PURPOSE: The Florida Initiative for Quality Cancer Care (FIQCC) comprises 11 Florida practice sites that participate in comprehensive reviews of quality of care specific to patients with cancer. Here, we examined site adherence to performance indicators to assess quality of care for patients with breast cancer (BC). METHODS: Quality indicators were scripted on the basis of accepted guidelines from the Quality Oncology Practice Initiative, National Comprehensive Cancer Network, American College of Surgeons, and site-specific expert panel consensus. Comprehensive chart reviews, including both medical and surgical oncology quality measures, were conducted for patients with BC first seen in 2006 by a medical oncologist at one of the sites. Statistical comparisons were made by the Pearson χ(2) exact test, using Monte Carlo estimation. RESULTS: Charts of 622 patients were reviewed. Of the 34 indicators, seven for medical oncology and four for surgical oncology fell below the 85% level of adherence. A statistically significant difference (P < .001) in variation of performance across the sites was found for the following medical and surgical oncology indicators: documentation of menopausal status, family history, informed consent, planned chemotherapy regimen and flow sheet, American Joint Committee on Cancer staging, HER2/neu status, reporting of margin orientation and inking of the margins, histological grade, having a sentinel lymph node biopsy for invasive BC, and obtaining a mammogram within 14 months of definitive surgery. CONCLUSION: The FIQCC has identified how multiple aspects of BC care can be improved. Findings are being used at the participating institutions to guide quality improvement efforts.
PURPOSE: The Florida Initiative for Quality Cancer Care (FIQCC) comprises 11 Florida practice sites that participate in comprehensive reviews of quality of care specific to patients with cancer. Here, we examined site adherence to performance indicators to assess quality of care for patients with breast cancer (BC). METHODS: Quality indicators were scripted on the basis of accepted guidelines from the Quality Oncology Practice Initiative, National Comprehensive Cancer Network, American College of Surgeons, and site-specific expert panel consensus. Comprehensive chart reviews, including both medical and surgical oncology quality measures, were conducted for patients with BC first seen in 2006 by a medical oncologist at one of the sites. Statistical comparisons were made by the Pearson χ(2) exact test, using Monte Carlo estimation. RESULTS: Charts of 622 patients were reviewed. Of the 34 indicators, seven for medical oncology and four for surgical oncology fell below the 85% level of adherence. A statistically significant difference (P < .001) in variation of performance across the sites was found for the following medical and surgical oncology indicators: documentation of menopausal status, family history, informed consent, planned chemotherapy regimen and flow sheet, American Joint Committee on Cancer staging, HER2/neu status, reporting of margin orientation and inking of the margins, histological grade, having a sentinel lymph node biopsy for invasive BC, and obtaining a mammogram within 14 months of definitive surgery. CONCLUSION: The FIQCC has identified how multiple aspects of BC care can be improved. Findings are being used at the participating institutions to guide quality improvement efforts.
Authors: Eric C Schneider; Jennifer L Malin; Katherine L Kahn; Ezekiel J Emanuel; Arnold M Epstein Journal: J Clin Oncol Date: 2004-08-01 Impact factor: 44.544
Authors: Joseph O Jacobson; Michael N Neuss; Kristen K McNiff; Pamela Kadlubek; Leroy R Thacker; Frank Song; Peter D Eisenberg; Joseph V Simone Journal: J Clin Oncol Date: 2008-04-10 Impact factor: 44.544
Authors: Jennifer L Malin; Eric C Schneider; Arnold M Epstein; John Adams; Ezekiel J Emanuel; Katherine L Kahn Journal: J Clin Oncol Date: 2006-01-09 Impact factor: 44.544
Authors: Stephanie J Lee; Leslie R Schover; Ann H Partridge; Pasquale Patrizio; W Hamish Wallace; Karen Hagerty; Lindsay N Beck; Lawrence V Brennan; Kutluk Oktay Journal: J Clin Oncol Date: 2006-05-01 Impact factor: 44.544
Authors: Mokenge P Malafa; Michelle M Corman; David Shibata; Erin M Siegel; Ji-Hyun Lee; Paul B Jacobsen Journal: Cancer Control Date: 2009-10 Impact factor: 3.302
Authors: Tawee Tanvetyanon; Michelle Corman; Ji-Hyun Lee; William J Fulp; Fred Schreiber; Richard H Brown; Richard M Levine; Thomas H Cartwright; Guillermo Abesada-Terk; George P Kim; Carlos Alemany; Douglas Faig; Philip V Sharp; Merry-Jennifer Markham; Gerold Bepler; Erin Siegel; David Shibata; Mokenge Malafa; Paul B Jacobsen Journal: J Oncol Pract Date: 2011-11 Impact factor: 3.840
Authors: 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; Steven Coutre; Frederick Dirbas; Vasu Divi; Oliver Dorigo; Kristen N Ganjoo; Laura J Johnston; Lawrence David Recht; Joseph B Shrager; Eila C Skinner; Susan M Swetter; Brendan C Visser; Douglas W Blayney Journal: J Oncol Pract Date: 2017-07-20 Impact factor: 3.840
Authors: Christine Laronga; Jhanelle E Gray; Erin M Siegel; Ji-Hyun Lee; William J Fulp; Michelle Fletcher; Fred Schreiber; Richard Brown; Richard Levine; Thomas Cartwright; Guillermo Abesada-Terk; George Kim; Carlos Alemany; Douglas Faig; Phillip Sharp; Merry-Jennifer Markham; David Shibata; Mokenge Malafa; Paul B Jacobsen Journal: J Am Coll Surg Date: 2014-07-01 Impact factor: 6.113
Authors: Erin M Siegel; Paul B Jacobsen; Mokenge Malafa; William Fulp; Michelle Fletcher; Ji-Hyun Lee; Jesusa Corazon R Smith; Richard Brown; Richard Levine; Thomas Cartwright; Guillermo Abesada-Terk; George Kim; Carlos Alemany; Douglas Faig; Philip Sharp; Merry-Jennifer Markham; David Shibata Journal: J Oncol Pract Date: 2012-06-12 Impact factor: 3.840
Authors: Erin M Siegel; Paul B Jacobsen; Ji-Hyun Lee; Mokenge Malafa; William Fulp; Michelle Fletcher; Jesusa Corazon R Smith; Richard Brown; Richard Levine; Thomas Cartwright; Guillermo Abesada-Terk; George Kim; Carlos Alemany; Douglas Faig; Philip Sharp; Merry-Jennifer Markham; David Shibata Journal: J Am Coll Surg Date: 2013-11-23 Impact factor: 6.113
Authors: P A van Dam; L Verkinderen; J Hauspy; P Vermeulen; L Dirix; M Huizing; S Altintas; K Papadimitriou; M Peeters; W Tjalma Journal: Facts Views Vis Obgyn Date: 2013
Authors: Timothy Kubal; Doug G Letson; Alberto A Chiappori; Gregory M Springett; Riti Shimkhada; Diana Tamondong Lachica; John W Peabody Journal: BMJ Open Date: 2016-09-13 Impact factor: 2.692