Evidence map›Paper›PMID 35910498›Full record

ReviewJournal of the advanced practitioner in oncology2022

Measuring Advanced Practice Provider Productivity at the National Comprehensive Cancer Network's Member Institutions.

Diana Krause, Karen Sharrah, Anne Gross, Danielle Bowers, Daniel Mulkerin, Nancy Brandt, Kate Kennedy, Annie Austin, Aaron Begue, Rose Bell and 9 more

Abstract readReview
In one paragraph

Review in Journal of the advanced practitioner in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

19 authors.

Diana KrauseNational Comprehensive Cancer Network (NCCN), Plymouth Meeting, Pennsylvania.
Karen SharrahCity of Hope National Medical Center, Duarte, California.
Anne GrossDana-Farber Cancer Institute, Boston, Massachusetts.
Danielle BowersDana-Farber Cancer Institute, Boston, Massachusetts.
Daniel MulkerinUniversity of Wisconsin Carbone Cancer Center, Madison, Wisconsin.
Nancy BrandtUniversity of Wisconsin Carbone Cancer Center, Madison, Wisconsin.
Kate KennedyVanderbilt-Ingram Cancer Center, Nashville, Tennessee.
Annie AustinVanderbilt-Ingram Cancer Center, Nashville, Tennessee.
Aaron BegueMemorial Sloan Kettering Cancer Center, New York, New York.
Rose BellRoswell Park Comprehensive Cancer Center, Buffalo, New York.
Cheryl RaczykRoswell Park Comprehensive Cancer Center, Buffalo, New York.
Todd PickardUniversity of Texas MD Anderson Cancer Center, Houston, Texas.
Timothy KubalMoffitt Cancer Center, Tampa, Florida.
Dave JohnsonMoffitt Cancer Center, Tampa, Florida.
Kellyann JeffriesMassachusetts General Hospital Cancer Center, Boston, Massachusetts.
Vanna DestYale Cancer Center/Smilow Cancer Hospital, New Haven, Connecticut.
Rory RandallUniversity Hospitals Seidman Cancer Center, Cleveland, Ohio.
Jessica SugalskiNational Comprehensive Cancer Network (NCCN), Plymouth Meeting, Pennsylvania.
Gabrielle ZechaSeattle Cancer Care Alliance, Seattle, Washington.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Elisa de Stanchina · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Introduction: The utilization of advanced practice providers (APPs) in oncology has been growing over the last decade; however, there is no standard method for assessing an APP's contributions to oncology care. Methods: The NCCN Best Practices Committee (BPC) created an APP Workgroup to develop recommendations to support the roles of APPs at NCCN Member Institutions. The Workgroup conducted surveys to understand how NCCN centers measure productivity. This article will review the survey results and provide recommendations for measuring APP productivity. Results: Although 54% of responding centers indicated they utilize relative value units (RVU) targets for independent APP visits, 88% of APPs are either unsure or do not believe RVUs are an effective measurement of overall productivity. Relative value units do not reflect non-billable hours, and APPs perform a significant number of non-billable tasks that are important to oncology practices. Sixty-six percent of APPs believe that measuring disease-based team productivity is a more reasonable assessment of APP productivity than measuring productivity at the individual level. Conclusion: Our recommendation for cancer centers is to focus on the value that APPs provide to overall care delivery. Advanced practice provider productivity metrics should consider not only the number of patients seen by APPs, but also the high quality and thorough care delivered that contributes to the overall care of the patient and practice. Advanced practice providers can help improve access to care, deliver improved outcomes, and increase patient and provider satisfaction. Reducing the focus on RVUs, accounting for important non-RVU-generating activities, and incorporating quality and team metrics will provide a better overall picture of APP productivity.

Identifiers

PMID35910498
PMCPMC9328455

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.