Improving cancer case & chemotherapy capture rates from oncology practices

改善癌症案例

• 批准号: 7917765
• 负责人: LYNNE T PENBERTHY
• 金额: $ 6.82万
• 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/7917765
• 关键词: Access to Information; Address; Age; American Society of Clinical Oncology; Businesses; Cancer Patient; 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 claim; Methodology; Methods; Modification; National Cancer Institute; National Comprehensive Cancer Network; Oncology Group; Operative Surgical Procedures; Outcome; Outpatients; Patients; Persons; Physicians; Physicians' Offices; Population; Process; Provider; Quality of Care; Quality of life; Radiation therapy; Registries; Reporting; Research Personnel; Resources; Route; Sampling; Scanning; Screening procedure; Secure; Staging; Stream; System; Testing; Universities; Validation; Virginia; aged; base; billing data; cancer care; cancer registrars; cancer site; cancer therapy; case finding; chemotherapy; cost; electronic data; flexibility; follow-up; health care service utilization; high risk; improved; innovation; neoplasm registry; oncology; population based; programs; standard of care; surveillance data; 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，旨在评估从社区肿瘤学实践中的索赔计费流进行电子捕获对化学疗法治疗中缺失的癌症监测数据的可行性。调查人员将修改和测试弗吉尼亚联邦大学开发的系统，目前在案例确定中使用，以获取有关癌症注册过程的后续治疗和信息。修改后的软件应用程序将自动审查参与肿瘤学实践中所有传出的电子主张，并捕获有关癌症病例及其化学疗法治疗的相关信息。这项探索性研究将在弗吉尼亚州的三种社区肿瘤学实践中进行。选择样本作为便利样本，以提供有关从实践到实践的电子数据提交系统可变性水平的初步信息，并提供信息以评估修改程度，以跨不同实践实施现有软件所需的修改程度。该实践的实践，医师的数量和实践中存在的电子病历整合水平各不相同。一旦在练习中安装申请后，将通过电子筛选三个月的研究期间提交的所有索赔。在研究期间，所有具有索赔（包括CPT化学疗法的CPT代码）的患者将被捕获。然后，该系统将以安全，加密和HIPAA的方式将信息发送到中央癌症注册表。索赔数据将与现有注册表数据匹配，以识别注册表中缺少的病例和化学疗法治疗。此外，所有未报告给中央注册表的患者的医疗记录将进行手动审查和抽象。新确定的事件案例的数量以及这些错过案件的频率和表征以及 将评估所有化学疗法（未在中央注册表中捕获）。这项研究将提供信息，以评估社区肿瘤实践的补充监视系统的可行性和定量益处，包括与实施此类计划所需的成本和努力相关的实际信息。它将提供信息，直接策略以更全面地实施此类系统的下一步。这项研究有潜力 为了增强在许多层面上收集的癌症监测信息，包括中央注册和SEER，通过解决化学疗法治疗的可用数据信息的严重缺陷。测试利用现有资源（计费信息）来自动捕获医生实践化学疗法的详细数据是填补该信息差距的重要一步。

项目成果

The value of billing data from oncology practice to supplement treatment information for cancer surveillance.

肿瘤学实践中的计费数据对于补充癌症监测治疗信息的价值。

• 发表时间: 2014
• 期刊: Journal of registry management
• 作者: Penberthy,Lynne;Petkov,Valentina;McClish,Donna;Peace,Steven;Overton,Sandra;Radhakrishnan,Soundarya;Gillam,Chris
• 通讯作者: Gillam,Chris

Impact of automated data collection from urology offices: improving incidence and treatment reporting in urologic cancers.

泌尿科办公室自动数据收集的影响：改善泌尿系统癌症的发病率和治疗报告。

• 发表时间: 2010
• 期刊: Journal of registry management
• 作者: Penberthy,LynneT;McClish,Donna;Agovino,Pamela
• 通讯作者: Agovino,Pamela

Hematologic malignancies: an opportunity to fill a gap in cancer surveillance.

血液恶性肿瘤：填补癌症监测空白的机会。

• DOI: 10.1007/s10552-012-0003-1
• 发表时间: 2012
• 期刊: Cancer causes & control : CCC
• 作者: Penberthy,Lynne;McClish,Donna;Peace,Steven;Gray,Laurel;Martin,Jim;Overton,Sandra;Radhakrishnan,Soundarya;Gillam,Chris;Ginder,Gordon
• 通讯作者: Ginder,Gordon