quality oncology practice initiative

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QOPI: WHAT IS IT AND WHY SHOULD CANCER REGISTRARS CARE?

Theresa Vallerand, BGS, CTR


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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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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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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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QOPI Measures / Timely 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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QOPI – Levels of Participation

Unregistered

Registered

Certification


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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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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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QOPI – Certification Level

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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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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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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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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QOPI – New England Stats

Massachusetts – 8 Connecticut – 4 Maine – 4 Rhode Island – 4 New Hampshire - 2


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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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QOPI – Groups of Measures 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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QOPI – Importance to Registrars

Overlap COC Eligibility & Standards

Platform for Quality Studies

Career Development


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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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QOPI – COC and QOPI Overlap CP3R cont. Colorectal ACT – Adjuvant chemotherapy 12 RLN – Resection of 12

regional lymph nodes


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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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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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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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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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QOPI - Conclusion

Questions, Comments, etc.

Theresa Vallerand, CTR, BGS [email protected]

mailto:[email protected]

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