ASCO explains how it has evolved its comprehensive care model

Implementation of a new medical oncology home model was the main focus of the conference on the opening day Fourth Symposium on Quality of Oncology Careorganized by Economic Cooperation Organization Foundation In cooperation with American Society of Clinical Oncology (ASCO). Stephen Grubbsvice president of clinical affairs at ASCO, explained QOPI Certification of quality in oncology care before delving into its development and history to date. “It is important to educate governments if you want to make changes for patients,” he said at the beginning of his presentation, which he gave Alfredo Karatoa member of the ECO Foundation.

The table, specifically, took a tour of this oncology house, otherwise known as the model Medical Oncology Home (OMH). As described by ASCO, it is a guide to defining and implementing a comprehensive cancer care delivery system focused on quality of care. Thus this model teaches practices how to create an integrated care structure throughout treatment and recovery, with measurements to provide feedback at every step of the process.

When a patient is diagnosed with cancer, treating the disease becomes the primary goal of medical care. This often involves highly specialized, long-term treatment, such as chemotherapy and radiation,” they appreciate from the American Society of Clinical Oncology.

The seed for these dwellings was planted, according to Grubbs, in the 1960s, when American Academy of Pediatrics (AAP) She identified that there were pediatric patients with chronic illnesses who weren’t really getting the care they needed. So, they “began to develop this concept of putting the patient in the center of medical care.” “In the past 20 years, this concept has been growing,” the ASCO president explained, “and finally, around 2000, the general principles of what would entail patient-centered accommodations were developed.”

In 2008, the program National Committee for Quality Assurance (NCQA), adopted these standards and developed a program to identify these dwellings, which can be adopted and recognized. According to Grubbs, “This became something very important in terms of Medicare coverage, which took these certifications into account and decided that people who accepted these principles would get more compensation.” Since then, programs for specialists have been developed.

Wicker from PCMH

food Patient Centered Medical Home (PCMH) Thus, conceptually, they started from five requirements Agency for Healthcare Research and Quality (AHRQ), similar to ISCIII in that it provides government funding for research on all kinds of diseases and treatments. Thus Grubbs revised the above terms: “Obtain complete care; be patient-centered; coordinated and accessible care, considering all elements of the health system constellation; and ensure quality and safety.”

On this last point, he emphasized that he must have Performance based metricssomething to which the ECO is already dedicated, “It is important that care is based on empirical data and it is also necessary to analyze the patient experience and find out what families are saying about how they perceive the care: when there are problems, we have to look inside ourselves and say how it can be improved.”

“It is important that care is based on empirical data and analysis of the patient’s experience in terms of how they perceive the care”

Stephen GrubbsVice President of Clinical Affairs at ASCO

In 2010, an oncologist john brandio He took these principles and introduced them to his practice, gaining recognition as a center of excellence. The Vice President of Clinical Affairs at ASCO noted: “He was the first oncologist in the United States to do this and Barbara McKinneywho has always been a heavyweight in oncology in the United States, in 2012 was awarded a fellowship from Medicare and Medicaid Innovation Center (CMMI) This system was called COME HOME.

What he wanted was to create seven centers that would try to comply with these principles. The project ended in 2017, achieving savings and improving the patient experience. That same program launched, in 2016, a program that ended last year with 170 consultations, in which some of these concepts were combined into an alternative payment model.

Final steps: from 2021 to a pilot trial

Before crystallizing in the pilot trial developed across the pond and reviewing its potential implementation on the ‘Old Continent’, Grubbs explained that in 2021 ASCO itself and COA (Community Oncology Alliance) A series of Medical Oncology Centers (OMH) standards have been compiled and published. In this way, the course investigated how to transfer these standards into the certification program (ASCO Medical Oncology Home Standards Certification for Patient-Centered Cancer Care).

To do so, he taught a way to transform cancer care and innovate in that care, while highlighting the way in which oncologists have established Standards. “We are the ones who define how these systems of care should be so that patients receive exactly what they need. ASCO has a way of developing standards in a very disciplined way.” The steps were as follows:

  • Expert panel meeting, literature review, standards development, and approval by ASCO employers in 2021. Seven areas: patient engagement, access to care, evidence-based medicine, equitable care, continuous quality improvement and end-of-life discussions.
  • Establishment of the QOPI Certification Program. “This has a lot to do with security, there are 17 standards in those areas,” Grubbs said.
  • Once these criteria were developed, they decided to proceed with giving the consultancy the possibility to have this distinction, thus becoming a ‘home’, i.e. a specialist centre. To do this, “we decided to write a certification guide and it was adapted to see how it could be implemented in each consultation.”
  • In July 2021, a pilot project involving 12 consultations began in the United States. As part of it, according to Gerbs, comprehensive reviews of the centers were carried out: “If a defect is discovered, time is given to improve it and, where appropriate, certification is given.” “We wanted to apply procedures based on care requests. That way we can measure different things, costs, care, and quality.”

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