-6239. https://doi.org/10.1200/JCO.2005.05.948
Neuss, Michael N. ; Desch, Christopher E. ; McNiff, Kristen K. ; Eisenberg, Peter D. ; Gesme, Dean H. ; Jacobson, Joseph O. ; Jahanzeb, Mohammad ; Padberg, Jennifer J. ; Rainey, John M. ; Guo, Jeff J. ; Simone, Joseph V. / A process for measuring the quality of cancer care : The quality oncology practice initiative. In: Journal of Clinical Oncology. 2005 ; Vol. 23, No. 25. pp. 6233-6239.
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