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Evaluating the quality of colorectal cancer care across the interface of healthcare sectors.
PLoS One. 2013; 8(5):e60947.Plos

Abstract

BACKGROUND

Colorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing.

METHODS

Indicators were developed following a systematic 10 step modified 'RAND/UCLA Appropriateness Method' which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described.

RESULTS

The final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey.

CONCLUSION

In Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care.

Authors+Show Affiliations

Department of General Practice and Health Services Research, University of Heidelberg Hospital, Heidelberg, Germany. sabine.ludt@med.uni-heidelberg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23658684

Citation

Ludt, Sabine, et al. "Evaluating the Quality of Colorectal Cancer Care Across the Interface of Healthcare Sectors." PloS One, vol. 8, no. 5, 2013, pp. e60947.
Ludt S, Urban E, Eckardt J, et al. Evaluating the quality of colorectal cancer care across the interface of healthcare sectors. PLoS ONE. 2013;8(5):e60947.
Ludt, S., Urban, E., Eckardt, J., Wache, S., Broge, B., Kaufmann-Kolle, P., Heller, G., Miksch, A., Glassen, K., Hermann, K., Bölter, R., Ose, D., Campbell, S. M., Wensing, M., & Szecsenyi, J. (2013). Evaluating the quality of colorectal cancer care across the interface of healthcare sectors. PloS One, 8(5), e60947. https://doi.org/10.1371/journal.pone.0060947
Ludt S, et al. Evaluating the Quality of Colorectal Cancer Care Across the Interface of Healthcare Sectors. PLoS ONE. 2013;8(5):e60947. PubMed PMID: 23658684.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluating the quality of colorectal cancer care across the interface of healthcare sectors. AU - Ludt,Sabine, AU - Urban,Elisabeth, AU - Eckardt,Jörg, AU - Wache,Stefanie, AU - Broge,Björn, AU - Kaufmann-Kolle,Petra, AU - Heller,Günther, AU - Miksch,Antje, AU - Glassen,Katharina, AU - Hermann,Katja, AU - Bölter,Regine, AU - Ose,Dominik, AU - Campbell,Stephen M, AU - Wensing,Michel, AU - Szecsenyi,Joachim, Y1 - 2013/05/01/ PY - 2012/07/25/received PY - 2013/03/04/accepted PY - 2013/5/10/entrez PY - 2013/5/10/pubmed PY - 2014/2/19/medline SP - e60947 EP - e60947 JF - PloS one JO - PLoS ONE VL - 8 IS - 5 N2 - BACKGROUND: Colorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing. METHODS: Indicators were developed following a systematic 10 step modified 'RAND/UCLA Appropriateness Method' which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described. RESULTS: The final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey. CONCLUSION: In Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/23658684/Evaluating_the_quality_of_colorectal_cancer_care_across_the_interface_of_healthcare_sectors_ L2 - http://dx.plos.org/10.1371/journal.pone.0060947 DB - PRIME DP - Unbound Medicine ER -