QOPI (Quality Oncology Practice Initiative) is a program developed by the American Society of Clinical Oncology (ASCO) that uses a set of measures to evaluate and improve the quality of care in outpatient chemotherapy clinics. There are three levels of participation in QOPI - unregistered, registered, and certification. For certification, clinics must participate in data collection, meet scoring requirements on 26 core measures, and pass an on-site review. QOPI measures overlap with COC standards and can be used to fulfill eligibility requirements or conduct quality studies. Participation in QOPI also provides career opportunities for cancer registrars given their skills in data collection, analysis, and quality improvement.

1. QOPI: WHAT IS IT AND WHY SHOULD
CANCER REGISTRARS CARE?
Theresa Vallerand, BGS, CTR
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2. Goals of Presentation
 Define what QOPI stands for and what QOPI
is
 Identify 3 levels of participation
 Review of major groups of measures
 Discuss the importance to Cancer Registrars
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3. QOPI IS . . .
 Quality Oncology Practice Initiative
 Program of American Society of Clinical
Oncology (ASCO)
 A set of measures geared for the outpatient
chemotherapy clinic or practice, designed as
a tool for performance improvement.
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4. QOPI Measures . . .
 ASCO
 American Medical Association – Physician
Consortium for Performance Improvement
 American Society for Radiation Oncology
 National Comprehensive Cancer Network
 National Initiative on Cancer Care Quality
 National Quality Forum
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5. QOPI Measures / Timely
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Review twice a year
Updated as needed
New measures added as needed
Last revised for Fall 2013 reporting
 Found on ASCO QOPI Website
 Just put QOPI into your search engine
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6. QOPI – Levels of Participation
 Unregistered
 Registered
 Certification
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7. QOPI – Unregistered Use
 Available to be used as an unregistered
participant
 Unable to participate in data collection
 Not entitled to comparative or aggregate data
 Not entitled to data collection methodology
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8. QOPI – Registered User
 Must be registered under an ASCO member in
good standing
 Must enter a Business Associate Agreement
 IRB approval not needed for most institutions
 Data collection methodology shared
 Data reporting HIPAA Compliant
 Aggregate and comparative information
available
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9. QOPI – Certification Level
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Must participate in data collection and reporting
Must submit data 2X / year
Must meet scoring requirements
Must complete a “SAR” type documentation
Reviewers evaluate all submitted materials and data
On-site review process
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10. QOPI – Certification Fee
 Certification fee is multi-tiered
 Number of physician FTE’s in practice
 Number of physical locations
 Additional fee for 5+ locations
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11. QOPI – Stats
 Participants in Fall 2012 Data Reporting: 272
 Registered Facilities: 816
 In 50 States and 3 Territories
 Certified QOPI Participants: 200
 In 42 States and 2 Territories
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12. QOPI – New England Stats
 6 / 6 States have practices that participated Fall 2012
data reporting
 6 / 6 States have Registered Practices
 5 / 6 States have QOPI Certified Practices
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13. QOPI – New England Stats
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Massachusetts – 8
Connecticut – 4
Maine – 4
Rhode Island – 4
New Hampshire - 2
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14. QOPI – Groups of Measures
 QOPI Certification Program (QCP) Measures
 Measures that must be reported and reach
required levels for certification
 26 Measures (updated Spring 2013)
 Additional Measures
 Not required for reporting
 No required levels for certification
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15. QOPI – Groups of Measures
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Core
Symptom
End of Life
Breast
Colorectal
Non-Hodgkin Lymphoma
Non-Small Cell Lung Cancer
Gynecologic Oncology (test)
Additional test measures added for Fall 2013 to the
existing groups
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16. QOPI – Importance to Registrars
 Overlap COC Eligibility & Standards
 Platform for Quality Studies
 Career Development
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17. QOPI – COC and QOPI Overlap
 Eligibility Requirement 8 – Systemic Therapy
 QOPI Certification will fulfill E8
 Cancer Forum
 CP3R
 Several QOPI measures mirror CP3R measures
 Breast
 MAC – multi-agent chemotherapy
 HT – Hormonal therapy
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18. QOPI – COC and QOPI Overlap
 CP3R cont.
 Colorectal
 ACT – Adjuvant chemotherapy
 12 RLN – Resection of 12
regional lymph nodes
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19. QOPI – Quality Studies
 Reporting of QOPI measures DOES NOT fulfill CoC
Standard 4.7 Studies of Quality
 Springboard to Studies
 Provide ideas for Studies of Quality
 Expansion to Meet S4.7
 Question to answer or hypothesis to explore
 Data Collection, Analysis and Findings
 Plan of Action if warranted
 Reporting to Cancer Committee, Medical Staff,
and Facility Administration
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20. QOPI – Career Development
 Cancer Registrars know cancer
 Cancer Registrars understand quality
care
 Cancer Registrars can read medical
charts
 Cancer Registrars mine data
 Cancer Registrars analyze data
 Cancer Registrars know how to
navigate a certification or accreditation
process
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21. QOPI – Career Development
 Cancer Registrars are computer savvy
 Cancer Registrars are less expensive
to employ than Registered Nurses
 Cancer Registrars can provide the
services needed for a clinical oncology
practice or clinic to report to QOPI
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22. QOPI Conclusion
Define what QOPI stands for and what QOPI is
Identify 3 levels of participation
Review of major groups of measures
Discuss the importance to Cancer Registrars
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23. QOPI - Conclusion
 Questions, Comments, etc.
 Theresa Vallerand, CTR, BGS
 tvallerand@care-communications.com
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