Improving on national quality indicators of breast cancer care in a large public hospital as a means to decrease disparities for African American women

Annals of Surgical Oncology
Monica RizzoSheryl G A Gabram

Abstract

In April 2007, the National Quality Forum (NQF) endorsed the first nationally recognized hospital-based performance measures for stage I, II, and III breast cancer. The purpose of this study was to document compliance with the 3 NQF breast quality indicators during 2 time intervals in a metropolitan public hospital. Tumor registry and medical records were used to identify patient demographics and treatments before (2005-2006) and after (2008) implementations in 2007 as a result of the NQF audit. Program changes included: hiring a dedicated medical oncology nurse practitioner, requiring the radiation oncology case manager to attend weekly multidisciplinary conferences, educating Patient Navigators of the importance of multimodal care, and providing support groups for patients addressing importance of completion of all treatment options. A total of 213 female patients were diagnosed with and treated for stage I, II, or III breast cancer in 2005-2006 and 2008. Of these, 189 (89%) were African American (AA) women. Also, 70 patients of 86 (81.3%) received radiation therapy, 60 of 77 (77.9%) received or were considered for adjuvant chemotherapy, and 124 of 144 (86.1%) for hormonal therapy according to NQF indicators. After 2007, pati...Continue Reading

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Citations

Jun 27, 2012·Annals of Surgical Oncology·Miral AminMonica Rizzo
May 30, 2013·Health Informatics Journal·Ge LinMing Qu
Jul 22, 2018·European Journal of Cancer Care·Kim-Lin ChiewShalini K Vinod
Jun 26, 2012·Journal of Midwifery & Women's Health·Malini Anand Nijagal, Melanie Wice

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