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Development and Implementation of Oral Anticancer Agent Tools for a Thematic Quality Improvement Program: A
Victoria Nachar1,2, Marjorie Adams Curry3, Diana Kostoff4
1University of Michigan Rogel Cancer Center, Ann Arbor, MI.
Purpose:
The Hematology Oncology Pharmacist Association Oral Chemotherapy Collaborative (HOPA OCC) developed practice-based tools to use in program development and improvement for the management of patients receiving oral anticancer agents (OAAs).
Methods:
These tools include a baseline OAA program assessment, clinical OAA adherence tool, and OAA dashboard. HOPA OCC distributed these tools to teams participating in the 6-month HOPA ASCO Quality Training Programs (QTPs). Barriers in the delivery of OAA services across practice sites were determined through the use of baseline assessments, and the following domains were evaluated: (1) side-effect monitoring, (2) adherence monitoring, (3) use of patient-reported outcomes, (4) social determinants of health, and (5) collaborative practice agreements for oncology pharmacists. The OAA adherence tool offers clinical patient adherence questions and guidance for supporting adherence in practice. Finally, the dashboard includes multiple metrics that may be helpful for practices to measure their program outcomes. HOPA OCC used the Consolidated Framework for Implementation Research to assess tool usefulness by the QTP participants.
Results:
Barriers to implementation include deficits in information technology, resources, and competing priorities.
Conclusion:
Standardized OAA tools can inform and support quality improvement initiatives and improve the care of patients receiving OAAs.
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