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Attend this session at the
2019 ASCO Annual Meeting!


Session: Health Services Research, Clinical Informatics, and Quality of Care

Type: Poster Session

Time: Saturday June 1, 1:15 PM to 4:15 PM

Location: Hall A

Multi-institution quality improvement in supportive oncology: Results of the Coleman Supportive Oncology Collaborative (CSOC).

Sub-category:
Quality of Care/Quality Improvement

Category:
Health Services Research, Clinical Informatics, and Quality of Care

Meeting:
2019 ASCO Annual Meeting

Abstract No:
6606

Poster Board Number:
Poster Session (Board #297)

Citation:
J Clin Oncol 37, 2019 (suppl; abstr 6606)

Author(s): Paramjeet Khosla, Julia Rachel Trosman, Betty Roggenkamp, Teresa Lillis, Joanna Martin, Shelly S. Lo, Mary Pasquinelli, Eileen Knightly, Anne Bowman, Selina Lai-ming Chow, Urjeet Patel, Rosa Berardi, Aidnag Diaz, Sheetal Mehta Kircher, Christine B. Weldon; Mount Sinai Hospital, Chicago, IL; Center for Business Models in Healthcare, Chicago, IL; Rush University Medical Center, Chicago, IL; Jesse Brown VA Medical Center, Chicago, IL; Loyola University Medical Center, Maywood, IL; University of Illinois Hospital and Health Sciences System, Chicago, IL; UnityPoint Health Methodist, Peoria, IL; University of Chicago Medical Center, Chicago, IL; John H. Stroger, Jr. Hospital of Cook County, Chicago, IL; Coleman Foundation, Chicago, IL; Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL; Northwestern University Feinberg School of Medicine, Chicago, IL

Abstract Disclosures

Abstract:

Background: The Institute of Medicine and Commission on Cancer recommend systematic delivery of supportive oncology care for cancer patients. The CSOC is focused on quality improvement (QI) of supportive care across Chicago cancer centers (Weldon ASCO ’17). Supportive oncology includes distress, practical, family, physical, nutrition, pain, fatigue and care concerns. To support QI, cross-institution teams developed unique, relevant tools, methods, care delivery processes, patient handouts and online training. Methods: Ten centers (5 academic, 1 VA, 1 public, 2 safety net, 1 community) implemented supportive oncology screening and care delivery quality improvements. Centers collected data for relevant Quality Oncology Practice Initiative (QOPI) metrics. Analyses used simple frequencies and Fishers exact test. Results: Five of six QOPI measures were improved at statistically significant levels from 2014 to 2017, p < .00001. Improvements are more modest in 2016 & 2017 as 4 of the centers started this QI in 2017. Conclusions: The CSOC achieved significant improvements in supportive oncology screening and identifying and addressing patients’ needs and concerns. Additional work is needed to improve these measures to achieve the best quality of cancer care possible for every patient based on their needs and concerns.

MeasureQOPI #2014201520162017P-value 2014 to 2017
Patients screened for supportive oncology needs, including distress2417%
(148/843)
38%
(415/1075)
53%
(678/1283)
69%
(537/779)
< 0.0001
Stage IV patients screened for supportive oncology needs, within 30 days of diagnosis246%
(27/452)
15%
(58/379)
22%
(78/359)
35%
(91/261)
< 0.0001
Patients with one or more supportive oncology need identified and addressed2536%
(303/843)
38%
(413/1075)
46%
(587/1283)
56%
(439/779)
< 0.0001
Documented discussion on understanding of illness254%
(453/843)
55
(592/1075)
66
(627/945)
55
(432/779)
NS
Patients given prognosis time frame (days to weeks, weeks to months, months to years, years+)224%
(205/843)
34%
(364/1075)
43%
(403/945)
44%
(340/779)
< 0.0001
Stage IV patients with documented palliative referral4315%
(68/452)
43%
(163/379)
36%
(128/359)
36%
(94/261)
< 0.0001

 
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2. Comparison of normal saline versus heparin flush solutions for maintaining patency of central venous catheter in cancer patients.

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3. Preventing excess narcotic prescriptions in MIS urologic oncology discharges (PENN): A prospective cohort quality improvement initiative.

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