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Executive Summary
Pages 1-7

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From page 1...
... An active health services research community furthers quality improvement by using data systems to determine correlates of quality cancer care and to elucidate the reasons for poor quality care. Quality assessment studies should ideally include recently diagnosed individuals with cancer in care settings representative of contemporary practice across the country and rely on information sources in sufficient detail to allow
From page 2...
... , and processes of care national quality assessments depend on the uniform recording of data elements needed to accurately assess care.
From page 3...
... reliance on hospital-based data retrieval, while cancer care is shifting to ambulatory care settings; . reliance on retrospective medical chart reviews for data, a method that is labor intensive, inefficient, and prone to error relative to the prospective electronic capture of information possible through computer-based patient record systems; .
From page 4...
... Most states do not have the resources to augment their current workload to conduct studies of quality care, which fall outside their primary mission of cancer surveillance; many states struggle merely to ensure that basic cancer surveillance continues. The ACoS-CoC and the American Cancer Society have long supported the examination of quality of cancer care through the most extensive national data collection effort dedicated to this purpose, NCDB.NCDB has tremendous potential to provide detailed information regarding quality to the facilities that report to it, thereby encouraging improvements in performance.
From page 5...
... Enhance key elements of the data system infrastructure: quality-of-care measures, cancer registries and databases, data collection technologies, and analytic capacity.
From page 6...
... Recommendation 3: Private cancer-related organizations should join the American Cancer Society and the American College of Surgeons' to provide financial support for the National Cancer Data Base. Expanded support would facilitate efforts underway to report quality benchmarks and performance data to institutions · .— provlalng cancer care.
From page 7...
... Recommendation 9: Federal research agencies (e.g., NCI, AHRQ, HCFA, VA) should fund demonstration projects to assess the application of quality monitoring programs within healthcare systems and the impact of data-driven changes in the delivery of services on the quality of health care.


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