Eurochip austria quality assessment and improvement in gynoncology
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EUROCHIP AUSTRIA Quality Assessment and Improvement in GynOncology . Willi Oberaigner, Innsbruck. Aim. Introduce a system of quality assessment and quality improvement in gynaecological departments in Austria

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Eurochip austria quality assessment and improvement in gynoncology

EUROCHIP AUSTRIAQuality Assessment and Improvement in GynOncology

Willi Oberaigner, Innsbruck


Aim

  • Introduce a system of quality assessment and quality improvement in gynaecological departments in Austria

    • for main cancer sites: cervical cancer, endometrium cancer, ovarian cancer, breast cancer

Varenna 2007


Methods
Methods

  • Questionnaire based system for ovarian cancer introduced in 1999

    • feasible

    • about 2/3 of gynaecological departments collaborate

  • Patient status by record linkage to official mortality file of Austria (Stat. Austria)

  • Quality indicators

  • Yearly benchmarking information for every department

  • Quality improvement depends on decision of every department

Varenna 2007


Methods1
Methods

  • Expanding system to

    • cervical cancer

    • endometrium cancer

    • breast cancer

    • restricted to gynaecological units

Varenna 2007


Results
Results

  • 73 departments out of 95 departments collaborate

  • proportion of cancer cases covered by system

    • 50% of ovarian cancer

    • 40% of endometrium cancer

    • 50% of cervical cancer

    • 15% of breast cancer!! breast cancer cases are mainly treated by surgical departments

Varenna 2007


Future steps
Future steps

  • Expanding the system to a higher proportion of gynaecological departments

  • Expanding the system to an internet based data collection.

  • Introducing a system of data monitoring in order to check validity of information.

  • Introducing a system of structured quality improvement

Varenna 2007


Conclusion
Conclusion

  • System

    • is feasible

    • covers about 50% of gynecological cancer sites

    • benchmarking system works

    • need a system of organised quality improvement

Varenna 2007


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