Development of communities of practice to facilitate quality improvement initiatives in surgical oncology

Quality Management in Health Care
Michael Fung-Kee-FungHartley Stern

Abstract

The process of developing clinical guidelines and standards for cancer treatment and screening is well established in the Ontario health care system; however, the dissemination and implementation of such guidelines and standards are more recent undertakings. Traditional implementation strategies to improve surgical practice and the delivery of cancer care have not been consistently effective. There is a recognized need to develop integrated models that offer direct support for implementation strategies. Such a model should be feasible, adaptable, and open to evaluation across diverse surgical settings. Research suggests that successful implementation should consider tools and expertise from other disciplines. This article considers a community of practice (COP) model to provide a supportive infrastructure for quality improvements in cancer surgery. The COP model was adapted for cancer surgeons. It is supported by 5 enablers referred to as tools: communication system, project development support, access to data, access to evidence review, and accreditation with continued medical education and continued professional development. These tools need to be part of an infrastructure that is both provided and supported by a team of admi...Continue Reading

References

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Citations

Oct 18, 2011·BMC Health Services Research·Geetha RanmuthugalaJeffrey Braithwaite
Nov 8, 2013·Annals of Surgical Oncology·Savtaj S BrarFrances C Wright
Sep 23, 2014·Journal of Health Organization and Management·Sonya L JakubecBarbara Colvin
Mar 9, 2011·Journal of the American Pharmacists Association : JAPhA·Seena L HainesS Whitney Zatzkin
Jul 6, 2014·Journal of Surgical Oncology·Savtaj S BrarFrances C Wright
Jun 15, 2011·The Journal of Continuing Education in the Health Professions·I John ParboosinghHenry H Bernstein
May 25, 2012·Journal of the National Cancer Institute. Monographs·Muin J KhourySteven B Clauser
Apr 9, 2015·Journal of Oncology Practice·Jeff LuckSteven M Asch
Dec 13, 2017·Healthcare Management Forum·Terrence Sullivan, Jonathan Irish
Jun 11, 2017·Advances in Health Sciences Education : Theory and Practice·Simon C KittoSteven Gallinger
May 21, 2019·Healthcare Management Forum·Michael Fung-Kee-Fung, Wojtek Michalowski
Oct 30, 2019·BMC Health Services Research·Amélie Blanchet GarneauColleen Varcoe

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