The national cancer institute community cancer centers program (NCCCP): Sustaining quality and reducing disparities in guideline-concordant breast and colon cancer care

Pamela Spain; Stephanie Teixeira-Poit; Michael T. Halpern; Kathleen Castro; Irene Prabhu Das; Brenda Adjei; Rebecca Lewis; Steven B. Clauser

doi:10.1634/theoncologist.2016-0252

The national cancer institute community cancer centers program (NCCCP): Sustaining quality and reducing disparities in guideline-concordant breast and colon cancer care

Pamela Spain, Stephanie Teixeira-Poit, Michael T. Halpern, Kathleen Castro, Irene Prabhu Das, Brenda Adjei, Rebecca Lewis, Steven B. Clauser

Community, Environment and Policy

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Background. The National Cancer Institute Community Cancer Centers Program (NCCCP) pilot was designed to improve quality of cancer care and reduce disparities at community hospitals. The NCCCP’s primary intervention was the implementation of the Commission on Cancer Rapid Quality Reporting System (RQRS). The RQRS is a hospital-based data collection and evaluation system allowing near real-time assessment of selected breast and colon cancer quality of care measures. Building on previous NCCCP analyses, this study examined whether improvements in quality cancer care within NCCCP hospitals early in the program were sustained and whether improvements were notable for minority or underserved populations. Methods. We compared changes in concordance with three breast and two colon cancer quality measures approved by the National Quality Forum for patients diagnosed at NCCCP hospitals from 2006 to 2007 (pre-RQRS), 2008 to 2010 (early-RQRS), and 2011 to 2013 (later-RQRS). Data were obtained from NCCCP sites participating in the Commission on Cancer Rapid Quality Reporting System. Logistic regression analyses were performed to identify predictors of concordance with breast and colon cancer quality measures. Results. The sample included 13,893 breast and 5,546 colon cancer patients. After RQRS initiation, all five quality measures improved significantly and improvements were sustained through 2013. Quality of care measures showed sustained improvements for both breast and colon cancer patients and for vulnerable patient subgroups including black, uninsured, andMedicaid-covered patients. Conclusion. Quality improvements in NCCCP hospitals were sustained throughout the duration of the program, both overall and among minority and underserved patients. Because many individuals receive cancer treatment at community hospitals, facilitating high-quality care in these environments must be a priority.

Original language	English (US)
Pages (from-to)	910-917
Number of pages	8
Journal	Oncologist
Volume	22
Issue number	8
DOIs	https://doi.org/10.1634/theoncologist.2016-0252
State	Published - Aug 2017

Keywords

Breast neoplasms
Colonic neoplasms
Health care
Health care disparities
Quality improvement
Quality indicators

ASJC Scopus subject areas

Oncology
Cancer Research

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10.1634/theoncologist.2016-0252

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@article{05a5d9d6200c4890afc00718c40174ca,

title = "The national cancer institute community cancer centers program (NCCCP): Sustaining quality and reducing disparities in guideline-concordant breast and colon cancer care",

abstract = "Background. The National Cancer Institute Community Cancer Centers Program (NCCCP) pilot was designed to improve quality of cancer care and reduce disparities at community hospitals. The NCCCP{\textquoteright}s primary intervention was the implementation of the Commission on Cancer Rapid Quality Reporting System (RQRS). The RQRS is a hospital-based data collection and evaluation system allowing near real-time assessment of selected breast and colon cancer quality of care measures. Building on previous NCCCP analyses, this study examined whether improvements in quality cancer care within NCCCP hospitals early in the program were sustained and whether improvements were notable for minority or underserved populations. Methods. We compared changes in concordance with three breast and two colon cancer quality measures approved by the National Quality Forum for patients diagnosed at NCCCP hospitals from 2006 to 2007 (pre-RQRS), 2008 to 2010 (early-RQRS), and 2011 to 2013 (later-RQRS). Data were obtained from NCCCP sites participating in the Commission on Cancer Rapid Quality Reporting System. Logistic regression analyses were performed to identify predictors of concordance with breast and colon cancer quality measures. Results. The sample included 13,893 breast and 5,546 colon cancer patients. After RQRS initiation, all five quality measures improved significantly and improvements were sustained through 2013. Quality of care measures showed sustained improvements for both breast and colon cancer patients and for vulnerable patient subgroups including black, uninsured, andMedicaid-covered patients. Conclusion. Quality improvements in NCCCP hospitals were sustained throughout the duration of the program, both overall and among minority and underserved patients. Because many individuals receive cancer treatment at community hospitals, facilitating high-quality care in these environments must be a priority.",

keywords = "Breast neoplasms, Colonic neoplasms, Health care, Health care disparities, Quality improvement, Quality indicators",

author = "Pamela Spain and Stephanie Teixeira-Poit and Halpern, {Michael T.} and Kathleen Castro and {Prabhu Das}, Irene and Brenda Adjei and Rebecca Lewis and Clauser, {Steven B.}",

note = "Funding Information: We thank the National Cancer Institute (NCI) for their funding of this study and guidance during the study.We are grateful to the NCI Community Cancer Centers Program (NCCCP) site Principal Investigators and staff for their contributions to this effort. This work was completed while Dr. Clauser was employed at the NCI and does not reflect the policy or position of the Patient Centered Outcomes Research Institute. This project has been funded in whole or in part with Federal funds from the NCI, NIH, under Contract No. HHSN261200800001E. The content of this publication does not necessarily reflect the views of policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. Publisher Copyright: {\textcopyright} AlphaMed Press 2017.",

year = "2017",

month = aug,

doi = "10.1634/theoncologist.2016-0252",

language = "English (US)",

volume = "22",

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journal = "Oncologist",

issn = "1083-7159",

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T1 - The national cancer institute community cancer centers program (NCCCP)

T2 - Sustaining quality and reducing disparities in guideline-concordant breast and colon cancer care

AU - Spain, Pamela

AU - Teixeira-Poit, Stephanie

AU - Halpern, Michael T.

AU - Castro, Kathleen

AU - Prabhu Das, Irene

AU - Adjei, Brenda

AU - Lewis, Rebecca

AU - Clauser, Steven B.

N1 - Funding Information: We thank the National Cancer Institute (NCI) for their funding of this study and guidance during the study.We are grateful to the NCI Community Cancer Centers Program (NCCCP) site Principal Investigators and staff for their contributions to this effort. This work was completed while Dr. Clauser was employed at the NCI and does not reflect the policy or position of the Patient Centered Outcomes Research Institute. This project has been funded in whole or in part with Federal funds from the NCI, NIH, under Contract No. HHSN261200800001E. The content of this publication does not necessarily reflect the views of policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. Publisher Copyright: © AlphaMed Press 2017.

PY - 2017/8

Y1 - 2017/8

N2 - Background. The National Cancer Institute Community Cancer Centers Program (NCCCP) pilot was designed to improve quality of cancer care and reduce disparities at community hospitals. The NCCCP’s primary intervention was the implementation of the Commission on Cancer Rapid Quality Reporting System (RQRS). The RQRS is a hospital-based data collection and evaluation system allowing near real-time assessment of selected breast and colon cancer quality of care measures. Building on previous NCCCP analyses, this study examined whether improvements in quality cancer care within NCCCP hospitals early in the program were sustained and whether improvements were notable for minority or underserved populations. Methods. We compared changes in concordance with three breast and two colon cancer quality measures approved by the National Quality Forum for patients diagnosed at NCCCP hospitals from 2006 to 2007 (pre-RQRS), 2008 to 2010 (early-RQRS), and 2011 to 2013 (later-RQRS). Data were obtained from NCCCP sites participating in the Commission on Cancer Rapid Quality Reporting System. Logistic regression analyses were performed to identify predictors of concordance with breast and colon cancer quality measures. Results. The sample included 13,893 breast and 5,546 colon cancer patients. After RQRS initiation, all five quality measures improved significantly and improvements were sustained through 2013. Quality of care measures showed sustained improvements for both breast and colon cancer patients and for vulnerable patient subgroups including black, uninsured, andMedicaid-covered patients. Conclusion. Quality improvements in NCCCP hospitals were sustained throughout the duration of the program, both overall and among minority and underserved patients. Because many individuals receive cancer treatment at community hospitals, facilitating high-quality care in these environments must be a priority.

AB - Background. The National Cancer Institute Community Cancer Centers Program (NCCCP) pilot was designed to improve quality of cancer care and reduce disparities at community hospitals. The NCCCP’s primary intervention was the implementation of the Commission on Cancer Rapid Quality Reporting System (RQRS). The RQRS is a hospital-based data collection and evaluation system allowing near real-time assessment of selected breast and colon cancer quality of care measures. Building on previous NCCCP analyses, this study examined whether improvements in quality cancer care within NCCCP hospitals early in the program were sustained and whether improvements were notable for minority or underserved populations. Methods. We compared changes in concordance with three breast and two colon cancer quality measures approved by the National Quality Forum for patients diagnosed at NCCCP hospitals from 2006 to 2007 (pre-RQRS), 2008 to 2010 (early-RQRS), and 2011 to 2013 (later-RQRS). Data were obtained from NCCCP sites participating in the Commission on Cancer Rapid Quality Reporting System. Logistic regression analyses were performed to identify predictors of concordance with breast and colon cancer quality measures. Results. The sample included 13,893 breast and 5,546 colon cancer patients. After RQRS initiation, all five quality measures improved significantly and improvements were sustained through 2013. Quality of care measures showed sustained improvements for both breast and colon cancer patients and for vulnerable patient subgroups including black, uninsured, andMedicaid-covered patients. Conclusion. Quality improvements in NCCCP hospitals were sustained throughout the duration of the program, both overall and among minority and underserved patients. Because many individuals receive cancer treatment at community hospitals, facilitating high-quality care in these environments must be a priority.

KW - Breast neoplasms

KW - Colonic neoplasms

KW - Health care

KW - Health care disparities

KW - Quality improvement

KW - Quality indicators

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The national cancer institute community cancer centers program (NCCCP): Sustaining quality and reducing disparities in guideline-concordant breast and colon cancer care

Abstract

Keywords

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