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Measure
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Performance Value
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Instrument or Data Source
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Steps to Good Care
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Mammography
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Proportion of women age 52-69 who have had a mammogram within two years
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Doctor's billing or claims records (NCQA's HEDIS 3.0 breast screening measure used)
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Early-stage detection
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Proportion of patients whose breast cancer was detected at Stage 0 or Stage I
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Patient records from cancer registry
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Information about radiation treatment options
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Proportion of Stage I and II patients who indicate that they had adequate information about their radiation treatment options before deciding about treatment
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One question in patient satisfaction survey completed three to six months after diagnosis
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Breast conserving surgery
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Proportion of Stage I and II patients who undergo BCS
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Patient records from cancer registry or claims records
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Radiation therapy following breast conserving surgery
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Proportion of BCS patients who receive radiation treatment after surgery
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Patient records from cancer registry or claims records
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|
Experience and Satisfaction
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|
Patient satisfaction with care
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Mean score for patients' level of satisfaction with breast cancer care, including the technical quality, interpersonal and communication skills of their cancer doctor, their involvement in treatment decisions, and the timeliness of receiving information and services
|
32-item patient satisfaction survey completed three to six months after diagnosis
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|
Results
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Experience of disease
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Mean score for patients on CARES-SF survey, which assesses patients' quality of life and experience in living with breast cancer
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59-item CARES-SF patient survey completed 12-15 months after diagnosis
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Five-year disease-free survival (cancer treatment center measure)
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Probability of disease-free survival for a group of patients, Stages I-IV, who were diagnosed during previous five years
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Patient records from cancer registry
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NOTE: CARES = Cancer Rehabilitation Evaluation System.
SOURCE: Foundation for Accountability, 1998.
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