Improving cancer case & chemotherapy capture rates from oncology practices

改善癌症案例

• 批准号: 7393324
• 负责人: LYNNE T PENBERTHY
• 金额: $ 14.9万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-04-04 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7393324
• 关键词: Access to Information; Address; Age; American Society of Clinical Oncology; Businesses; Cancer Hospital; Cancer Patient; Caring; Case Study; Community Clinical Oncology Program; Computer software; Computerized Medical Record; Current Procedural Terminology Codes; Data; Data Sources; Diagnosis; Disease; Dose; Electronics; Frequencies; Geographic Locations; Group Practice; Guidelines; Health Insurance Portability and Accountability Act; Healthcare; Hospitals; Information Systems; Inpatients; Institution; Insurance Carriers; Life; Link; Location; Malignant Neoplasms; Manuals; Medical Records; Medical Surveillance; Medicare; Methodology; Methods; Modification; National Cancer Institute; National Comprehensive Cancer Network; Numbers; Oncology Group; Operative Surgical Procedures; Outcome; Outpatients; Patients; Persons; Physicians; Physicians' Offices; Pliability; Population; Process; Provider; Quality of Care; Quality of life; Radiation therapy; Range; Rate; Registries; Reporting; Research Personnel; Resources; Risk; Route; Sampling; Scanning; Screening procedure; Secure; Staging; Standards of Weights and Measures; Stream; System; Testing; Universities; Validation; Virginia; aged; base; billing data; cancer care; cancer site; cancer therapy; case finding; chemotherapy; cost; follow-up; health care service utilization; improved; innovation; neoplasm registry; oncology; programs; tool

DESCRIPTION (provided by applicant): This is an exploratory study to assess the feasibility of implementing electronic capture of missing cancer surveillance data on chemotherapy treatment from the claims billing stream in community oncology practices. The investigators will modify and test a system developed at Virginia Commonwealth University and currently used in case ascertainment, to capture treatments and information on follow up for the cancer registration process. The modified software application will automatically review all outgoing electronic claims from participating oncology practices and capture relevant information on cancer cases and their chemotherapy treatment. This exploratory study will be performed in three community oncology practices in Virginia. The sample is selected as a convenience sample to provide preliminary information on the level of variability in electronic data submission systems from practice to practice and to provide information to assess the degree of modification that will be required to implement the existing software across different practices. The practices vary in location, number of physicians and the level of electronic medical record integration existing in the practice. Once the application is installed at the practice, all claims submitted during a three month study period will be electronically screened. All patients with claims including a CPT code for chemotherapy during the study period will be captured. The system will then send the information in a secure, encrypted and HIPAA compliant manner to the central cancer registry. The claims data will be matched with existing registry data to identify cases and chemotherapy treatments missing from the registry. In addition, there will be a manual review and abstraction of medical records for all patients not reported to the central registry and a sample of patients with and without chemotherapy reported to the central registry and identified through claims. The number of newly identified incident cases and the frequency and characterization of these missed cases and all chemotherapy (not captured in the central registry) will be assessed. This study will provide information to evaluate the feasibility and quantitative benefit of a community oncology practice-based supplemental surveillance system, including practical information related to the costs and level of effort that would be required to implement such a program. It will offer information to direct strategy for the next steps in implementing such a system on a more comprehensive basis. This study has the potential to enhance cancer surveillance information collected at many levels including central registries and SEER by addressing a significant deficit in available data-information on chemotherapy treatment. Testing the feasibility of utilizing an existing resource (billing information) to automate the capture of detailed data on chemotherapy from physician practices is an important step towards filling that information gap.

描述（由申请人提供）：这是一项探索性研究，旨在评估在社区肿瘤学实践中从索赔计费流中实施电子捕获化疗治疗缺失癌症监测数据的可行性。研究人员将修改和测试弗吉尼亚联邦大学开发的、目前用于病例查明的系统，以获取癌症登记过程的治疗和后续信息。修改后的软件应用程序将自动审查参与肿瘤学实践的所有传出电子索赔，并捕获有关癌症病例及其化疗治疗的相关信息。这项探索性研究将在弗吉尼亚州的三个社区肿瘤学实践中进行。选择该样本作为方便样本，以提供有关电子数据提交系统从实践到实践的可变性水平的初步信息，并提供信息来评估跨不同实践实施现有软件所需的修改程度。这些实践在地点、医生数量以及实践中现有的电子病历集成水平方面各不相同。一旦在诊所安装了应用程序，三个月研究期间提交的所有索赔都将接受电子筛选。所有在研究期间提出包含化疗 CPT 代码的索赔的患者都将被捕获。然后，系统将以安全、加密且符合 HIPAA 的方式将信息发送到中央癌症登记处。索赔数据将与现有的登记数据进行匹配，以识别登记处缺失的病例和化疗治疗。此外，还将对未向中央登记处报告的所有患者的医疗记录进行人工审查和摘要，并对向中央登记处报告并通过索赔确定的接受或未接受化疗的患者样本进行抽样。新发现的事件案例的数量以及这些遗漏案例的频率和特征，以及 所有化疗（未记录在中央登记处）都将接受评估。这项研究将提供信息来评估基于社区肿瘤学实践的补充监测系统的可行性和定量效益，包括与实施此类计划所需的成本和努力水平相关的实用信息。它将提供信息来指导下一步在更全面的基础上实施此类系统的战略。这项研究有潜力 通过解决化疗治疗可用数据信息的重大缺陷，加强在包括中央登记处和 SEER 在内的多个层面收集的癌症监测信息。测试利用现有资源（计费信息）自动从医生实践中捕获化疗详细数据的可行性是填补信息空白的重要一步。