support group that I think would be helpful to you?” Setting time aside to have a conversation is what the Survivorship Care Plan template will facilitate. It is a starting point, and there is agreement that we have to get started.

Dr. Michael Fordis of Baylor College of Medicine mentioned the possibility of granting credit for continuing medical education (CME) as an incentive for using the Survivorship Care Plan template. Some CME credits are being granted to individuals who are participating in quality improvement initiatives. Maintenance of certification was mentioned as another potential incentive, but the experience nationally is that relatively few providers participate in quality programs in response to this incentive. Dr. Ganz pointed out that there is a large group of physicians who completed their training more than 10 years ago and who are now required to do something for their American Board of Internal Medicine recertification. This may provide an impetus for some to participate in the QOPI project. The initial cohort of QOPI participants was motivated by competition and an interest in peer evaluation. Once there is agreement on the treatment summary, its completion could be considered for inclusion in the QOPI quality measure set. This may occur in the next 2 to 3 years. ASCO is discussing with the National Committee for Quality Assurance (NCQA) the potential for a physician certification program in oncology, which could be based on the QOPI initiative.

Dr. Al Marcus of the AMC Cancer Research Center agreed with the need for treatment summaries and care plans as recommended in the IOM report and elsewhere. He pointed out that pilot tests are under way to assess usability and feasibility, but in the long term he thought that these care plans must be evaluated for their effects on important survivorship outcomes. Such evidence will be needed to persuade payers and others that survivorship care planning is an essential component of care.


Presenter: Dr. Martin Brown

The Cancer Research Network (CRN) is a cooperative agreement supported by the National Cancer Institute. It consists of research organizations affiliated with 12 large nonprofit health maintenance organizations in the United States, including:

  • Six Kaiser Permanente affiliates (Southern California, Northern California, Oregon, Hawaii, Georgia, and Colorado);

  • Group Health Cooperative, Seattle, Washington;

  • Lovelace Sandia Health Clinic, Albuquerque, New Mexico;

  • Henry Ford Health System, Detroit, Michigan;

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