Assessing the Quality of Cancer Care An Approach to Measurement in Georgia (2005) / Chapter Skim
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1 Introduction
1 Introduction
Pages 19-25
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preventing cancer and detecting existing cancers earlier; (2) improving access to quality care for all state residents with cancer; (3)
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IOM's Committee on Assessing Improvements in Cancer Care in Georgia was established in the fall of 2003 and was specifically charged with developing a set of quality-of-cancer care measures that, if implemented, could do the following: · measure GCC's impact on cancer prevention, early detection, diagnosis, treatment, and palliative and end-of-life care as well as trends in cancer morbidity and mortality; · provide insight into and help resolve economic, geographic, racial, and ethnic disparities in cancer care; · inform Georgia's governor, state legislature, and executive branch of GCC's progress; · contribute to quality improvement initiatives and health education related to cancer; and · educate the health care community and the general public about cancer and cancer care. IOM staff and the committee chair conducted a 2-day site visit to Georgia in advance of committee deliberations.
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These IOM reports contributed to the development of principles and a conceptual framework for assessing health care quality that will be reviewed in detail in Chapter 2, Concepts, Methods, and Data Sources. Coincident with IOM's thorough exploration of quality of health care in general, IOM's National Cancer Policy Board embarked on an examination of quality of care in the United States specific to cancer.
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-- and, in turn, have influenced other more recent efforts that build on IOM's contributions. In its 1997 final report, the President's Commission on Consumer Protection and Quality in the Health Care Industry made recommendations that ultimately resulted in the federal Agency for Healthcare Research and Quality's annual National Health Care Quality Report.
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The report on data systems also recommended that the Department of Health and Human Services designate a committee to "identify a single set of core quality measures that span the full spectrum of an individual's care and are based on the best available evidence." Shortly thereafter, the National Cancer Institute opened discussions with the NQF with the objective of funding the development of this core set. A steering committee to advise the NQF on how to proceed was formed, and this committee included two members of the National Cancer Policy Board and two members of the committee for this report.
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National Roundtable on Health Care Quality, Washington, DC: National Academy Press.
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2001b. Envisioning the National Health Care Quality Report.
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