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Published on: July 15, 2015
Multisite Quality Improvement Initiative to Identify and Address Racial Disparities and Deficiencies in Delivering
Joseph R Mikhael1, Shelby L Sullivan2, Jeffrey D Carter2
1Translational Genomics Research Institute (TGen), City of Hope Comprehensive Cancer Center, Phoenix, AZ 85004, USA.
Quality improvement initiatives reveal disparities in multiple myeloma (MM) care delivery. Provider education improved confidence in patient-centered care and guideline adherence, highlighting the need for equitable treatment access.
Area of Science:
- Oncology
- Health Services Research
- Quality Improvement
Background:
- Multiple myeloma (MM) treatment is complex, yet equitable care access can equalize outcomes for Black patients.
- Identifying and addressing clinical practice barriers is crucial for patient-centered MM care.
Purpose of the Study:
- To assess and address barriers to equitable, patient-centered MM care through a quality improvement initiative.
- To compare MM care delivery and identify disparities between large hospital systems and community-based practices.
Main Methods:
- A quality improvement initiative involving electronic medical record (EMR) reviews and surveys of patients and providers across diverse care settings.
- Educational interventions through feedback-focused grand rounds sessions for providers to discuss system barriers and develop action plans.
Main Results:
- EMR reviews showed less frequent documentation of cytogenetics and staging in community practices versus large hospitals.
- Provider surveys revealed differing challenges and discordant patient-provider treatment goals in large hospital systems.
- Providers reported increased confidence in guideline adherence and shared decision-making post-educational intervention.
Conclusions:
- Discordant perceptions exist between large hospital systems and community practices regarding quality MM care delivery.
- Provider education can enhance confidence and commitment to patient-centered MM care, promoting equitable treatment.
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