Value of coc accreditation
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Value of CoC Accreditation. The American College of Surgeons and The American Cancer Society Partners to Improve the Lives of Cancer Patients. The American Cancer Society funds the American College of Surgeons development of an approval program for cancer care clinic 1926.

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Value of coc accreditation

Value of CoC Accreditation


Value of coc accreditation

The American College of SurgeonsandThe American Cancer SocietyPartners to Improve the Lives of Cancer Patients

The American Cancer Society funds the American College of Surgeons development of an approval program for cancer care clinic

1926

The American Cancer Society funds the Cancer Physician Liaison programs to engage physicians in Commission on cancer accredited programs

1963

The American College of Surgeons and the American Cancer Society start their second century of their partnership

2013

1988

The American College of Surgeons pilots the National Cancer Data Base, the largest repository of cancer patient date in the world

1959

The American Cancer Society and the America College of Surgeons are the founding members of the American Joint Committee on Cancer to formulate and publish cancer classification systems and staging

1913

Overlapping groups of physicians found both the American College ofsSurgeons and the American Cancer Society

The Commission on Cancer gratefully acknowledges the support of the American Cancer Society for their support of the National Cancer Data Base


Value of coc accreditation

Commission

on

Cancer

Multi-disciplinary program

Quality Care

50 national professional

organizations


Quality improvement through accreditation

Quality Improvement through Accreditation

CoC set Standards

Provide Rigorous Data


Benefits of coc accreditation

Benefits of CoC Accreditation

Demonstrates commitment to quality care.

Improved patient outcomes across all domains of cancer care.

Dedicated resources to provide the screening, prevention treatment and support services.

Use of data applications to serve as the basis for quality improvement.

THINK ABOUT HOW THESE BENEFITS HELP YOUR CANCER PROGRAM AND PATIENTS!


Value of coc accreditation

Value of CoC Accreditation

PAYERS

CEOS

PROVIDERS

POLICYMAKERS

PATIENTS

Affect cost; increase revenue; ensure compliance

Show improved outcomes; lower costs

Give tools, information and structure to deliver best care

Proof of concept; educate public; demonstrate value

Reassurance and information about quality of care

Reputation, Compliance

Compliance Credentialing

Tools/

Structure

System/ Education

Public Education


Commission on cancer s response cancer program standards ensuring patient centered care

Commission on Cancer’s Response: ‘Cancer Program Standards: Ensuring Patient-Centered Care’

Focus on quality of care via performance metrics and quality improvement.

- Accountability & QI measures

- Genetic assessment and counseling

- Palliative care services

- Increase clinical trial accruals

- Prevention and early screening

- Studies of quality and improvements

- Public reporting of outcomes

- Patient navigation (2015)

- Psychosocial distress screening (2015)

- Survivorship care plan (2015)


Value of coc accreditation

CoC-Accredited Cancer Programs

37

7

11

7

6

16

23

10

7

71

37

5

38

1

40

12

72

15

5

12

25

81

48

5

75

47

103

13

23

39

11

7

34

26

35

39

37

8

15

8

5

17

4

19

11

42

85

32

72

3

2

Around 1500 CoC-accredited cancer programs in the US and Puerto Rico

6


Value of coc accreditation

  • The National Cancer Data Base (NCDB) is a nationwide oncology database that verifies data submitted by the registries of all CoC-accredited cancer programs.

  • NCDB Tools:

    • Cancer Program Practice Profile Reports (CP3R)

    • Rapid Quality Reporting System (RQRS)

    • Quality Measures

    • Cancer Quality Improvement Program (CQIP)

    • Participant User File

    • NCDB Data Completeness Reports

    • Hospital Comparison Benchmark Reports

    • Survival Reports


Value of coc accreditation

Cancer Program Practice Profile Reports (CP3R)

Provides feedback to:

Improve the quality of data across several disease sites.

Foster pre-emptive awareness to the importance of charting and coding accuracy.

Improve clinical management and coordination of patient care in the multidisciplinary setting.

Updated CP3R Report includes several modifications:

For 2014 surveys, cases diagnosed in 2010 and 2011 are reviewed (Standards 4.4 and 4.5).

CP3R update involves data submitted during 2012 and 2013 NCDB “Calls for Data”.


Utilizing cp 3 r data

Utilizing CP3R Data


Why use rqrs

Why Use RQRS?

This is

old news!


Rapid quality reporting system rqrs

Rapid Quality Reporting System (RQRS)

Allows expedited data entry of a critical items specifically relevant to anticipated standard of care treatments.

Enables data reporting on patients concurrently.

Shows up-to-date concordance rates relative to other programs.

Provides hospitals timely notification of treatment expectations allowing intervention (e.g. transportation) when patients have not received all components of treatment.

Generates Treatment Summaries.


Value of coc accreditation

RQRS Participation

22

5

4

3

4

9

12

1

2

21

14

2

27

1

11

2

29

9

10

2

14

32

0

23

24

24

41

7

14

13

2

2

2

9

17

21

8

1

1

6

4

8

1

4

5

31

26

11

19

1

0

1

765 participating sites

~ 54% of CoC Accredited Institutions


Rqrs benefits

RQRS Benefits

Identify patients who are at risk of “slipping through the cracks”.

Encourages collection of adjuvant treatment information and assists with the prevention of delay patients’ treatment.

Compares your performance rates with other participating cancer programs; and performance over time.


Using the rqrs features

Using the RQRS Features

Year-to-date performance dashboards

Online prospective alerts

Emailed monthly alert reports

Patient Rx summary report

Comparison reports


Quality measure reports

Quality Measure Reports

COLON

Adjuvant chemotherapy for lymph node positive

At least 12 lymph nodes are removed and examined

RECTUM

Radiation therapy with surgical resection (quality improvement measure)

BREAST

Post breast conservation irradiation

Combination chemotherapy for hormone receptor negative

Adjuvant hormonal therapy for hormone receptor positive

Breast conserving surgery rate (surveillance measure)


Cancer quality improvement program cqip

Cancer Quality Improvement Program (CQIP)

  • CQIP = Data-drivenprocess and outcomes-basedcancer quality improvement initiative.

  • Website accompanies the slide set providing information supporting reports, technical details, report creation, and scientific justification and references for quality measures.

  • Initial release data includes:

  • Compliance with CoC-adopted quality measures

  • Volume data for complex surgical oncology operations with 30-day mortality (if a minimum volume threshold is met)

  • Unadjusted survival data for selected cancer sites

  • Other clinical data and administrative data, which will be updated and expanded annually.


Value of coc accreditation

Participant User Files

Investigators can apply for a disease site-specific Participant User File (PUF).

Used to review and advance the quality of cancer care through analysis of cases reported to the NCDB.

Promotes retention of physicians at your facility.

International and national presentations, and peer-reviewed publications.

178 applicants in 2013.


Ncdb data completeness report

NCDB Data Completeness Report

Purpose: Informs programs about incomplete data in abstracts.

  • Report and Case Identifiers

  • Patient Characteristics

  • Diagnostic and Staging Items

  • Surgery Items

  • Radiation and other treatment Items

  • 2011 data submitted in 2013; 2012 in 2014 

  • 5-year follow-up for cases diagnosed in 2006; 2012 data submitted in 2014

Content of Completeness Reports


Hospital comparison benchmark reports

Hospital Comparison Benchmark Reports

Aggregates and compares:

  • Hospital system

  • State

  • Region

  • National

    Assist with product line analyses and program assessments:

  • Define where your hospital is losingor gaining patients

  • Identifies areas for outreach

  • Data for grant applications


Survival reports

Survival Reports

Unadjusted Survival Rates by Stage

Breast Cancer

Colon Cancer

Non–Small-Cell Lung Cancer

Prostate Cancer


Inspiring quality

INSPIRING QUALITY

“Driven by Highest Standards, Better Outcomes”

[Video Link]

http://inspiringquality.facs.org/gallery/videos/


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