TABLE 3.1 Illustrative Case Studies of Using Cancer Care Data for Quality Monitoring Purposes

Name (type of organization)

Purpose

Data Source(s)

1. Marin Oncology Associates (private oncologypractice)

Monitor adherence to guidelines regarding screening, treatment, follow-up, supportive, and end-of-life care

Medical chart

2. OnCare (physician practice management company [PPMC])

Monitor adherence to guidelines regarding treatment, follow-up, and end-of-life care

Electronic medical chart

3. American College of Radiology

Monitor patterns of care and adherence to treatment guidelines

Medical chart abstraction from a national sample of radiation oncology providers

4. Sutter Health (integrated healthcare delivery system)

Monitor adherence to breast cancer treatment guidelines

Hospital cancer registry, administrative data, medical charts, patient surveys

5. Providence Health Plan (integrated delivery system)

Monitor adherence to breast cancer treatment guidelines

Hospital cancer registry, administrative data, medical charts, patient surveys

6. National Comprehensive Cancer Network (17 large cancer centers)

Monitor adherence to breast cancer treatment guidelines

Medical charts; reporting according to a uniform data set

7. Roswell Park Cancer Institute and private insurers in western New York

Monitor adherence to breast cancer treatment guidelines

Insurance claims, medical charts

8. Colorado Cancer Registry, University of Colorado, and State Medicare Peer Review Organization

Monitor use of adjuvant therapies for breast and colorectal cancer

State cancer registry, Medicare claims, medical charts

9. Central Florida Health Care Coalition (business coalition)

Monitor quality of care for individuals with selected conditions including cancer

Insurance claims, (hospital and outpatient), patient survey

10. National Cancer Data Base (database maintained by the American College of Surgeons and the American Cancer Society)

Monitor quality of care for individuals with cancer

Hospital cancer registries, cancer centers with uniform reporting requirements



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