Program Overview

Komen and ASCO are partnering together to implement a structured quality improvement program into Komen’s African-American Health Equity Initiative’s Community Collaboration for Collective Impact project. The program will help medical practice teams improve their capacity and capability to provide evidence-based, high-quality care at facilities that serve the African-American community with breast cancer. ASCO’s Quality Oncology Practice Initiative (QOPI®) and Quality Training Program (QTP) will serve as the foundation for this multi-pronged quality assessment improvement project.

As an international medical society dedicated to high-quality cancer care for all individuals, ASCO has a strong commitment to reducing disparities in cancer care. Key components of this commitment are improving access to high-quality care and supporting research on health disparities. Additionally, ASCO has established a robust, comprehensive program to assist oncology providers in providing the highest quality care to all patients with cancer. ASCO’s project harnesses the tools, resources, and infrastructure of QOPI® and QTP to measure and enhance each participating practice’s quality of care, and to provide each practice with the tools necessary to sustain this improvement over time. This process is based on the Evidence-Based Quality Improvement (EBQI) model, which emphasizes the involvement of outside clinical and implementation experts and empirical evidence, while stressing that an organization’s own clinicians and staff are best positioned to improve their systems.

 It is crucial that sponsoring practices/institutions support team members’ participation in the program. This includes the commitment of practice/institutional leadership to the improvement project, and willingness to protect participants’ time. ASCO will require a letter of support from the sponsoring practice/institution demonstrating its commitment, as part of the application process. It will also require leadership to commit to two meetings per year with the project core team or its representative.

 Below is more information on the program requirements and application.

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* Practice/Institution Name

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* Complete Address

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* Project Applicant Contact Information

Applicants will be evaluated based on pertinent information about the practice/institution and the patient population served by the practice, as well as, leadership support. Please answer the following questions for your Breast Cancer program.

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* Please describe your patient demographics and diversity.  Please include information on multi-ethnicity, if available

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* Please describe your staff demographics and diversity.  Please include information on multi-ethnicity, if available. Note: “Staff” in this context applies to caregivers (MDs, PAs, NPs, RNs)

Please complete the following data table to the best of your ability:

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* Number & percentage of insured patients currently under care

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* Number & percentage of uninsured patients currently under care

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* Number & percentage of patients on Medicaid currently under care

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* Number & percentage of white patients currently under care

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* Number & percentage of Black/African-American patients currently under care

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* Number & percentage of American Indian or Alaska Native patients currently under care

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* Number & percentage of Asian patients currently under care

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* Number & percentage of Native Hawaiian or Other Pacific Islander patients currently under care

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* Number & percentage of Hispanic or LatinX patients currently under care

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* Number & percentage of non-Hispanic/LatinX patients currently under care

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* Number & percentage of your breast center patient population who are African American

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* Number of oncologists at the practice

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* Number of oncology-trained nurses at the practice

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* Number of oncology-trained NPs and PAs at practice

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* Number of new breast Oncology cases per year (Including both initial and recurring diagnoses)

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* Total number of breast cancer patients seen per year

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* Total number of oncology patients seen per year

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* Please list any accreditations your practice/institution holds including American College of Radiology Breast Imaging Centers of Excellence (BICOE), American College of Surgeons National Accreditation Program for Breast Cancers (NAPBC), American College of Surgeons Commission on Cancer (COC) and/or National Cancer Institute-Designated Cancer Centers.

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* How has your practice/institution demonstrated its commitment to improving treatment for African American breast cancer patients?

Participating practices/institutions must be willing to commit time and resources throughout the duration of the project.  Participants will be required to:
  • Assemble a core qualified team (four members) to lead the quality improvement efforts and attend the three in-person QTP meetings over a six-month period. One team member must be a physician and ASCO member; others may be clinical or administrative staff, and a patient, caregiver, and/or advocate representative.
  • Devote 8-10 hours of preparatory time before the first QTP session, including required reading.
  • Attend and actively participate in all in-person education sessions.
  • Choose and lead a quality improvement project related to breast cancer services at their clinical site during the program (a successful project will require at least two hours per week, including regular project team meetings and monthly webinars with coaches).
  • Assemble a team of abstractors for QOPI® quality measurement abstraction (may be different than the core team, such as a registrar, fellows, or nurses).
  • Abstraction team: Devote, over a six-month period, approximately one hour per chart, with a minimum of 30 charts.
  • Meet with their project sponsors/institutional leadership semi-annually to advise of progress.
  • Assist in organizing a QTP one-day workshop at the practice site.
  • Participate in comprehensive Practice Site assessment visits for evaluation and gap analysis of quality, safety, and effective patient care delivery, in particular to patients receiving chemotherapy treatment regimens.
  • Address Practice Site assessment visits identified opportunities for continual improvement based on a standardized Clinical Care Delivery Assessment tool and 2016 ASCO/ONS Chemotherapy Administration Safety Standards.
  • Commit to continual improvement in care of patients receiving chemotherapy treatment regimens for readiness in fully implementing the 2016 ASCO/ONS Chemotherapy Administration Safety Standards.

    Team: Include four individuals per practice/institution. One team member must be a physician and ASCO member; others may be physicians, clinical or administrative staff. Teams must be composed of caregivers who treat a high proportion of African American breast oncology patients. 

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* Physician/ASCO Member

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* Team Member #2

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* Team Member #3

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* Team Member #4

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* Please confirm that you are currently registered for, or previously participated in, ASCO’s Quality Oncology Practice Initiative (QOPI®)?

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* Which brand of EHR do you use?

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* Who enters data in EHR (e.g. physician, nurse, scribe) during the patient visit?

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* Please describe any quality improvement initiatives currently underway at your practice/institution:

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* Will team members be available to participate in the 2020 in-person learning sessions at ASCO Headquarters in Alexandria, VA on the dates specified?  In-person sessions are planned for January 16-17, March 19-20, June 26

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* One Day Workshop Host

Will team members and institution be willing to participate in and host a one-day workshop of the Quality Training Program at their home institution in year 2 or 3?

It is crucial that sponsoring practices/institutions support team members’ participation in the program. This includes commitment of leadership to the improvement project(s) and willingness to dedicate resources and protect participants’ time.  To demonstrate this commitment, please include a letter of support from institutional leadership attached to this application.
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