Evaluating the impact of treatment care planning on quality measures

Academic Article

Abstract

  • © 2019 by American Society of Clinical Oncology PURPOSE The Center for Medicare & Medicaid Innovation Oncology Care Model (OCM) requires documentation of a 13-point Institute of Medicine care management plan for Medicare patients. In addition, OCM includes evaluation of quality using key performance measures that align with the ASCO Quality Oncology Practice Initiative (QOPI). Both efforts are designed to improve patient-centered care and foster patients’ engagement in their care plan. METHODS A multicenter quality improvement project was conducted to develop a strategy to meet the OCM treatment planning (TP) requirement (Plan), pilot clinician education coupled with use of electronic TP in early-stage breast cancer (Do), evaluate the impact of TP on QOPI measures (Study), and develop recommendations for future implementation (Act). RESULTS Thirty-three clinical providers and 171 women with breast cancer were included. Improved performance on several QOPI measures was observed for the intervention group compared with the historical control group. CONCLUSION Meeting the OCM TP requirement through incorporating a technology solution provided an opportunity for quality improvement and preparation for full-scale TP within the OCM. TP delivery was associated with improved performance on select ASCO QOPI measures, which is likely to correspond with improved performance on quality measures within OCM.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Rocque GB; Williams CP; Hathaway AR; Halilova KI; Stricker CT; Coombs NC; Dudley WN; Thomas KA; Gaguski M; Crist S
  • Start Page

  • E271
  • End Page

  • E276
  • Volume

  • 15
  • Issue

  • 3