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Improving Cancer Diagnosis and Care Patient Access to Oncologic Imaging and Pathology Expertise and Technologies: Proceedings of a Workshop (2018) / Chapter Skim
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Quality Improvement Efforts
Pages 36-40

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From page 36...
... Khorasani responded that for guidelines relating to imaging, vendors of imaging clinical decision support systems will need to update their tools within 1 year, based on a provision in the Protecting Access to Medicare Act.26 This law stipulates that starting in January 2020, clinicians in ambulatory settings must use certified clinical decision support tools with appropriate use criteria to order advanced imaging tests. Brink noted that ACR Select is one of the certified clinical decision support tools, and is built on ACR's Appropriateness Criteria.27 QUALITY IMPROVEMENT EFFORTS Several speakers discussed opportunities to promote high-quality pathology and radiology care using quality improvement strategies such as peer learning, feedback, and continuous education and assessment of pathologists and radiologists.
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From page 37...
... absolutely critical to making [quality improvement] dynamic and patient-centric." Sause reported on Intermountain Healthcare's quality improvement efforts, which rely on quality measurement using robust data systems and reporting this information back to clinicians.
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From page 38...
... Spears said that a lack of response might be due to questions not being relevant, and recommended asking fewer, more pertinent questions. Hofmann suggested applying computerized adaptive testing methods in patient surveys in order to ensure questions are relevant to a patient and minimize the burden in completing such surveys.28 Spears also noted that patient handouts may not stress the importance of the questionnaire, and she encouraged clinicians to convey that such surveys have the same importance as diagnostic testing results.
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From page 39...
... She said pathology residents and fellows are encouraged to participate in root cause analyses to understand why errors occurred and how they can be prevented in the future. Continuous Learning and Assessment Several speakers discussed efforts to move toward a more continuous process of learning and assessment of clinician knowledge, judgment, and skills through MOC programs, rather than relying on an initial board exam and recertification exams every 10 years.
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From page 40...
... They receive immediate feedback on whether they answered correctly or not, as well as the key learning point for each question, an explanation of why the correct answer is right and the others are not, and references for further reading. Volunteers receive information on how their scores compare to that of their peers, and are retested on key content they answered incorrectly in previous tests.
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Key Terms

  • clinical decision
  • decision support
  • improvement efforts
  • american board
  • support tools

  • clinical practice
  • provide feedback
  • recertification exams
  • speakers discussed
  • nayar added

  • peer learning
  • longitudinal assessment
  • improvement program
  • decision rules
  • cal decision

  • imaging clinical
  • advanced imaging
  • quality measurement
  • sophisticated cancer
  • cancer imaging

  • include clinical
  • fied clinical
  • improvement strategies
  • implementing quality
  • patient care

  • care using
  • oncology quality
  • certified clinical
  • using quality
  • key content


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