Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors

Sabine Ludt, Elizabeth Urban, Jörg Eckardt, Stefanie Wache, Björn Broge, Petra Kaufmann-Kolle, Günther Heller, Antje Miksch, Katharina Glassen, Katja Hermann, Regine Bölter, Dominik Ose, Stephen Campbell, Michel Wensing, Joachim Szécsényi

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background
Colorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing.

Methods
Indicators were developed following a systematic 10 step modified ‘RAND/UCLA Appropriateness Method’ which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described.

Results
The final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey.

Conclusion
In Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care
Original languageEnglish
Pages (from-to)1-10
Number of pages10
JournalPLoS One
Volume8
Issue number5
DOIs
Publication statusPublished - 1 May 2013
Externally publishedYes

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Health Care Sector
colorectal neoplasms
Health care
health services
Colorectal Neoplasms
Specifications
Quality of Health Care
Germany
Tumors
Health Care Quality Assurance
Feedback
Radiation
Information Storage and Retrieval
Testing
Financial Management
Rectum
neoplasms
Medical Records
Inpatients
resection

Cite this

Ludt, S., Urban, E., Eckardt, J., Wache, S., Broge, B., Kaufmann-Kolle, P., ... Szécsényi, J. (2013). Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors. PLoS One, 8(5), 1-10. https://doi.org/10.1371/journal.pone.0060947
Ludt, Sabine ; Urban, Elizabeth ; Eckardt, Jörg ; Wache, Stefanie ; Broge, Björn ; Kaufmann-Kolle, Petra ; Heller, Günther ; Miksch, Antje ; Glassen, Katharina ; Hermann, Katja ; Bölter, Regine ; Ose, Dominik ; Campbell, Stephen ; Wensing, Michel ; Szécsényi, Joachim. / Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors. In: PLoS One. 2013 ; Vol. 8, No. 5. pp. 1-10.
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abstract = "BackgroundColorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing.MethodsIndicators were developed following a systematic 10 step modified ‘RAND/UCLA Appropriateness Method’ which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described.ResultsThe final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey.ConclusionIn Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care",
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Ludt, S, Urban, E, Eckardt, J, Wache, S, Broge, B, Kaufmann-Kolle, P, Heller, G, Miksch, A, Glassen, K, Hermann, K, Bölter, R, Ose, D, Campbell, S, Wensing, M & Szécsényi, J 2013, 'Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors', PLoS One, vol. 8, no. 5, pp. 1-10. https://doi.org/10.1371/journal.pone.0060947

Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors. / Ludt, Sabine; Urban, Elizabeth; Eckardt, Jörg; Wache, Stefanie; Broge, Björn; Kaufmann-Kolle, Petra; Heller, Günther; Miksch, Antje; Glassen, Katharina; Hermann, Katja; Bölter, Regine; Ose, Dominik; Campbell, Stephen; Wensing, Michel; Szécsényi, Joachim.

In: PLoS One, Vol. 8, No. 5, 01.05.2013, p. 1-10.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors

AU - Ludt, Sabine

AU - Urban, Elizabeth

AU - Eckardt, Jörg

AU - Wache, Stefanie

AU - Broge, Björn

AU - Kaufmann-Kolle, Petra

AU - Heller, Günther

AU - Miksch, Antje

AU - Glassen, Katharina

AU - Hermann, Katja

AU - Bölter, Regine

AU - Ose, Dominik

AU - Campbell, Stephen

AU - Wensing, Michel

AU - Szécsényi, Joachim

PY - 2013/5/1

Y1 - 2013/5/1

N2 - BackgroundColorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing.MethodsIndicators were developed following a systematic 10 step modified ‘RAND/UCLA Appropriateness Method’ which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described.ResultsThe final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey.ConclusionIn Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care

AB - BackgroundColorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing.MethodsIndicators were developed following a systematic 10 step modified ‘RAND/UCLA Appropriateness Method’ which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described.ResultsThe final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey.ConclusionIn Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care

U2 - 10.1371/journal.pone.0060947

DO - 10.1371/journal.pone.0060947

M3 - Article

VL - 8

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EP - 10

JO - PLoS One

JF - PLoS One

SN - 1932-6203

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Ludt S, Urban E, Eckardt J, Wache S, Broge B, Kaufmann-Kolle P et al. Evaluating the Quality of Colorectal Cancer Care across the Interface of Healthcare Sectors. PLoS One. 2013 May 1;8(5):1-10. https://doi.org/10.1371/journal.pone.0060947