Evidence map›Paper›PMID 28727487›Full record

ArticleJournal of oncology practice2017

Improving Care With a Portfolio of Physician-Led Cancer Quality Measures at an Academic Center.

Julie Bryar Porter, Eben Lloyd Rosenthal, Marcy Winget, Andrea Segura Smith, Sridhar Belavadi Seshadri, Yohan Vetteth, Eileen F Kiamanesh, Amogh Badwe, Ranjana H Advani, Mark K Buyyounouski and 12 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of oncology practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Julie Bryar PorterStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Eben Lloyd RosenthalStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Marcy WingetStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Andrea Segura SmithStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Sridhar Belavadi SeshadriStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Yohan VettethStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Eileen F KiamaneshStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Amogh BadweStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Ranjana H AdvaniStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Mark K BuyyounouskiStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Steven CoutreStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Frederick DirbasStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Vasu DiviStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Oliver DorigoStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Kristen N GanjooStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Laura J JohnstonStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Lawrence David RechtStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Joseph B ShragerStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Eila C SkinnerStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Susan M SwetterStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Brendan C VisserStanford Health Care; and Stanford Cancer Institute, Stanford, CA.
Douglas W BlayneyStanford Health Care; and Stanford Cancer Institute, Stanford, CA.

Funding

Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Melinda L. Telli · 2007 to 2026
$71.4M
NCI NIH HHS P30 CA124435
6 · The paper itself

Abstract

purposeDevelopment and implementation of robust reporting processes to systematically provide quality data to care teams in a timely manner is challenging. National cancer quality measures are useful, but the manual data collection required is resource intensive, and reporting is delayed. We designed a largely automated measurement system with our multidisciplinary cancer care programs (CCPs) to identify, measure, and improve quality metrics that were meaningful to the care teams and their patients.

methodsEach CCP physician leader collaborated with the cancer quality team to identify metrics, abiding by established guiding principles. Financial incentive was provided to the CCPs if performance at the end of the study period met predetermined targets. Reports were developed and provided to the CCP physician leaders on a monthly or quarterly basis, for dissemination to their CCP teams.

resultsA total of 15 distinct quality measures were collected in depth for the first time at this cancer center. Metrics spanned the patient care continuum, from diagnosis through end of life or survivorship care. All metrics improved over the study period, met their targets, and earned a financial incentive for their CCP.

conclusionOur quality program had three essential elements that led to its success: (1) engaging physicians in choosing the quality measures and prespecifying goals, (2) using automated extraction methods for rapid and timely feedback on improvement and progress toward achieving goals, and (3) offering a financial team-based incentive if prespecified goals were met.

Indexed as

Quality ImprovementQuality Indicators, Health CareAcademic Medical CentersCancer Care FacilitiesElectronic Health RecordsHumansMedical OncologyNeoplasmsPatient Care TeamPhysician Incentive PlansPhysiciansRadiation OncologySurgical OncologySurvivorshipTerminal Care

Identifiers

PMID28727487
PMCPMC5880618

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.