Measuring quality of care in the treatment of colorectal cancer

The moffitt quality practice initiative

Paul B. Jacobsen, David Shibata, Erin M. Siegel, Mihaela Druta, Ji Hyun Lee, Jan Marshburn, Linda Davenport, Hugh Cruse, Richard Levine, Avantica Gondi, Richard Brown, Mokenge Malafa

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Purpose: The Moffitt Quality Practice (MQPI) is a practice-based system of quality self-assessment, the ultimate goal of which is to improve the quality of cancer care at a statewide level. The initial phase of this project focused on developing procedures, determining feasibility, land evaluating utility for assessing quality of care for colorectal, cancer within an existing affiliate network. Patients and Methods: Representatives from four oncology groups selected quality measures consistent with evidence-consensus-, and safety-based guidelines that could be abstracted from medical records, Trained abstractors then reviewed records of all eligible colorectal patients seen by each practice in 2004. Frequencies of responses for each indicator were tabulated for overall and practice-specific level of adherence and were compared among practices. Results: Adherence was uniformly high for several indicators, including confirmatory pathology report, staging information, and chemotherapy discussion or recommendation. Lower adherence was evident across practices for performance of carcino-embryonic tests and complete colonoscopic evaluations. Significant variation among practices was evident only for consent for chemotherapy. Conclusion: The initial phase of MQPI demonstrated the feasibility and utility of assessing quality indicators for colorectal cancer among members of an existing affiliate network. Findings identified areas where adherence to care was uniformly high, but also identified areas where both overall and practice-specific adherence were less than optimal, These efforts lay the groundwork for expanding MQPI in several directions that have in common the potential to improve the quality of cancer care on a statewide basis.

Original languageEnglish (US)
Pages (from-to)60-65
Number of pages6
JournalJournal of Oncology Practice
Volume3
Issue number2
DOIs
StatePublished - Mar 1 2007

Fingerprint

Quality of Health Care
Colorectal Neoplasms
Patient Advocacy
Drug Therapy
Medical Records
Neoplasms
Consensus
Therapeutics
Guidelines
Pathology
Safety

All Science Journal Classification (ASJC) codes

  • Oncology
  • Oncology(nursing)
  • Health Policy

Cite this

Measuring quality of care in the treatment of colorectal cancer : The moffitt quality practice initiative. / Jacobsen, Paul B.; Shibata, David; Siegel, Erin M.; Druta, Mihaela; Lee, Ji Hyun; Marshburn, Jan; Davenport, Linda; Cruse, Hugh; Levine, Richard; Gondi, Avantica; Brown, Richard; Malafa, Mokenge.

In: Journal of Oncology Practice, Vol. 3, No. 2, 01.03.2007, p. 60-65.

Research output: Contribution to journalArticle

Jacobsen, PB, Shibata, D, Siegel, EM, Druta, M, Lee, JH, Marshburn, J, Davenport, L, Cruse, H, Levine, R, Gondi, A, Brown, R & Malafa, M 2007, 'Measuring quality of care in the treatment of colorectal cancer: The moffitt quality practice initiative', Journal of Oncology Practice, vol. 3, no. 2, pp. 60-65. https://doi.org/10.1200/JOP.0722002
Jacobsen, Paul B. ; Shibata, David ; Siegel, Erin M. ; Druta, Mihaela ; Lee, Ji Hyun ; Marshburn, Jan ; Davenport, Linda ; Cruse, Hugh ; Levine, Richard ; Gondi, Avantica ; Brown, Richard ; Malafa, Mokenge. / Measuring quality of care in the treatment of colorectal cancer : The moffitt quality practice initiative. In: Journal of Oncology Practice. 2007 ; Vol. 3, No. 2. pp. 60-65.
@article{cb9364cea357469093389c99c3c5b991,
title = "Measuring quality of care in the treatment of colorectal cancer: The moffitt quality practice initiative",
abstract = "Purpose: The Moffitt Quality Practice (MQPI) is a practice-based system of quality self-assessment, the ultimate goal of which is to improve the quality of cancer care at a statewide level. The initial phase of this project focused on developing procedures, determining feasibility, land evaluating utility for assessing quality of care for colorectal, cancer within an existing affiliate network. Patients and Methods: Representatives from four oncology groups selected quality measures consistent with evidence-consensus-, and safety-based guidelines that could be abstracted from medical records, Trained abstractors then reviewed records of all eligible colorectal patients seen by each practice in 2004. Frequencies of responses for each indicator were tabulated for overall and practice-specific level of adherence and were compared among practices. Results: Adherence was uniformly high for several indicators, including confirmatory pathology report, staging information, and chemotherapy discussion or recommendation. Lower adherence was evident across practices for performance of carcino-embryonic tests and complete colonoscopic evaluations. Significant variation among practices was evident only for consent for chemotherapy. Conclusion: The initial phase of MQPI demonstrated the feasibility and utility of assessing quality indicators for colorectal cancer among members of an existing affiliate network. Findings identified areas where adherence to care was uniformly high, but also identified areas where both overall and practice-specific adherence were less than optimal, These efforts lay the groundwork for expanding MQPI in several directions that have in common the potential to improve the quality of cancer care on a statewide basis.",
author = "Jacobsen, {Paul B.} and David Shibata and Siegel, {Erin M.} and Mihaela Druta and Lee, {Ji Hyun} and Jan Marshburn and Linda Davenport and Hugh Cruse and Richard Levine and Avantica Gondi and Richard Brown and Mokenge Malafa",
year = "2007",
month = "3",
day = "1",
doi = "10.1200/JOP.0722002",
language = "English (US)",
volume = "3",
pages = "60--65",
journal = "Journal of Oncology Practice",
issn = "1554-7477",
publisher = "American Society of Clinical Oncology",
number = "2",

}

TY - JOUR

T1 - Measuring quality of care in the treatment of colorectal cancer

T2 - The moffitt quality practice initiative

AU - Jacobsen, Paul B.

AU - Shibata, David

AU - Siegel, Erin M.

AU - Druta, Mihaela

AU - Lee, Ji Hyun

AU - Marshburn, Jan

AU - Davenport, Linda

AU - Cruse, Hugh

AU - Levine, Richard

AU - Gondi, Avantica

AU - Brown, Richard

AU - Malafa, Mokenge

PY - 2007/3/1

Y1 - 2007/3/1

N2 - Purpose: The Moffitt Quality Practice (MQPI) is a practice-based system of quality self-assessment, the ultimate goal of which is to improve the quality of cancer care at a statewide level. The initial phase of this project focused on developing procedures, determining feasibility, land evaluating utility for assessing quality of care for colorectal, cancer within an existing affiliate network. Patients and Methods: Representatives from four oncology groups selected quality measures consistent with evidence-consensus-, and safety-based guidelines that could be abstracted from medical records, Trained abstractors then reviewed records of all eligible colorectal patients seen by each practice in 2004. Frequencies of responses for each indicator were tabulated for overall and practice-specific level of adherence and were compared among practices. Results: Adherence was uniformly high for several indicators, including confirmatory pathology report, staging information, and chemotherapy discussion or recommendation. Lower adherence was evident across practices for performance of carcino-embryonic tests and complete colonoscopic evaluations. Significant variation among practices was evident only for consent for chemotherapy. Conclusion: The initial phase of MQPI demonstrated the feasibility and utility of assessing quality indicators for colorectal cancer among members of an existing affiliate network. Findings identified areas where adherence to care was uniformly high, but also identified areas where both overall and practice-specific adherence were less than optimal, These efforts lay the groundwork for expanding MQPI in several directions that have in common the potential to improve the quality of cancer care on a statewide basis.

AB - Purpose: The Moffitt Quality Practice (MQPI) is a practice-based system of quality self-assessment, the ultimate goal of which is to improve the quality of cancer care at a statewide level. The initial phase of this project focused on developing procedures, determining feasibility, land evaluating utility for assessing quality of care for colorectal, cancer within an existing affiliate network. Patients and Methods: Representatives from four oncology groups selected quality measures consistent with evidence-consensus-, and safety-based guidelines that could be abstracted from medical records, Trained abstractors then reviewed records of all eligible colorectal patients seen by each practice in 2004. Frequencies of responses for each indicator were tabulated for overall and practice-specific level of adherence and were compared among practices. Results: Adherence was uniformly high for several indicators, including confirmatory pathology report, staging information, and chemotherapy discussion or recommendation. Lower adherence was evident across practices for performance of carcino-embryonic tests and complete colonoscopic evaluations. Significant variation among practices was evident only for consent for chemotherapy. Conclusion: The initial phase of MQPI demonstrated the feasibility and utility of assessing quality indicators for colorectal cancer among members of an existing affiliate network. Findings identified areas where adherence to care was uniformly high, but also identified areas where both overall and practice-specific adherence were less than optimal, These efforts lay the groundwork for expanding MQPI in several directions that have in common the potential to improve the quality of cancer care on a statewide basis.

UR - http://www.scopus.com/inward/record.url?scp=42649116140&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=42649116140&partnerID=8YFLogxK

U2 - 10.1200/JOP.0722002

DO - 10.1200/JOP.0722002

M3 - Article

VL - 3

SP - 60

EP - 65

JO - Journal of Oncology Practice

JF - Journal of Oncology Practice

SN - 1554-7477

IS - 2

ER -