The cancer registry can have a great impact on the growth of an Accountable Care Organization (ACO). This white paper takes an in-depth look at the topic.
The document discusses cancer registries and epidemiology in India. It notes that cancer cases are rising globally with Asia accounting for nearly half of new cases. The Indian Cancer Society was established in 1951 to address cancer issues in India. The National Cancer Registry Programme was launched in 1982 under ICMR to collect nationwide cancer incidence data through a network of population-based and hospital-based cancer registries. There are currently 29 population-based and 17 hospital-based cancer registries in India collecting data to analyze cancer trends and patterns to help address the growing cancer burden. Limitations include possible duplicate registrations and lack of unique patient identification numbers.
This document discusses cancer registries in India. It describes how the National Cancer Registry Programme was launched in 1982 to collect cancer-related information on demographics, diagnosis, and treatment patterns. The goal is to prevent and control cancer and improve patient care. There are two main types of registries - hospital-based registries that contribute to patient care and research, and population-based registries that provide epidemiological data on cancer incidence and mortality rates. However, population coverage of registries in India is still low at only 3.3% overall, with much lower coverage in rural versus urban areas. Improving registry data will help inform cancer control measures and research.
The document discusses cancer registries and screening in India. It notes that the National Cancer Registry Programme was launched in 1982 to collect data on cancer prevalence and incidence. Population-based registries provide epidemiological data on cancer incidence rates in India. However, existing screening programs through mobile units and hospital-based registries rely on opportunistic screening and have limited population coverage. Improving organized, population-based screening is recommended.
The document discusses cancer registration in India, highlighting several key points:
1) The National Cancer Registry Programme was established in 1982 to generate reliable cancer data and help design cancer control activities. It includes 28 population-based and 7 hospital-based cancer registries across India.
2) Population-based cancer registries provide data on cancer incidence and mortality in communities, but currently only cover 7.5% of India's population. Hospital-based registries contribute to patient care and research.
3) An Atlas of Cancer in India was developed using information technology to make registry data more accessible. However, cancer registration in India still faces challenges like low population coverage, data quality issues, and lack of resources.
This document summarizes cancer control policies and programs in India. It discusses that cancer is characterized by abnormal cell growth that can spread to other tissues. The main causes of cancer are environmental factors like tobacco, alcohol, diet, occupation, and viruses, as well as genetic factors. The main approaches for cancer control are primary prevention through reducing risk factors and secondary prevention including cancer screening and early detection. It then describes India's National Cancer Control Programme and National Cancer Registry Programme, which aim to prevent and detect cancer through public education, screening, and improving treatment facilities. Key existing schemes under NCCP provide funding for new and existing cancer centers, developing oncology wings, and district-level prevention and care programs.
This document summarizes a project conducted by Cancer Care Ontario to engage regional cancer centre healthcare professionals in identifying important cancer surveillance information. Over 400 participants provided input through workshops and an online survey. They generated over 1,500 indicator concepts, which were distilled down to 118 final concepts. These concepts spanned the cancer continuum from prevention to end-of-life care. The indicators could be used both locally for populations as well as provincially through Cancer Care Ontario reporting. The engagement of healthcare professionals from across the province helped identify key cancer surveillance data needs.
Assessing the performance of an integrated disease surveillance and response ...MEASURE Evaluation
The document summarizes an assessment of Madagascar's integrated disease surveillance and response system. Key findings include low data quality, weak system management as tools were lacking, and limited training of staff. Few health facilities used surveillance data for prevention activities. While most districts received alerts, only 40% could investigate all alerts. Overall the assessment found weaknesses that require strengthening strategies including data quality, capacity building, and using data for response.
This document summarizes a presentation given by Dr. Shaun Costello on oncology treatment patterns in the South Island of New Zealand. The presentation discusses the creation of the South Island Cancer Clinical Information System (SICCIS) to capture patient-level oncology data across multiple hospitals in the region. This includes implementation of the MOSAIQ electronic medical record system and a shared data repository called METRIQ. The goal is to analyze the treatment patterns and outcomes of cancer patients in order to improve the quality of care in the South Island. Examples of preliminary analyses of the data are shown, including cancer stages, treatments, and radiation doses for lung cancer patients.
The document discusses cancer registries and epidemiology in India. It notes that cancer cases are rising globally with Asia accounting for nearly half of new cases. The Indian Cancer Society was established in 1951 to address cancer issues in India. The National Cancer Registry Programme was launched in 1982 under ICMR to collect nationwide cancer incidence data through a network of population-based and hospital-based cancer registries. There are currently 29 population-based and 17 hospital-based cancer registries in India collecting data to analyze cancer trends and patterns to help address the growing cancer burden. Limitations include possible duplicate registrations and lack of unique patient identification numbers.
This document discusses cancer registries in India. It describes how the National Cancer Registry Programme was launched in 1982 to collect cancer-related information on demographics, diagnosis, and treatment patterns. The goal is to prevent and control cancer and improve patient care. There are two main types of registries - hospital-based registries that contribute to patient care and research, and population-based registries that provide epidemiological data on cancer incidence and mortality rates. However, population coverage of registries in India is still low at only 3.3% overall, with much lower coverage in rural versus urban areas. Improving registry data will help inform cancer control measures and research.
The document discusses cancer registries and screening in India. It notes that the National Cancer Registry Programme was launched in 1982 to collect data on cancer prevalence and incidence. Population-based registries provide epidemiological data on cancer incidence rates in India. However, existing screening programs through mobile units and hospital-based registries rely on opportunistic screening and have limited population coverage. Improving organized, population-based screening is recommended.
The document discusses cancer registration in India, highlighting several key points:
1) The National Cancer Registry Programme was established in 1982 to generate reliable cancer data and help design cancer control activities. It includes 28 population-based and 7 hospital-based cancer registries across India.
2) Population-based cancer registries provide data on cancer incidence and mortality in communities, but currently only cover 7.5% of India's population. Hospital-based registries contribute to patient care and research.
3) An Atlas of Cancer in India was developed using information technology to make registry data more accessible. However, cancer registration in India still faces challenges like low population coverage, data quality issues, and lack of resources.
This document summarizes cancer control policies and programs in India. It discusses that cancer is characterized by abnormal cell growth that can spread to other tissues. The main causes of cancer are environmental factors like tobacco, alcohol, diet, occupation, and viruses, as well as genetic factors. The main approaches for cancer control are primary prevention through reducing risk factors and secondary prevention including cancer screening and early detection. It then describes India's National Cancer Control Programme and National Cancer Registry Programme, which aim to prevent and detect cancer through public education, screening, and improving treatment facilities. Key existing schemes under NCCP provide funding for new and existing cancer centers, developing oncology wings, and district-level prevention and care programs.
This document summarizes a project conducted by Cancer Care Ontario to engage regional cancer centre healthcare professionals in identifying important cancer surveillance information. Over 400 participants provided input through workshops and an online survey. They generated over 1,500 indicator concepts, which were distilled down to 118 final concepts. These concepts spanned the cancer continuum from prevention to end-of-life care. The indicators could be used both locally for populations as well as provincially through Cancer Care Ontario reporting. The engagement of healthcare professionals from across the province helped identify key cancer surveillance data needs.
Assessing the performance of an integrated disease surveillance and response ...MEASURE Evaluation
The document summarizes an assessment of Madagascar's integrated disease surveillance and response system. Key findings include low data quality, weak system management as tools were lacking, and limited training of staff. Few health facilities used surveillance data for prevention activities. While most districts received alerts, only 40% could investigate all alerts. Overall the assessment found weaknesses that require strengthening strategies including data quality, capacity building, and using data for response.
This document summarizes a presentation given by Dr. Shaun Costello on oncology treatment patterns in the South Island of New Zealand. The presentation discusses the creation of the South Island Cancer Clinical Information System (SICCIS) to capture patient-level oncology data across multiple hospitals in the region. This includes implementation of the MOSAIQ electronic medical record system and a shared data repository called METRIQ. The goal is to analyze the treatment patterns and outcomes of cancer patients in order to improve the quality of care in the South Island. Examples of preliminary analyses of the data are shown, including cancer stages, treatments, and radiation doses for lung cancer patients.
Creation of a novel cancer & hiv linked registry by jamilla rajabKesho Conference
This document describes the creation of a novel cancer and HIV registry in two counties in Kenya. Key points:
1. The registry pilot collected cancer and HIV data from hospitals in Nakuru and Embu counties to provide population-based data on cancer frequencies, trends, and differences between the counties.
2. Preliminary results found the top five cancers were similar to national estimates, though some site-specific differences between counties were seen.
3. Data from the registry will be uploaded to a mobile app platform to provide customized cancer data and statistics to various stakeholders for research, planning, and intervention purposes.
4. Challenges establishing the registry included poor data quality and documentation at healthcare facilities. Completing
This study analyzed data on 40,215 low-risk prostate cancer patients from 2012-2013 to evaluate the use of active surveillance. The results showed the rate of active surveillance was as low as 14% and varied significantly between facilities. Facility type, volume, and other institutional factors accounted for this variation. Specifically, academic facilities and those with higher patient volumes were more likely to utilize active surveillance. The study concludes there is a need to address non-clinical variations in care between cancer facilities to standardize the appropriate use of active surveillance.
Adapting and enhancing malaria information systems in countries entering pre-...MEASURE Evaluation
As countries reduce malaria transmission, strong health information systems are needed to monitor progress and tailor new approaches. A literature review identified key aspects of health information system functionality for countries at various stages of malaria control. Personnel, data quality, and system structure were the most influential aspects. Assessments are important to identify areas for improvement and allow comparison across countries and over time. The results will help develop country case studies and guidance to help strengthen routine data capture as countries adapt their health information systems for changing malaria epidemiology.
About the Ontario Institute for Cancer Researchjosephoicr
The Ontario Institute for Cancer Research’s focus on multi-disciplinary research teams, a collaborative approach and on moving discoveries into the clinic more quickly has advanced both discovery and translation.
This document summarizes cancer registry data from Kenya. It discusses the establishment of population-based cancer registries in Nairobi and Eldoret in 2001 and 1998 respectively. The top cancers among males are prostate, esophagus, colon, stomach, and Kaposi sarcoma. For females, the top cancers are breast, cervix, esophagus, colon, and Kaposi sarcoma. It also provides cancer incidence and mortality estimates for 2012. Challenges for cancer registries include missing data, population boundaries, funding, and capacity building. Efforts are ongoing to address challenges and improve data collection.
Epidemiology of cancer in patients seeking palliative care by l.w. cushnyKesho Conference
This document summarizes a study on the epidemiology of cancer in patients seeking palliative care at Nairobi Hospice in Kenya. The study found that the most common cancers seen were breast, prostate, cervical, esophageal and Kaposi's sarcoma. A majority of patients were female (64.7%) and the median age was 54 years. The top five cancers accounted for over 60% of cases. Late diagnosis was also indicated by a median survival time of only 7 months from diagnosis. The study concludes there is a need for increased cancer care facilities, education and research to address the growing burden of cancer in Kenya.
The document summarizes key findings from the ABCE (Access, Bottlenecks, Costs, and Equity) research project in Zambia. The project assessed facility capacity, service provision, patient perspectives, efficiency, and costs of health care delivery. It found gaps in capacity across facility types, with shortages of equipment, staff, and stock-outs of medicines and vaccines. It also found potential for improved efficiency, with the average facility using only 42% of resources. Costs per patient visit varied by facility and service type.
The document provides an overview of the Access, Bottlenecks, Costs, and Equity (ABCE) research project in Uganda. The project collected data from 247 health facilities and over 3,900 patient interviews between 2012-2013. Key findings include: gaps between reported and functional service capacity at facilities, especially for non-HIV services; high availability of HIV/AIDS services but lower availability for non-communicable diseases; and efficiency scores varied widely both across and within facility platforms, indicating potential for expanded service provision.
The document summarizes the use of electronic health records (EHRs) for syndromic surveillance, using the example of Zika virus. It discusses how EHRs can help improve reporting of outbreaks by recording patient information. While EHRs provide advantages like improved reporting efficiency and criterion validity of data, they also have limitations like the need for diagnostic and demographic accuracy. The document reviews literature on different surveillance systems and their use in various healthcare settings. It concludes by discussing opportunities for further research, such as including new diseases in surveillance systems and improving collaboration between public and private health sectors.
The document provides an overview of the ABCE (Access, Bottlenecks, Costs, and Equity) project in Ghana which collected primary data from 240 health facilities across the country. Key findings include that while facility personnel and capacity have increased in recent years, availability of diagnostic testing and human resources vary substantially between facility types. The study also found opportunities to improve efficiency and increase service outputs given current resource levels. Results of the ABCE project can help inform health policy in Ghana by identifying areas of strength and those needing further development in the country's health system.
Opportunities and challenges in starting an oncology program by amyn alidinaKesho Conference
This document discusses opportunities and challenges in starting an oncology program at Aga Khan Hospital in Dar Es Salaam, Tanzania. It notes that the program will operate across 4 campuses in Kenya and Tanzania. It then outlines some of the cancer incidence rates seen at the Dar Es Salaam location. The document discusses efforts to standardize practices across locations, including mentorship programs, guidelines adaptation, and virtual nursing education conferences. Challenges include the costs of medications and training staff, while opportunities include research, education, and cancer registries. It concludes that implementing a regional program brings new standardization challenges but that leadership and learning from others can help address them.
Malaria Intervention Assessment in Four States of Nigeria: An Innovative, Co...MEASURE Evaluation
This document summarizes the results of a mixed-methods assessment of malaria implementation in four states of Nigeria between 2008-2016. The assessment evaluated trends in malaria prevention, treatment, and data quality indicators using household surveys, health facility data, and interviews. Key results showed that coverage of malaria interventions increased over time but remained below targets. Availability of commodities and data quality improved more in PMI-supported facilities compared to non-PMI facilities. Quality of malaria case management was generally good across states and higher in PMI facilities, while quality of malaria in pregnancy care varied between states.
Call for action :expanding Cancer care in india Earnest and Young report Healthcare consultant
The context of cancer care in India is characterized by high incidence, late detection, lack of access to quality affordable care to majority of the populace and hence high mortality. It is agonising to observe high percentage of late detection owing to issues of access, affordability and awareness given that both the cost and success of treatment is favourably skewed towards earlier detection in a significant manner, leave alone the anguish of the family that has to negotiate with the reality of losing their loved one knowing that it is a travesty, not tragedy, of destiny. Further, it is of great concern to observe increasing deterioration of the key risk factors that contribute to the sickness, viz. use of alcohol/tobacco, obesity, environmental pollution etc. It is imperative for the stakeholders of Indian healthcare to address this growing menace before it becomes a national catastrophe.
The document summarizes the experience of scaling up HIV treatment in Cameroon through operational research. Cameroon implemented a public health approach to decentralize HIV treatment from central and regional hospitals to district hospitals between 2001-2005. This was supported by standardized treatment guidelines, subsidies for laboratory tests, and a mentorship strategy. Operational research evaluated the impact and found early outcomes were better at district levels, including improved access, quality of care, adherence, and patient perceptions of decentralization. However, challenges remain around sustained drug supply, prevention of unsafe sex, and health worker satisfaction.
The ABCE project in Kenya collected data from 254 health facilities and over 4,200 patient exit interviews from 2012. Key findings include:
- Primary care facilities reported providing services but often lacked full capacity, especially in rural areas. Equipment, staffing, and diagnostic capacities were often inadequate.
- Patients generally paid some fees but amounts varied. Over 75% of public health center patients paid 20 KSH or less.
- Efficiency scores averaged 41% and generally declined with lower levels of care. Significant potential existed to increase service production given resources.
- Costs per patient visit varied by facility and output, with outpatient visits generally the lowest cost.
Bethan George: WELC Care Collaborative, 30 June 2014Nuffield Trust
In this slideshow, Bethan George, Deputy Director Integrated Care of the WELC Care Collaborative describes practical risk stratification and clinical case finding in the WELC pioneer programme. Bethan describes the work they have done with risk stratification for the local population in Waltham Forest, East London and The City.
Bethan George spoke at the Nuffield Trust event: The future of the hospital, in June 2014.
This document outlines the rationale, objectives, hypotheses, study design, and planned analyses for investigating the potential association between calcium channel blocker (CCB) use and cancer risk. The study will be conducted using multiple epidemiological databases from the UK, Denmark, Netherlands, Spain, and Germany. The specific objectives are to conduct descriptive studies, a population-based cohort study, and nested case-control analyses to compare cancer outcomes between CCB users and non-users. The primary outcome of interest is risk of all cancers combined, and secondary outcomes include breast, prostate, and colon cancers analyzed separately.
Care Communications’ latest cancer registry white paper takes an in-depth look at the Rapid Quality Reporting System (RQRS). Topics covered include why hospitals need RQRS; participation requirements; benefits of the RQRS for facilities and patients; how to prepare for RQRS implementation and resources for more information.
DeMarco and Associates and Pendulum HealthCare Corporation provide services to help organizations develop accountable care organizations (ACOs). They assist with infrastructure development, care coordination, and data analytics. Pendulum also designs, develops, and manages ACOs. An ACO aims to deliver coordinated, efficient care to a defined patient population through provider collaboration and accountability for costs and quality outcomes. Requirements include agreements between primary care physicians, specialists, and hospitals to be responsible for a minimum number of Medicare beneficiaries.
Creation of a novel cancer & hiv linked registry by jamilla rajabKesho Conference
This document describes the creation of a novel cancer and HIV registry in two counties in Kenya. Key points:
1. The registry pilot collected cancer and HIV data from hospitals in Nakuru and Embu counties to provide population-based data on cancer frequencies, trends, and differences between the counties.
2. Preliminary results found the top five cancers were similar to national estimates, though some site-specific differences between counties were seen.
3. Data from the registry will be uploaded to a mobile app platform to provide customized cancer data and statistics to various stakeholders for research, planning, and intervention purposes.
4. Challenges establishing the registry included poor data quality and documentation at healthcare facilities. Completing
This study analyzed data on 40,215 low-risk prostate cancer patients from 2012-2013 to evaluate the use of active surveillance. The results showed the rate of active surveillance was as low as 14% and varied significantly between facilities. Facility type, volume, and other institutional factors accounted for this variation. Specifically, academic facilities and those with higher patient volumes were more likely to utilize active surveillance. The study concludes there is a need to address non-clinical variations in care between cancer facilities to standardize the appropriate use of active surveillance.
Adapting and enhancing malaria information systems in countries entering pre-...MEASURE Evaluation
As countries reduce malaria transmission, strong health information systems are needed to monitor progress and tailor new approaches. A literature review identified key aspects of health information system functionality for countries at various stages of malaria control. Personnel, data quality, and system structure were the most influential aspects. Assessments are important to identify areas for improvement and allow comparison across countries and over time. The results will help develop country case studies and guidance to help strengthen routine data capture as countries adapt their health information systems for changing malaria epidemiology.
About the Ontario Institute for Cancer Researchjosephoicr
The Ontario Institute for Cancer Research’s focus on multi-disciplinary research teams, a collaborative approach and on moving discoveries into the clinic more quickly has advanced both discovery and translation.
This document summarizes cancer registry data from Kenya. It discusses the establishment of population-based cancer registries in Nairobi and Eldoret in 2001 and 1998 respectively. The top cancers among males are prostate, esophagus, colon, stomach, and Kaposi sarcoma. For females, the top cancers are breast, cervix, esophagus, colon, and Kaposi sarcoma. It also provides cancer incidence and mortality estimates for 2012. Challenges for cancer registries include missing data, population boundaries, funding, and capacity building. Efforts are ongoing to address challenges and improve data collection.
Epidemiology of cancer in patients seeking palliative care by l.w. cushnyKesho Conference
This document summarizes a study on the epidemiology of cancer in patients seeking palliative care at Nairobi Hospice in Kenya. The study found that the most common cancers seen were breast, prostate, cervical, esophageal and Kaposi's sarcoma. A majority of patients were female (64.7%) and the median age was 54 years. The top five cancers accounted for over 60% of cases. Late diagnosis was also indicated by a median survival time of only 7 months from diagnosis. The study concludes there is a need for increased cancer care facilities, education and research to address the growing burden of cancer in Kenya.
The document summarizes key findings from the ABCE (Access, Bottlenecks, Costs, and Equity) research project in Zambia. The project assessed facility capacity, service provision, patient perspectives, efficiency, and costs of health care delivery. It found gaps in capacity across facility types, with shortages of equipment, staff, and stock-outs of medicines and vaccines. It also found potential for improved efficiency, with the average facility using only 42% of resources. Costs per patient visit varied by facility and service type.
The document provides an overview of the Access, Bottlenecks, Costs, and Equity (ABCE) research project in Uganda. The project collected data from 247 health facilities and over 3,900 patient interviews between 2012-2013. Key findings include: gaps between reported and functional service capacity at facilities, especially for non-HIV services; high availability of HIV/AIDS services but lower availability for non-communicable diseases; and efficiency scores varied widely both across and within facility platforms, indicating potential for expanded service provision.
The document summarizes the use of electronic health records (EHRs) for syndromic surveillance, using the example of Zika virus. It discusses how EHRs can help improve reporting of outbreaks by recording patient information. While EHRs provide advantages like improved reporting efficiency and criterion validity of data, they also have limitations like the need for diagnostic and demographic accuracy. The document reviews literature on different surveillance systems and their use in various healthcare settings. It concludes by discussing opportunities for further research, such as including new diseases in surveillance systems and improving collaboration between public and private health sectors.
The document provides an overview of the ABCE (Access, Bottlenecks, Costs, and Equity) project in Ghana which collected primary data from 240 health facilities across the country. Key findings include that while facility personnel and capacity have increased in recent years, availability of diagnostic testing and human resources vary substantially between facility types. The study also found opportunities to improve efficiency and increase service outputs given current resource levels. Results of the ABCE project can help inform health policy in Ghana by identifying areas of strength and those needing further development in the country's health system.
Opportunities and challenges in starting an oncology program by amyn alidinaKesho Conference
This document discusses opportunities and challenges in starting an oncology program at Aga Khan Hospital in Dar Es Salaam, Tanzania. It notes that the program will operate across 4 campuses in Kenya and Tanzania. It then outlines some of the cancer incidence rates seen at the Dar Es Salaam location. The document discusses efforts to standardize practices across locations, including mentorship programs, guidelines adaptation, and virtual nursing education conferences. Challenges include the costs of medications and training staff, while opportunities include research, education, and cancer registries. It concludes that implementing a regional program brings new standardization challenges but that leadership and learning from others can help address them.
Malaria Intervention Assessment in Four States of Nigeria: An Innovative, Co...MEASURE Evaluation
This document summarizes the results of a mixed-methods assessment of malaria implementation in four states of Nigeria between 2008-2016. The assessment evaluated trends in malaria prevention, treatment, and data quality indicators using household surveys, health facility data, and interviews. Key results showed that coverage of malaria interventions increased over time but remained below targets. Availability of commodities and data quality improved more in PMI-supported facilities compared to non-PMI facilities. Quality of malaria case management was generally good across states and higher in PMI facilities, while quality of malaria in pregnancy care varied between states.
Call for action :expanding Cancer care in india Earnest and Young report Healthcare consultant
The context of cancer care in India is characterized by high incidence, late detection, lack of access to quality affordable care to majority of the populace and hence high mortality. It is agonising to observe high percentage of late detection owing to issues of access, affordability and awareness given that both the cost and success of treatment is favourably skewed towards earlier detection in a significant manner, leave alone the anguish of the family that has to negotiate with the reality of losing their loved one knowing that it is a travesty, not tragedy, of destiny. Further, it is of great concern to observe increasing deterioration of the key risk factors that contribute to the sickness, viz. use of alcohol/tobacco, obesity, environmental pollution etc. It is imperative for the stakeholders of Indian healthcare to address this growing menace before it becomes a national catastrophe.
The document summarizes the experience of scaling up HIV treatment in Cameroon through operational research. Cameroon implemented a public health approach to decentralize HIV treatment from central and regional hospitals to district hospitals between 2001-2005. This was supported by standardized treatment guidelines, subsidies for laboratory tests, and a mentorship strategy. Operational research evaluated the impact and found early outcomes were better at district levels, including improved access, quality of care, adherence, and patient perceptions of decentralization. However, challenges remain around sustained drug supply, prevention of unsafe sex, and health worker satisfaction.
The ABCE project in Kenya collected data from 254 health facilities and over 4,200 patient exit interviews from 2012. Key findings include:
- Primary care facilities reported providing services but often lacked full capacity, especially in rural areas. Equipment, staffing, and diagnostic capacities were often inadequate.
- Patients generally paid some fees but amounts varied. Over 75% of public health center patients paid 20 KSH or less.
- Efficiency scores averaged 41% and generally declined with lower levels of care. Significant potential existed to increase service production given resources.
- Costs per patient visit varied by facility and output, with outpatient visits generally the lowest cost.
Bethan George: WELC Care Collaborative, 30 June 2014Nuffield Trust
In this slideshow, Bethan George, Deputy Director Integrated Care of the WELC Care Collaborative describes practical risk stratification and clinical case finding in the WELC pioneer programme. Bethan describes the work they have done with risk stratification for the local population in Waltham Forest, East London and The City.
Bethan George spoke at the Nuffield Trust event: The future of the hospital, in June 2014.
This document outlines the rationale, objectives, hypotheses, study design, and planned analyses for investigating the potential association between calcium channel blocker (CCB) use and cancer risk. The study will be conducted using multiple epidemiological databases from the UK, Denmark, Netherlands, Spain, and Germany. The specific objectives are to conduct descriptive studies, a population-based cohort study, and nested case-control analyses to compare cancer outcomes between CCB users and non-users. The primary outcome of interest is risk of all cancers combined, and secondary outcomes include breast, prostate, and colon cancers analyzed separately.
Care Communications’ latest cancer registry white paper takes an in-depth look at the Rapid Quality Reporting System (RQRS). Topics covered include why hospitals need RQRS; participation requirements; benefits of the RQRS for facilities and patients; how to prepare for RQRS implementation and resources for more information.
DeMarco and Associates and Pendulum HealthCare Corporation provide services to help organizations develop accountable care organizations (ACOs). They assist with infrastructure development, care coordination, and data analytics. Pendulum also designs, develops, and manages ACOs. An ACO aims to deliver coordinated, efficient care to a defined patient population through provider collaboration and accountability for costs and quality outcomes. Requirements include agreements between primary care physicians, specialists, and hospitals to be responsible for a minimum number of Medicare beneficiaries.
HCC Coding and Risk Adjustment Tool model is specially designed to estimate future health care costs for patients. its main objective is to consider the well-being of the executives alongside exact repayments from medicare Advantage Plans.
The Entity chosen was Baptist Healthcare South Florida for years 201.docxtodd701
The document outlines a course project that requires students to analyze the financial operations of a healthcare organization using three years of financial statements and metrics. It provides details on the expected case study format, including sections on background, issues identified, analysis using ratios, recommendations, implementation plan, monitoring methodology, and references. It also includes a sample analysis of Baptist Health South Florida that was done as part of the project, focusing on its statement of operations, balance sheet, statement of cash flows, and key financial ratios for 2017-2019.
Insurance reimbursement in the oncology marketsmithjgrace
New payment models, especially for those providing oncology medical billing services, have been designed to improve the value and effectiveness of medical care. For this, the Centre of Medicare and Medicaid Innovation devised a new model called the 'Oncology Care Model.' "Under the Oncology Care Model (OCM), physician practices have entered into payment arrangements that include financial and performance accountability for episodes of care surrounding chemotherapy administration to cancer patients.
Hospitals profitability can be increased by boosting patient satisfaction, reducing readmissions and understanding revenue cycle performance.
In this period of healthcare reform, numerous organizations continue to change their business practices so they can obtain more hospital profitability while also delivering quality care. Healthcare expenditures are expected to reach $4.4 trillion by 2022, and this high level of spending activity has hospitals currently under a lot of pressure to reduce costs.
Predictive Analytics: It's The Intervention That MattersHealth Catalyst
In this two-part webinar, get the detailed knowledge you need to make informed decisions about adopting predictive analytics in healthcare so you can separate today's hype from reality. In part 1, you'll learn key learnings from Dale Sanders including 1) our fixation on predictive analytics in readmissions, 2) the common trap of predictions without interventions, 3) the common misconceptions of correlations verses causation, 4) examples of predictions without algorithms, and 5) the importance of putting the basics first.
In part 2, you'll hear from industry expert David Crockett, PhD in a "graduate level" crash course cover key concepts such as machine learning, algorithms, feature selection, classification, tools and more.
This document summarizes discussions from a series of panel discussions on the future of post-acute healthcare. Key concerns discussed include the need for better coordination and pathways between acute and post-acute care to reduce hospital readmissions, ensuring clinical staff in skilled nursing facilities have sufficient skills and training, understanding new models like Accountable Care Organizations, managing increased utilization of managed care plans with lower reimbursement rates, and navigating changes to state Medicaid systems. Potential solutions focus on developing partnerships across settings, sharing clinical information, participating in advocacy, and using technology and analytics to improve coordination and decision making.
Approximately 12 million adults experience a diagnostic error each year due to factors like poor identification, incomplete communication, and limited resources. Healthcare organizations struggle to address these challenges because of the growing amount of data and regulations. Without consolidated, clean data, achieving interoperability and high-quality patient-centered care is difficult. Healthcare organizations must focus on accurately identifying patients and providers, understanding care teams, establishing data governance, and reducing unnecessary expenditures in order to improve outcomes and meet evolving quality standards.
This document summarizes a presentation on quality of care, cost leadership, methodology, and technology. The presentation will cover the importance of quality to healthcare reform, the financial impact of quality, connections between meaningful use of EHRs and CMS quality measures, and how to improve quality using methods and technologies. Attendees will learn how to move from just reporting quality measures to a quality management program using real-time data and process improvement methods.
Modernizing physician alignment strategies requires understanding physician behavior through data analytics to better modify and track performance, improve referral rates, and align physicians with the healthcare institution's goals in order to impact financial performance and compete in today's changing healthcare landscape. Sophisticated physician relationship management systems provide a 360-degree view of physician loyalty and activity across specialties using integrated healthcare claims data to facilitate meaningful dialogue between physicians and the institution.
Healthcare Payer Digital Transformation | Health Plan Services | Healthcare B...RNayak3
Transform your healthcare payer operations with our digital transformation services. As the #1 outsourcing and consulting company, we're your premier provider for BPO/BPM solutions in the healthcare payer industry.
Please follow instructions carefully. Thank you so kindly. Ass.docxmattjtoni51554
The document discusses key changes in quality management and patient safety in the healthcare industry. It outlines several major developments that have advanced this area, including a 1999 IOM report that found medical errors resulted in up to 98,000 deaths per year. This prompted increased focus on quality, errors, and transparency from hospitals and regulators. It also discusses ongoing challenges like the need for standardized quality measures and electronic medical records to further improve outcomes.
The Healthcare Quality Coalition wrote to CMS Administrator Berwick to provide feedback on the proposed Medicare Shared Savings Program and ACO regulations. The coalition supports the goals of improved care coordination and reduced costs through alternative payment models like ACOs. However, the letter outlines several concerns with the proposed rule, including that it requires reporting on too many quality measures in year one, does not adequately account for patient acuity, and may not provide sufficient incentives for high-quality organizations to participate. The coalition urges CMS to address these issues in the final rule.
Harness Your Clinical and Financial Data with an Enterprise Health Informat...Perficient, Inc.
The importance of Enterprise Health Information Exchange (EHIE) as a key way to empower your physicians and patients and demonstrate meaningful use of electronic health records:
- Present the business case for EHIE as an important architecture that matters to progressive health systems
- Take a look at some of the market-leading EHIE architectures and products
- Provide real exam...ples of organizations that are using EHIE to improve their operations
1) The payment models in healthcare are shifting from fee-for-service to value-based models that tie reimbursement to quality outcomes and cost savings. This transition is being driven by rising healthcare costs, the Affordable Care Act, and commercial insurers.
2) Providers now need to accelerate preparations for managing clinical and financial risk through value-based contracts. This requires changes to business models, physician alignment, and supporting patients through the transition.
3) For organizations to succeed under value-based contracts, they must define population health strategies, implement coordinated care delivery models, and carefully sequence clinical and financial transformations to capture savings while maintaining stability.
Journal of applied clinical medical physics Vol 14, No 5 (2013)oncoportal.net
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1. Cancer Registry Poised to Support Accountable Care
Reimbursement & Strengthen the Bottom Line
Focus on quality of care and quality of data leads innovative organizations
and fiscally focused executives to increasingly turn to the cancer registry
2. Introduction: Accountable
Care, the Bottom Line and
the Cancer Registry
Recently profiled in the April 23, 2013 New York Times
article, “A Health Provider Strives to Keep Hospital
Beds Empty,” Advocate Health Care has embraced
accountable care and has already achieved a
two percent cost savings as a direct result.
According to the article, thus far, hospital
admissions are down six percent, and days spent
in the hospital are down nearly nine percent. To
facilitate the change, “Advocate has hired scores
of workers to coordinate care and keep an eye on
the highest-cost patients...”
According to the same NY Times article, an
estimated 428 accountable-care organizations now
cover four million Medicare enrollees and millions
more people with private insurance.
Executives should take the time to examine the
sources of their organizations’ data and how they
acquire and report that data. Turning to the best
data sources can boost reimbursement and
financial performance of cancer centers and
their parent organizations, and the best source for
data related to cancer is undoubtedly the cancer
registry department.
Cancer registries already maintain
the highest quality data
Data quality’s impact on
patient care, outcomes and
the bottom line
Throughout the industry, the many ways
organizations have begun to harness cancer
registry data speaks to their confidence in the
quality of that data. At some of the hospitals
and health networks that work with Care
Communications to ensure efficiency and
effectiveness in cancer registry departments,
cancer registry data has been effectively put to
use in many different ways. Already, organizations
use cancer registry data to justify new investments
in technology or medical expertise. Many use
the data to grade their own cancer center’s
performance against benchmarks, determine
if patients receive appropriate treatment, and
educate physicians on what standards of care
should be. In other instances, organizations use
the data to analyze referral patterns or better
understand their customer base. As more
organizations begin to understand the value of
this data as a competitive advantage for critical
analysis and decision making, the industry’s
growing confidence in the quality of data from the
cancer registry will most likely only continue to rise.
This makes perfect sense, considering the origin of
that data.
Suspect data affects patient outcomes, and
in accountable care organizations this also
harms financial performance. Accountable
care organizations link payments to quality
improvements and cost reductions, a practice
that will spread to cancer care soon. The deeper
hospitals move into pay for performance, the
more data their executives will need to prove
quality of care.
Abstracted by trained professionals, the cancer
registry is a reliable, yet under-utilized source of
cancer outcomes data. To ensure data quality
standards, cancer registries remain highly
regulated but offer the flexibility to be easily
expanded in an organization’s efforts to collect
additional helpful information and data that can
further enhance patient care or the organization’s
bottom line.
While many pundits believe the accountable care
movement could be the most meaningful recent
development in the effort to fix our nation’s health
care industry, hospital executives are only beginning
to open their eyes to the powerful role their cancer
registries can play in the quest for profitability during
and beyond the transition. Critically important, the
quality of data collection directly affects patient
outcomes and reimbursement, and executives
should take a few simple steps today to assess the
quality of their cancer registry data, begin to use
it more effectively and improve future financial
performance.
1
3. Cancer registries...
(cont’d)
Turning to the cancer registry as a trusted source
for data ensures quality, thanks to the American
College of Surgeons (ACoS) Commission on
Cancer (CoC) and its stringent regulations on data
quality. Its published standards for data quality i
require all case abstracting to be performed
by a Certified Tumor Registrar (CTR) in a timely
manner (90 percent of cases are abstracted within
six months of the date of first contact with the
program). The standards also present mandated
follow-up rates of 80 percent for all patients
and 90 percent for recent patients, as well as
requirements for data quality and submission to
the National Cancer Data Base (NCDB).
The high quality data ensured by this governance
improves reimbursement and reduces costs,
particularly in an accountable care environment.
So, consider who is in charge of collecting the
data. Cancer registry data is collected by highly
trained Certified Tumor Registrars who have met
increasingly strenuous educational requirements,
including passing a national certification exam.
The CTR certification marks its 30th anniversary in
2013, a testament to the stability and long-term
contributions of these highly trained professionals.
Once the certification is obtained, registrars must
meet continuing education requirements to
maintain the CTR credential. CTRs are trained to:
“...correctly interpret and code cancer
diagnosis, stage, treatment, and outcomes
information for each case...” ii
The use of CTRs for data abstraction ensures that
cancer registry data is of the highest quality and
executives can trust the data as a reliable source
for informed decision making and utilize it to assist
in meeting quality parameters in multiple settings.
Value of the cancer registry
to the bottom line
Executives should understand what data their
cancer registry contains and how that data can
be easily extracted and used to help patients
and improve the organization’s bottom line. Since
data quality directly impacts patient outcomes,
the heightened quality of data housed in cancer
registries can deliver a positive impact on efforts to
reduce costs and improve reimbursement.
The cancer registry should already be positioned
to help the organization, because it can efficiently
provide all required outcomes data. Unfortunately,
many organizations mistakenly overlook the
cancer registry as a quality data source and
waste extensive time and resources by recreating
much of the same data.
Beyond outcomes data, the cancer registry can be
used to determine outbound and inbound patient
referrals, which can provide an accurate assessment
of both lost and realized opportunity. For example, if
the organization has referred numerous patients to
a nearby breast surgeon for appropriate treatment,
then perhaps the organization should consider hiring
a breast surgeon. This could help ensure that the
patient can receive treatment with the organization
managing their care. Similarly, if the cancer registry
data shows numerous inbound referrals for specific
treatments, there may be an opportunity to expand
this part of the organization to ensure effective, timely
treatment for patients.
By taking simple steps today, including asking a few
simple questions to assess the current state of the
cancer registry, the already impressive quality of
cancer registry data can be further improved, along
with its impact on tomorrow’s bottom line.
Cancer registry now the definitive
source for cancer outcomes data
The cancer registry exists as the timeliest, most
complete and most accurate data source for most
accredited cancer programs and should be every
executive’s preferred source for all cancer-related
outcomes data. Revised in 2012, the ACoS CoC
standards shifted the focus of the standards to the
quality of patient care and enhanced the reporting
of cancer data to include concurrent abstracting
options with the introduction of the Rapid Quality
Reporting System i i i (RQRS).
2
4. Cancer registry now...
(cont’d)
Prior to the institution of the RQRS, providers
received information 18-24 months after treatment
rendering the treatment information insufficient
to assess quality of care. To address these issues
the CoC adopted the RQRS. Currently voluntary,
RQRS could become mandatory in the future,
which would require accredited cancer programs
to report data on patients concurrently and notify
hospitals of treatment expectations. Each hospital
would then receive its year-to-date concordance
rate relative to other similar hospitals at the local,
state and national levels.
The CoC has a data use agreement in place
to use the clinical information provided by the
RQRS for the purposes of quality review and
improvement. The revised CoC standards
assist hospitals with health care operations,
including quality assurance, utilization review and
accreditation. As a result, the cancer registry now
provides the most accurate and complete source
of data on cancer treatment and outcomes
available to many health care executives.
to reduce costs and improve patient outcomes
and organizational performance already exists
in the cancer registry. Beyond accessing existing
data, new fields can be added to the cancer
registry data collection process to ensure that
any additional required data is accessible
moving forward.
Simple steps today, financial
rewards tomorrow
The cancer registry data assessment will help
executives better understand the current state
of their organizations’ cancer registry and what
cancer registry data can do for their organizations
today. With a solid understanding of the starting
point in hand, executives should take the following
steps to further enhance the usefulness and future
potential of the cancer registry to improve an
organization’s performance in a variety of ways.
1 Develop standard reports for data analysis.
Quickly assess the organization’s
cancer registry data
To quickly assess the quality of an organization’s
cancer registry data and its potential to boost
organizational performance today, executives
should work with their teams to answer four
simple questions:
2 (Executives) Become active and involved in
cancer committee meetings where these
reports can be presented.
1 What data do we currently have access to
through the cancer registry?
2 What data has been required in the past and
is it relevant for use today?
Decisions on program development and
improvement can be made given your active
involvement in both data analysis review and
cancer committee attendance.
3 Ask for data.
3 What data is needed today in light of new
accountability and reporting standards?
Executives are often surprised to discover the
amount of data available to them that can
aid in their decision making processes.
4 Before conducting a study or chart review on
4 What, if any, additional data points should we
cancer care, seek out the assistance of your
cancer registry.
begin collecting to strengthen the registry’s
stature as a tool to build the bottom line?
As executives answer these questions, it should
become obvious that much of the data they need
These reports can be custom designed on
any data parameter collected by the cancer
registry and can aid in understanding the
who, what, when, where, why and how of an
organization’s cancer program.
Duplication of effort can be avoided, and
many resources can be applied to other
more useful efforts.
3
5. Simple steps today...
(cont’d)
5 Monitor timeliness of treatment.
If the average delay between diagnosis
and the start of treatment is extended, it
could signal a communications breakdown
between specialties or a shortage of
appointment openings for treatment, and this
could be an opportunity for a fast tracking
program.
6 Monitor the treatment mix for the
primary facilities.
Does the treatment mix mirror national trends?
If not, it could mean that patients aren’t
being informed of all their options before
deciding on a course of treatment; perhaps
there is a need for a more thorough patient
consultation program.
7 Examine average stage of disease
at diagnosis.
Are the organization’s patients being
diagnosed at later stages of disease than the
benchmarks established at the local, state,
or national level? If so, the community may
need an early screening program to provide
patients and primary care physicians with a
better education on early detection.
9 Analyze the success of signature services.
Using rapid reporting mechanisms such as
the RQRS, executives can compare patients
who are eligible for signature services to those
who are using them to determine whether the
services should be grown (marketed, referred
and staffed) or discontinued.
10 Review patient addresses.
References:
i
Determine the primary age groups of patients
and compare them to previous data to see if
the average age has changed. This will help
in planning and scheduling support programs
for different patient age groups.
Commission on Cancer. Cancer Program Standards
2012: Ensuring Patient-Centered Care. American
College of Surgeons. http://www.facs.org/cancer/
coc/programstandards2012.pdf. Published
September, 2012. Accessed May 20, 2013.
ii
Commission on Cancer. Cancer Program Standards
2012: Ensuring Patient-Centered Care. American
College of Surgeons. http://www.facs.org/cancer/
coc/programstandards2012.pdf. Published
September, 2012. Accessed May 20, 2013.
iii
Commission on Cancer. The Rapid Quality
Reporting System. American College of Surgeons.
http://www.facs.org/cancer/ncdb/rqrs0509.pdf
Published April, 2009. Accessed May 20, 2013.
8 Monitor patient ages.
By taking a close look at patient addresses,
the organization can identify areas where
few or no patients reside, potentially signaling
an opportunity for extended community and
primary care physician outreach.
4
6. About the Author
Laurie Hebert, RHIA, CCS, CCS-P CTR
,
Vice President and General Manager, Cancer Registry Services
800-458-3544, ext. 161
lhebert@care-communications.com
www.carecommunications.com/cancer_registry
As Vice President and General Manager, Cancer Registry Services at
Care Communications, Inc., Laurie Hebert is responsible for managing
client relationships, cancer registry consultants, and sales of cancer
registry services. Hebert also provides input and required oversight for
research projects that require cancer registry data. With over 20 years
of experience, Hebert has worked at various hospitals and cancer
registry facilities in a wide range of health information management
(HIM) roles.
She has published or contributed to many articles noted in national
trade publications, authored white papers related to the cancer
registry field, co-authored a study on pediatric lymphoma, and
assisted in the development of a pediatric staging form chosen by the
American College of Surgeons Commission on Cancer as a best practice tool for pediatric facilities.
Hebert is currently serving on the National Cancer Registrars Association’s (NCRA) Board of Directors as
Advocacy and Technical Practice Director-Midwest along with serving on several additional NCRA related
committees, and is the past chair of the association’s National Cancer Registrars Week Committee. She is
past president-elect of the Central Louisiana Health Information Management Association and past president
of the Southeast Louisiana Health Information Management Association.
Hebert is a member of several health care associations including the American Health Information
Management Association (AHIMA), National Cancer Registrars Association, Louisiana Health Information
Management Association (LHIMA), the Southwest Louisiana Health Information Management Association
(SWLHIMA) and the Louisiana Cancer Registrars Association (LCRA).
She received a bachelor’s degree in psychology and HIM from the University of Southwestern Louisiana.
Areas of Expertise:
l
Cancer registry regulations and accreditation
l
Cancer registry education and advocacy
l
Data management and analysis
l
Quality data collection
l
Cancer studies
l
Outcomes measurement
l
Database outcomes improvement
5