Quality measurement and system change of cancer care delivery

David Haggstrom, Bradley N. Doebbeling

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Cancer care quality measurement and system change may serve as a case example for larger possibilities in the health care system related to other diseases. Cancer care quality gaps and variation exist across both technical and patient-centered cancer quality measures, especially among vulnerable populations. There is a need to develop measures that address the following dimensions of quality and its context: disparities, overuse, patient-centeredness, and uncertainty. Developments that may promote system change in cancer care delivery include changes in the information market, organizational accountability, and consumer empowerment. Information market changes include public cancer care quality reporting, enabled by health information exchange, and incentivized by pay-for-performance. Moving organizational accountability, reimbursement, and quality measurement from individual episodes of care to multiple providers providing coordinated cancer care may address quality gaps associated with the fragmentation of care delivery. Consumer empowerment through new technologies, such as personal health records, may lead to the collection of patient-centered quality measures and promote patient self-management. Across all of these developments, leadership and ongoing research to guide informed system changes will be necessary to transform the cancer care delivery system.

Original languageEnglish
JournalMedical Care
Volume49
Issue number12 SUPPL. 1
DOIs
StatePublished - Dec 2011

Fingerprint

Quality of Health Care
Neoplasms
Social Responsibility
Episode of Care
Personal Health Records
Incentive Reimbursement
Vulnerable Populations
Self Care
Uncertainty
Technology
Delivery of Health Care
Research
Power (Psychology)

Keywords

  • cancer
  • health services research
  • informatics
  • quality improvement
  • quality of health care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Quality measurement and system change of cancer care delivery. / Haggstrom, David; Doebbeling, Bradley N.

In: Medical Care, Vol. 49, No. 12 SUPPL. 1, 12.2011.

Research output: Contribution to journalArticle

Haggstrom, David ; Doebbeling, Bradley N. / Quality measurement and system change of cancer care delivery. In: Medical Care. 2011 ; Vol. 49, No. 12 SUPPL. 1.
@article{4b46477e487d4833900661ddd202575a,
title = "Quality measurement and system change of cancer care delivery",
abstract = "Cancer care quality measurement and system change may serve as a case example for larger possibilities in the health care system related to other diseases. Cancer care quality gaps and variation exist across both technical and patient-centered cancer quality measures, especially among vulnerable populations. There is a need to develop measures that address the following dimensions of quality and its context: disparities, overuse, patient-centeredness, and uncertainty. Developments that may promote system change in cancer care delivery include changes in the information market, organizational accountability, and consumer empowerment. Information market changes include public cancer care quality reporting, enabled by health information exchange, and incentivized by pay-for-performance. Moving organizational accountability, reimbursement, and quality measurement from individual episodes of care to multiple providers providing coordinated cancer care may address quality gaps associated with the fragmentation of care delivery. Consumer empowerment through new technologies, such as personal health records, may lead to the collection of patient-centered quality measures and promote patient self-management. Across all of these developments, leadership and ongoing research to guide informed system changes will be necessary to transform the cancer care delivery system.",
keywords = "cancer, health services research, informatics, quality improvement, quality of health care",
author = "David Haggstrom and Doebbeling, {Bradley N.}",
year = "2011",
month = "12",
doi = "10.1097/MLR.0b013e3181d59529",
language = "English",
volume = "49",
journal = "Medical Care",
issn = "0025-7079",
publisher = "Lippincott Williams and Wilkins",
number = "12 SUPPL. 1",

}

TY - JOUR

T1 - Quality measurement and system change of cancer care delivery

AU - Haggstrom, David

AU - Doebbeling, Bradley N.

PY - 2011/12

Y1 - 2011/12

N2 - Cancer care quality measurement and system change may serve as a case example for larger possibilities in the health care system related to other diseases. Cancer care quality gaps and variation exist across both technical and patient-centered cancer quality measures, especially among vulnerable populations. There is a need to develop measures that address the following dimensions of quality and its context: disparities, overuse, patient-centeredness, and uncertainty. Developments that may promote system change in cancer care delivery include changes in the information market, organizational accountability, and consumer empowerment. Information market changes include public cancer care quality reporting, enabled by health information exchange, and incentivized by pay-for-performance. Moving organizational accountability, reimbursement, and quality measurement from individual episodes of care to multiple providers providing coordinated cancer care may address quality gaps associated with the fragmentation of care delivery. Consumer empowerment through new technologies, such as personal health records, may lead to the collection of patient-centered quality measures and promote patient self-management. Across all of these developments, leadership and ongoing research to guide informed system changes will be necessary to transform the cancer care delivery system.

AB - Cancer care quality measurement and system change may serve as a case example for larger possibilities in the health care system related to other diseases. Cancer care quality gaps and variation exist across both technical and patient-centered cancer quality measures, especially among vulnerable populations. There is a need to develop measures that address the following dimensions of quality and its context: disparities, overuse, patient-centeredness, and uncertainty. Developments that may promote system change in cancer care delivery include changes in the information market, organizational accountability, and consumer empowerment. Information market changes include public cancer care quality reporting, enabled by health information exchange, and incentivized by pay-for-performance. Moving organizational accountability, reimbursement, and quality measurement from individual episodes of care to multiple providers providing coordinated cancer care may address quality gaps associated with the fragmentation of care delivery. Consumer empowerment through new technologies, such as personal health records, may lead to the collection of patient-centered quality measures and promote patient self-management. Across all of these developments, leadership and ongoing research to guide informed system changes will be necessary to transform the cancer care delivery system.

KW - cancer

KW - health services research

KW - informatics

KW - quality improvement

KW - quality of health care

UR - http://www.scopus.com/inward/record.url?scp=81855166215&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=81855166215&partnerID=8YFLogxK

U2 - 10.1097/MLR.0b013e3181d59529

DO - 10.1097/MLR.0b013e3181d59529

M3 - Article

C2 - 20940654

AN - SCOPUS:81855166215

VL - 49

JO - Medical Care

JF - Medical Care

SN - 0025-7079

IS - 12 SUPPL. 1

ER -