TABLE 6.2

FACCT Breast Cancer Quality Indicators

Measure

Performance Value

Instrument or Data Source

Steps to Good Care

Mammography

Proportion of women age 52-69 who have had a mammogram within two years

Doctor's billing or claims records (NCQA's HEDIS 3.0 breast screening measure used)

Early-stage detection

Proportion of patients whose breast cancer was detected at Stage 0 or Stage I

Patient records from cancer registry

Information about radiation treatment options

Proportion of Stage I and II patients who indicate that they had adequate information about their radiation treatment options before deciding about treatment

One question in patient satisfaction survey completed three to six months after diagnosis

Breast conserving surgery

Proportion of Stage I and II patients who undergo BCS

Patient records from cancer registry or claims records

Radiation therapy following breast conserving surgery

Proportion of BCS patients who receive radiation treatment after surgery

Patient records from cancer registry or claims records

Experience and Satisfaction

Patient satisfaction with care

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

Results

Experience of disease

Mean score for patients on CARES-SF survey, which assesses patients' quality of life and experience in living with breast cancer

59-item CARES-SF patient survey completed 12-15 months after diagnosis

Five-year disease-free survival (cancer treatment center measure)

Probability of disease-free survival for a group of patients, Stages I-IV, who were diagnosed during previous five years

Patient records from cancer registry

NOTE: CARES = Cancer Rehabilitation Evaluation System.

SOURCE: Foundation for Accountability, 1998.



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