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Quality Measurement and Pay for Performance.

Jay S Lee1, Hari Nathan1

  • 1Department of Surgery, University of Michigan, 2210A Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.

Surgical Oncology Clinics of North America
|September 15, 2018
PubMed
Summary
This summary is machine-generated.

Debate continues on surgical oncology quality measures. Future programs will likely incentivize high-quality, low-cost cancer care using process, patient-centered, and cost-specific measures.

Keywords:
Bundled paymentsOncologyPay for performanceQuality measureSurgery

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Healthcare Quality Improvement

Background:

  • Current quality measures in surgical oncology primarily focus on process metrics and patient-centered outcomes.
  • Existing pay-for-performance programs for surgical oncology patients emphasize general postoperative complication prevention, lacking cancer-specific focus.

Purpose of the Study:

  • To explore appropriate quality measures for surgical oncology.
  • To discuss the implementation and incentivization of these measures.
  • To project future directions for pay-for-performance in cancer surgery.

Main Methods:

  • Review of current quality measures in surgical oncology.
  • Analysis of existing pay-for-performance programs impacting surgical oncology.
  • Discussion of future trends in healthcare quality and cost evaluation for cancer surgery.

Main Results:

  • Current quality measures are largely process-oriented (e.g., adjuvant therapy use, pathology reporting) and outcome-focused (quality of life).
  • Pay-for-performance programs often address general surgical complications, not specific to cancer care.
  • Future programs are anticipated to integrate process, patient-centered, and cost-of-care metrics tailored to cancer surgery.

Conclusions:

  • There is a need for surgical oncology-specific quality measures and incentivization strategies.
  • Future pay-for-performance models should encompass a broader range of metrics, including cost-effectiveness.
  • The evolution of quality assessment aims to promote high-quality, affordable cancer care.