Pathway map development as an approach to identifying priority areas for quality improvement in Ontario.

Authors

null

Helen Mackay

Odette Cancer Centre, Toronto, ON, Canada

Helen Mackay, Jasmin Soobrian, Joan Murphy, Lorraine Elit, Michael F. Milosevic, Angelika Gollnow, Jillian Ross, Claire Holloway

Organizations

Odette Cancer Centre, Toronto, ON, Canada, Cancer Care Ontario, Toronto, ON, Canada, Trillium Health Partners, Mississauga, ON, Canada, Juravinski Cancer Centre, Hamilton, ON, Canada, Princess Margaret Cancer Centre, Toronto, ON, Canada, Clinical Programs and Quality Initiatives, Cancer Care Ontario, Toronto, ON, Canada

Research Funding

No funding sources reported

Background: Disease Pathway Management (DPM) is the unifying approach to the way in which Cancer Care Ontario (CCO) sets priorities for cancer control, plans cancer services and improves the quality of care in Ontario. In 2014 DPM began developing a cervical cancer pathway map (CCPM) to map the patient journey along the cervical cancer care continuum. Objective: to report on the CPPM development process as a tool to identify key priorities for cervical cancer management in Ontario. Methods: DPM convened a multidisciplinary/multi-stakeholder cervical cancer working group with regional and specialty representation from across Ontario. Over 12 months, 33 individuals participated in an in-person meeting and monthly teleconferences. The CCPM was drafted using guidelines developed by CCO’s Program in Evidence Based Care (PEBC) and considering clinical guidance documents from several jurisdictions. Throughout the development process the team were asked to discuss and reach consensus on key priorities for improving care. Results: Twenty-two priority areas were identified across the continuum in: prevention, diagnosis, treatment, follow-up and survivorship. Opportunities were identified for: development/endorsement of evidence based guidelines; patient-centered approaches to screening; quality improvement; survivorship; drug funding implementation and a CPPM Knowledge Translation strategy. Potentially actionable items were aligned with relevant internal and external stakeholders including organized screening programs, the PEBC, provincial drug reimbursement programs and other quality improvement teams within CCO. Conclusions: The process of bringing multidisciplinary experts together in order to develop the CPPM successfully identified key priorities across the spectrum of care in Ontario and allowed identification of potential opportunities for quality improvement, development of practice guidelines and new models of care. In turn, the CCPM provides a patient-centred disease focused framework from which stakeholders can approach and evaluate new initiatives in the context of the cervical cancer continuum.

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Abstract Details

Meeting

2016 ASCO Quality Care Symposium

Session Type

Poster Session

Session Title

Poster Session A: Practice of Quality and Cost, Value, and Policy in Quality

Track

Cost, Value, and Policy in Quality,Practice of Quality,Science of Quality

Sub Track

Learning from Projects Done in a Health System

Citation

J Clin Oncol 34, 2016 (suppl 7S; abstr 108)

DOI

10.1200/jco.2016.34.7_suppl.108

Abstract #

108

Poster Bd #

K3

Abstract Disclosures

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