Improving Quality In Cancer Screening: The Excellence Report For Colonoscopy

提高癌症筛查质量：结肠镜检查卓越报告

• 批准号: 7491111
• 负责人: JUDITH R LOGAN
• 金额: $ 26.65万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7491111
• 关键词: Improving; Quality; Cancer; Screening; Excellence

DESCRIPTION (provided by the applicant): This initiative is designed to evaluate and improve the quality of screening and diagnostic colonoscopies in ambulatory care settings. Using the Clinical Outcomes Research Initiative (CORI) consortium and the National Endoscopic Database (NED) we will develop and test the Excellence Report, a quality report card for gastrointestinal (GI) endoscopy, focusing on nationally-recognized quality process measures for colonoscopy. After development of the Excellence Report, we will evaluate it using both qualitative and quantitative methodologies. Using a clustered randomized trial design, CORI-affiliated clinicians working in ambulatory care centers or offices will receive monthly reports of their quality measures along with comparisons to other CORI clinicians and to national benchmarks. The effect both on reporting of quality measures data and on adherence to the quality recommendations will be measured along with the durability of changes upon ceasing the reports. Concurrently, field observations and interviews will be performed with a representative sample of clinicians who are receiving the Excellence Report. Based on these observations and interviews, a survey will be created and administered to all participating clinicians. We will learn about the perceptions of the clinicians of reliability and validity of the data that are presented, their acceptance of the quality initiative, and we will look for effects on workflow and for any unintended consequences of the Excellence Report. Concurrent with this development and evaluation activity, this initiative will support a workgroup of GI reporting software vendors, imaging system vendors and GI pathology laboratories along with the GI specialty societies on development of a sustainable and standards based architecture that will allow the Excellence Report to expand beyond CORI.

描述（由申请人提供）：该倡议旨在评估和提高门诊护理环境中筛查和诊断结肠镜的质量。使用临床结果研究计划（CORI）财团和国家内窥镜数据库（NED），我们将开发和测试卓越报告，这是胃肠道（GI）内窥镜的质量报告卡，重点介绍了全国认可的结肠镜检查的质量过程。在制定卓越报告后，我们将使用定性和定量方法进行评估。使用聚集的随机试验设计，在门诊护理中心或办公室工作的Cori附属临床医生将每月收到其质量措施的报告，以及与其他CORI临床医生和国家基准的比较。将衡量报告质量测量数据的效果以及遵守质量建议的影响，以及停止报告后更改的持久性。同时，将对收到卓越报告的临床医生的代表样本进行现场观察和访谈。基于这些观察和访谈，将对所有参与的临床医生进行调查。我们将了解临床医生对所介绍的数据的可靠性和有效性的看法，他们对质量计划的接受，我们将寻找对工作流程的影响以及卓越报告的任何意外后果。该计划与此开发和评估活动一致，将支持GI报告软件供应商，成像系统供应商和GI Pathology Laboratories的工作组以及GI专业社会，以开发基于可持续和标准的建筑，这将使卓越报告可以扩展到Cori之外。