CoC Hosts Annual May Committee Meetings|
The members of the Commission on Cancer (CoC) standing committees including Accreditation, Cancer Liaison, Education, Quality Integration, and Executive met on May 16 - 17, 2013 for the annual May CoC Committee Meetings in Chicago. There were more than 150 attendees, including CoC members, member organization representatives, state chairs and American Cancer Society division relationship managers.Highlights are as follows:
The Accreditation Committee members received reports on the busy activities of the three subcommittees (Field Staff, Program Review, and Recruitment and Retention) as well as the Standards Advisory Group for Excellence (SAGE). Highlights include:
1. As of July 1, 2013 Standard 5.2 will be changed from abstracting timeliness to a new standard focused on Rapid Quality Reporting System (RQRS) participation. The RQRS standard will be effective on January 1, 2014, and will be valid for commendation only, and will be part of the Outstanding Achievement Award criteria beginning in 2014.
- 427 surveys performed during calendar 2012
- 79 programs received the Outstanding Achievement Award
- Abstracting timeliness was the most common deficiency given (23% of surveys)
- 27 programs received initial accreditation
- 19 programs withdrew, representing a net gain of 8 programs
- New recruitment and communication activities are underway including targeted marketing and increased exhibit activity
- Approximately 10 surveyors will be added to the team
- A surveyor mentor program is in development for release later this year
- SAGE and the Program Review Subcommittee brought forward three action items. All were approved.
Abstracting timeliness of 2011 cases will continue to be evaluated during the remaining 2013 surveys. Any deficiencies given for abstracting timeliness will be resolved by on-time submission of the 2012 cases to the National Cancer Data Base (NCDB) in January, 2014.
2. Immediately eliminate surveyor review of cases selected for one of the CP3R measures during the on-site visit. The review may be reinstated by the Accreditation Committee when needed to validate new performance measures. Programs will be notified in advance if the review is reinstated.
3. Retire the 2009 Standards from the survey process beginning January 1, 2014. This change will not affect surveys performed during 2013 which will continue to review 2010 and 2011 activity using the old standards and 2012 using the new standards. For 2014 surveys, the Outstanding Achievement Award criteria will be adjusted to apply to activities in 2012 and 2013 using only Cancer Program Standards 2012: Ensuring Patient-Centered Care.Cancer Program Standards 2012: Ensuring Patient Centered Care, v. 1.2 outlining these changes will be available online by the end of July, 2013.
The Cancer Liaison Committee had a productive and informative meeting. The discussion focused on the role of the State Chairs and their support for the Cancer Liaison Physicians (CLPs) in accredited programs. The committee’s emphasis will be on initiatives to support the CLP as their role has evolved to one of interpretation and analysis of quality data in their programs. The committee will look at supporting the CLP, surveyor meetings, providing additional training on the use of the NCDB quality tools, and rolling out a new CLP orientation video. Discussion was held about shifting emphasis of the CLP role from that of a volunteer to one of leader on the cancer committee devoted to improving the quality of the program.
State Chair activity reports were reviewed and voting for the State Chair Outstanding Achievement Award recipients took place during the session. CLP activity report results were also reviewed, and it was reported that of 414 CLPs surveyed in 2013, only 61 percent were compliant with Standard 4.3. Resident papers will be reviewed by May 31 and CoC Paper Competition winners will be announced soon.State Chairs and American Cancer Society representatives will be looking to connect through ACS mission priorities. These priorities focus efforts on Lung Cancer & Tobacco Control; Nutrition & Physical Activity; Breast Cancer & Colorectal Cancer; Survivorship & Quality of Life; and Access to Care.
The Education Committee members reviewed and selected topics to submit for potential presentation at the American College of Surgeons 2014 Clinical Congress. Nancy You, MD, MHSc, FACS representing the ACS Clinical Research Program Education Committee, presented a report on the work of the ACS Clinical Research program and opportunities for collaboration between the two committees. Keynote speaker suggestions for 2013 CoC Fall meetings were also discussed as well as possible names for the Oncology Lecturer for 2014 ACS Clinical Congress. There was also discussion on developing a three year strategic plan that includes an educational needs assessment.
Member organization representatives met in a session to review member initiatives and to learn about the work of the Commission’s Advocacy Subcommittee. Member organizations will be creating webinars for posting to the CoC Education Portal that support the work of accredited programs and provide resources to help programs meet CoC Standards. Member organizations completed templates describing their primary initiatives and those were compiled into the Cancer Care Initiatives Report which can be downloaded from the CoC website. Survey results from member organizations were reviewed with an emphasis on what value is provided by the CoC. Member organization representatives from the Society of Surgical Oncology and the American Society of Plastic Surgeons gave presentations highlighting the major initiatives of their organizations.
The Advocacy Subcommittee report included a review of the mission and guiding principles that will be used to inform the CoC position on policy issues going forward. A process for obtaining approval for policy positions was rolled out, and the subcommittee will also be developing a portal for gathering cancer-related policy issues of interest to CoC-accredited programs.The Quality Integration Committee met and discussed the strategic plan priorities for the National Cancer Data Base (NCDB) for 2013 which include:
- Updating the CP3R
- Updating the RQRS
- Adding new quality measures
- Completing CQIP
- Expanding the Participant User File (PUF) program
- Working with a consultant to evaluate NCDB operations
- Collaborating with UCSF on Cancer Registry interface with EPIC
Updates on the progress of CQIP, PUF reports, and the status of quality measure development were shared. The three new breast measures approved last year will be added to the CP3R in August and RQRS later in the year. Several new measures were approved, which will be rolled out in beginning in 2014. A number of member organizations also expressed interest in working with the QIC to develop additional measures.
Forty CoC State Chairs attended presentations given by Rebecca Cowens-Alvarado, Prevention and Survivorship Strategy, American Cancer Society; Erica McNamara and Kathy Mallin, NCDB staff; Lee Wilke, MD, FACS representing the ACS Clinical Research Program and Colette Salm-Schmid, MD, representing the NAPBC. In addition to these informative presentations, there was a panel moderated by Dr. Patricia Turner, MD, FACS, Director, Division of Member Services, American College of Surgeons. The panelists were CoC State Chairs reporting on best practices for participation in College Chapter activities.
During the CoC Information Forum Session, invited speaker, John D. Sprandio, MD, presented the Oncology Patient-Centered Medical Home (OPCMH) that he pioneered for Oncology Management Services as the chief physician. Heidi Nelson, MD, FACS, Program Director, ACS Clinical Research Program, reported on the group’s efforts to impact participation in clinical trials, and the chairs of each committee presented highlights from their respective meetings.A great deal was accomplished over the two days of meetings and we thank all of our members for their contributions and commitment to the CoC.
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