Assessing Clinical Outcomes in Breast Cancer Patients in a Community-Based Cancer Center

2.50
Hdl Handle:
http://hdl.handle.net/10755/165532
Category:
Abstract
Type:
Presentation
Title:
Assessing Clinical Outcomes in Breast Cancer Patients in a Community-Based Cancer Center
Author(s):
White, Nancy
Author Details:
Nancy White, West Michigan Cancer Center, Kalamazoo, Michigan, USA
Abstract:
Development of an easy-to-implement quality assurance program based on patient clinical outcomes in a busy community outpatient cancer center is a challenging goal. Recently the West Michigan Cancer Center (WMCC) undertook the challenge of implementing a thorough, yet simple, continuous quality improvement (CQI) process. The outcomes coordinator for the center was able to implement a CQI model through a retrospective chart review format that engaged the center's staff and provided a baseline for outcomes analysis. This process utilized a physician practice pattern data collection technique. Since 1997, WMCC has consistently reviewed adjuvant breast cancer patient records as an ongoing CQI effort. Specific key quality indicators such as appropriate chemotherapy dose and scheduling, treatment delays, febrile neutropenia rates, and other chemotherapy complications were examined. In addition to abstracting specifics of the treatment regimen, the center examined timeliness of diagnosis and referrals, side effects of radiation and chemotherapy, pain management assessment and intervention, utilization of support services, and practitioner documentation. Wave one of the CQI project began in 1997. Data collection (n = 19) revealed that 18.8% of patients received less than 85% dose intensity (DI), 10% of patients experienced dose reductions, and 52% experienced dose delays. The febrile neutropenia rate was 6.35%. Based on these results the center staff created and revised many treatment and documentation guidelines to address the opportunities noted. The third wave of data collection, completed in 1999, demonstrated significant improvements in all areas. All patients in the review (n = 24) received greater than 85% DI. Only 4% experienced a dose reduction and 28% experienced a dose delay. In addition, no patients experienced febrile neutropenia. This project allowed the center to not only statistically review their own data, but also benchmark against a national database that consisted of 19,106 adjuvant breast cancer patients in 1999. As a result of this ongoing review, a formal breast clinic was developed. Quality indicators such as disease staging, timeliness of diagnostic processes, and surgical intervention and referrals were positively impacted. Subsequent CQI projects such as support staff documentation, pain management documentation, and a standardized antiemetic protocol have all been accomplished.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleAssessing Clinical Outcomes in Breast Cancer Patients in a Community-Based Cancer Centeren_GB
dc.contributor.authorWhite, Nancyen_US
dc.author.detailsNancy White, West Michigan Cancer Center, Kalamazoo, Michigan, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/165532-
dc.description.abstractDevelopment of an easy-to-implement quality assurance program based on patient clinical outcomes in a busy community outpatient cancer center is a challenging goal. Recently the West Michigan Cancer Center (WMCC) undertook the challenge of implementing a thorough, yet simple, continuous quality improvement (CQI) process. The outcomes coordinator for the center was able to implement a CQI model through a retrospective chart review format that engaged the center's staff and provided a baseline for outcomes analysis. This process utilized a physician practice pattern data collection technique. Since 1997, WMCC has consistently reviewed adjuvant breast cancer patient records as an ongoing CQI effort. Specific key quality indicators such as appropriate chemotherapy dose and scheduling, treatment delays, febrile neutropenia rates, and other chemotherapy complications were examined. In addition to abstracting specifics of the treatment regimen, the center examined timeliness of diagnosis and referrals, side effects of radiation and chemotherapy, pain management assessment and intervention, utilization of support services, and practitioner documentation. Wave one of the CQI project began in 1997. Data collection (n = 19) revealed that 18.8% of patients received less than 85% dose intensity (DI), 10% of patients experienced dose reductions, and 52% experienced dose delays. The febrile neutropenia rate was 6.35%. Based on these results the center staff created and revised many treatment and documentation guidelines to address the opportunities noted. The third wave of data collection, completed in 1999, demonstrated significant improvements in all areas. All patients in the review (n = 24) received greater than 85% DI. Only 4% experienced a dose reduction and 28% experienced a dose delay. In addition, no patients experienced febrile neutropenia. This project allowed the center to not only statistically review their own data, but also benchmark against a national database that consisted of 19,106 adjuvant breast cancer patients in 1999. As a result of this ongoing review, a formal breast clinic was developed. Quality indicators such as disease staging, timeliness of diagnostic processes, and surgical intervention and referrals were positively impacted. Subsequent CQI projects such as support staff documentation, pain management documentation, and a standardized antiemetic protocol have all been accomplished.en_GB
dc.date.available2011-10-27T12:20:21Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:20:21Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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