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PATIENT AND SURVIVOR CARE Moving Survivorship Care Forward: Lessons from Quality Measures CHAIR Mary S. McCabe, RN, BA, BS, MA Memorial Sloan Kettering Cancer Center New York, NY SPEAKERS Charles L. Shapiro, MD Mount Sinai School of Medicine New York, NY Deborah K. Mayer, PhD, RN, AOCN, FAAN UNC Lineberger Comprehensive Cancer Center Chapel Hill, NC
ASSURING QUALITY CANCER SURVIVORSHIP CARE: WE’VE ONLY JUST BEGUN Assuring Quality Cancer Survivorship Care: We’ve Only Just Begun Deborah K. Mayer, PhD, RN, AOCN, FAAN, Charles L. Shapiro, MD, Paul Jacobson, MD, and Mary S. McCabe, RN, BA, BS, MA OVERVIEW Clinical practice guidelines, quality metrics, and performance improvement projects are the key tools of the national movement to improve and assure quality cancer care. Each of these evaluation instruments is intended to assess quality from a unique perspective, including that of the individual provider, the practice/hospital, and the health care system. A number of organizations have developed or endorsed quality measures specific to cancer, however, these have not formally included survivorship measures. Fortunately, the American Society of Clinical Oncology (ASCO), the National Comprehensive Cancer Network, the American Cancer Society, and the American College of Surgeons (ACoS) have taken a leadership role in developing survivorship guidelines and quality metrics. Both ASCO and ACoS have focused their efforts on the treatment summary and care plan, a document that was proposed in the 2006 Institute of Medicine report on cancer survivorship. ASCO has proposed a care plan template for implementation and incorporation into the electronic health records (EHR), which will lend itself to structure, process, and outcome measurement. ACoS, conversely, has included the care plan in its cancer program standards with annual evaluation metrics. In addition, ASCO has developed a number of key survivorship-relevant metrics as part of its Quality Oncology Practice Initiative (QOPI), a tool developed to measure quality cancer care and assess adherence to guidelines across academic and community practices. Together, these efforts will direct us to more effective ways to disseminate guideline recommendations and to better methods of assessing quality survivorship care nationally. Increasingly, the fıeld of oncology is focused on the implementation of strategies to improve care with an emphasis on evaluation. However, this process of implementation and evaluation is not linear; rather, it is a cyclical process in which, ideally, evidence is translated into practice and practice is reviewed and improved on the basis of evaluation, which in turn leads to new research hypotheses. Clinical practice guidelines (CPGs), quality metrics, and performance improvement projects are the key tools of this national movement to improve and assure quality cancer care. As identifıed in the 2013 Institute of Medicine report, Delivering High-Quality Cancer Care, cancer quality measures are intended to “provide objective descriptors of the consequences of care and transform the nebulous concept of ‘good medicine’ into a measurable discipline.” 1 Identifying and assessing quality require measures that assist and support health care systems, practices, and clinicians. Each of these instruments of evaluation is intended to evaluate quality from a unique perspective. For example, CPGs translate research results into evidence-based guidance for clinicians; performance improvement projects are operational at the local level as a means of making improvements, often at the site of care. 1 Quality metrics are intended to evaluate the quality of clinician and/or practice performance compared with recommended practice, with a focus on identifying areas for improvement. In support of this quality movement, a number of professional and nonprofıt organizations have developed or endorsed quality measures that are specifıc to or applicable to cancer for use in performance improvement and national reporting programs. Notably, the National Quality Forum (NQF), through funding from public and private sources beginning in 2009, has endorsed more than 62 cancer-specifıc measures that were developed by professional medical organizations through a consensus process. 2,3 The Agency for Healthcare Quality and Research (AHRQ) through its National Quality Measures Clearinghouse has set up a repository that includes hundreds of cancer-specifıc measures that have been developed by NQF and other national and international organizations. 4 The scope of these cancer-specifıc measures, however, are focused on screening, diagnosis and staging, initial treatment, and end-of-life issues, such as symptom management. Neither organization currently includes measures that specifıcally focus on the cancer survivorship period. From the School of Nursing, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC; Dubin Breast Center, Translational Breast Cancer Research, Tisch Cancer Institute, Mount Sinai Medical Center, Division of Hematology/Medical Oncology, Tisch Cancer Institute, New York, NY; Clinical Programs, Survivorship Center, Memorial Sloan Kettering Cancer Center, New York, NY. Disclosures of potential conflicts of interest are found at the end of this article. Corresponding author: Mary S. McCabe, RN, BA, BS, MA, Memorial Sloan Kettering Cancer Center, Room M2101J, 1275 York Ave., New York, NY 10065; email: mccabem@mskcc.org. © 2015 by American Society of Clinical Oncology. asco.org/edbook | 2015 ASCO EDUCATIONAL BOOK e583
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AMERICAN SOCIETY OF CLINICAL ONCOLO
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American Society of Clinical Oncolo
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Controversies in Neoadjuvant Therap
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Clinical Trials of Precision Medici
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Managing Ovarian Cancer in the Olde
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Updates in the Multimodality Manage
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PEDIATRIC ONCOLOGY Real-Time Molecu
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2015 ASCO Annual Meeting Disclosure
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2015 Educational Book Expert Panel
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James Marshall, PhD Roswell Park Ca
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2015 Annual Meeting Supporters* MIS
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David Yurman Corporate Allies Conqu
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GYNECOLOGIC CANCER Cervical Cancer
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GYNECOLOGIC CANCER Managing Ovarian
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DUSKA, TEW, AND MOORE KEY POINTS A
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GYNECOLOGIC CANCER Treatment of the
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CHEMOTHERAPY FOR PATIENTS WITH BMOC
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HEALTH SERVICES RESEARCH AND QUALIT
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INDUSTRY AND ONCOLOGY KEY POINTS F
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INDUSTRY AND ONCOLOGY by (covered)
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INDUSTRY AND ONCOLOGY 42. World Hea
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CANCER CARE QUALITY: CURRENT STATE
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MANAGING OLDER PATIENTS WITH ALL Th
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MANAGING OLDER PATIENTS WITH ALL FI
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TREATMENT OF PHILADELPHIA CHROMOSOM
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CD19 CAR THERAPY FOR ALL FIGURE 1.
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CD19 CAR THERAPY FOR ALL 5. Zhou G,
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PEMMARAJU AND MOLITERNO TABLE 1. Ac
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THERAPIES AND INDICATIONS FOR PH-NE
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LUNG CANCER Updates in the Multimod
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WOODARD AND JABLONS section, becaus
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NASSER HANNA Current Standards and
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NASSER HANNA At the 2014 ASCO Annua
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NASSER HANNA culty of this task. Va
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LYMPHOMA AND PLASMA CELL DISORDERS
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NOWAKOWSKI AND CZUCZMAN sociated wi
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CHEAH, OKI, AND FANALE Novel Treatm
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STEPHEN ANSELL associated with pati
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MATEOS AND SAN MIGUEL Smoldering Mu
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MOREAU AND TOUZEAU Multiple Myeloma
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LYMPHOMA AND PLASMA CELL DISORDERS
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MANAGEMENT OF CLL Up-Front Manageme
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MANAGEMENT OF CLL than 17p-/TP53mut
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MANAGEMENT OF CLL could be associat
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MANAGEMENT OF CLL tion by nonmalign
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MANAGEMENT OF CLL lymphocytic leuke
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PROGNOSTIC FACTORS AND ADJUVANT RAD
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MERKEL CELL CARCINOMA Merkel Cell C
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MERKEL CELL CARCINOMA tions in PIK3
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MERKEL CELL CARCINOMA treating MCC
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MERKEL CELL CARCINOMA 32. Leonard J
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PERFUSION AND INFUSION IN THE ERA O
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NEOADJUVANT THERAPY OF MELANOMA Neo
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MELANOMA/SKIN CANCERS Targeted Mole
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SULLIVAN ET AL FIGURE 1. Relevant S
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SULLIVAN ET AL Resistance to BRAF i
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SULLIVAN ET AL TABLE 1. Clinical Tr
Page 750 and 751: SULLIVAN ET AL 17. Halait H, Demart
Page 752 and 753: SULLIVAN ET AL NRAS-mutant melanoma
Page 754 and 755: KLEPIN, RODIN, AND HURRIA Treating
Page 756 and 757: KLEPIN, RODIN, AND HURRIA plication
Page 758 and 759: KLEPIN, RODIN, AND HURRIA plan was
Page 760 and 761: KLEPIN, RODIN, AND HURRIA patient-s
Page 762 and 763: KLEPIN, RODIN, AND HURRIA 62. Blanc
Page 764 and 765: PERIPHERAL NEUROTOXICITY IN CANCER
Page 772 and 773: PARTRIDGE, JACOBSEN, AND ANDERSEN C
Page 774 and 775: PARTRIDGE, JACOBSEN, AND ANDERSEN c
Page 776 and 777: PARTRIDGE, JACOBSEN, AND ANDERSEN w
Page 778 and 779: PARTRIDGE, JACOBSEN, AND ANDERSEN v
Page 780 and 781: LESLIE R. SCHOVER Sexual Healing in
Page 782 and 783: LESLIE R. SCHOVER tinuous ADT in pr
Page 784 and 785: LESLIE R. SCHOVER 12. Potosky AL, H
Page 786 and 787: CATHERINE H. VAN POZNAK TABLE 1. Wo
Page 788 and 789: CATHERINE H. VAN POZNAK (tamoxifen,
Page 790 and 791: CATHERINE H. VAN POZNAK TABLE 3. FD
Page 792 and 793: CATHERINE H. VAN POZNAK premenopaus
Page 794 and 795: SHARI GOLDFARB KEY POINTS Brea
Page 796 and 797: SHARI GOLDFARB and friction with va
Page 798 and 799: SHARI GOLDFARB importance both duri
Page 802 and 803: MAYER ET AL TABLE 1. Quality Metric
Page 804 and 805: MAYER ET AL to enhance the quality
Page 806 and 807: MAYER ET AL FIGURE 2. (A) Infertili
Page 808 and 809: MAYER ET AL efıcial suggests that
Page 810 and 811: PATIENT AND SURVIVOR CARE The Chall
Page 812 and 813: BRUERA AND PAICE Choice of Opioid a
Page 814 and 815: BRUERA AND PAICE toxicity and proce
Page 816 and 817: BRUERA AND PAICE effective. Basic s
Page 818 and 819: PEDIATRIC ONCOLOGY Real-Time Molecu
Page 820 and 821: CARROLL, RAETZ, AND MEYER KEY POINT
Page 822 and 823: CARROLL, RAETZ, AND MEYER most are
Page 824 and 825: CARROLL, RAETZ, AND MEYER markers a
Page 826 and 827: PEDIATRIC ONCOLOGY Translating Surv
Page 828 and 829: REDUCING THE BURDEN OF LATE EFFECTS
Page 836 and 837: PROFESSIONAL DEVELOPMENT The Challe
Page 838 and 839: ADVANCES IN WEBSITE INFORMATION RES
Page 846 and 847: COMMUNICATION AND TECHNOLOGY: IT’
Page 848 and 849: COMMUNICATION AND TECHNOLOGY: IT’
Page 850 and 851:
COMMUNICATION AND TECHNOLOGY: IT’
Page 852 and 853:
PATIENT-REPORTED OUTCOMES IN ONCOLO
Page 854 and 855:
PATIENT-REPORTED OUTCOMES IN ONCOLO
Page 856 and 857:
PROFESSIONAL DEVELOPMENT Trends, An
Page 858 and 859:
CLINICAL ONCOLOGY PRACTICE 2015 FIG
Page 860 and 861:
CLINICAL ONCOLOGY PRACTICE 2015 (6.
Page 862 and 863:
CLINICAL ONCOLOGY PRACTICE 2015 Pro
Page 864 and 865:
ADJUVANT/NEOADJUVANT MEDICAL THERAP
Page 866 and 867:
Page 868 and 869:
Page 870 and 871:
INDICATIONS FOR ADJUVANT RADIATION
Page 872 and 873:
Page 874 and 875:
Page 876 and 877:
Page 878 and 879:
SARCOMA Latest Advances in Systemic
Page 880 and 881:
SYSTEMIC THERAPY FOR OSTEOSARCOMA A
Page 882 and 883:
SYSTEMIC THERAPY FOR OSTEOSARCOMA A
Page 884 and 885:
RETHINKING TREATMENT FOR CHONDROSAR
Page 886 and 887:
Page 888 and 889:
Page 890 and 891:
Page 892 and 893:
BONE SARCOMAS IN ADULTS local disea
Page 894 and 895:
BONE SARCOMAS IN ADULTS structure a
Page 896 and 897:
SARCOMA Well-Differentiated and Ded
Page 898 and 899:
ABBAS MANJI ET AL ticular region. 7
Page 900 and 901:
ABBAS MANJI ET AL MYXOID (ROUND CEL
Page 902 and 903:
ABBAS MANJI ET AL versus doxorubici
Page 904 and 905:
SHLUSH AND HERSHKOVITZ Clonal Evolu
Page 906 and 907:
SHLUSH AND HERSHKOVITZ FIGURE 1. Ti
Page 908 and 909:
TUMOR BIOLOGY New Strategies to Und
Page 910 and 911:
KNAPP, DHAWAN, AND OSTRANDER in dog
Page 912 and 913:
KNAPP, DHAWAN, AND OSTRANDER TABLE
Page 914 and 915:
KNAPP, DHAWAN, AND OSTRANDER 14. Fe
Page 916 and 917:
SOURBIER, SRINIVASAN, AND LINEHAN M
Page 918 and 919:
SOURBIER, SRINIVASAN, AND LINEHAN F
Page 920 and 921:
SOURBIER, SRINIVASAN, AND LINEHAN T
Page 922:
Author Index Abbas Manji, Gulam ...
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