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Comparison of Quality Oncology Practice Initiative (QOPI) Measure Adherence Between Oncology Fellows, Advanced Practice Providers, and Attending Physicians.

Publication ,  Journal Article
Zhu, J; Zhang, T; Shah, R; Kamal, AH; Kelley, MJ
Published in: J Cancer Educ
December 2015

Quality improvement measures are uniformly applied to all oncology providers, regardless of their roles. Little is known about differences in adherence to these measures between oncology fellows, advance practice providers (APP), and attending physicians. We investigated conformance across Quality Oncology Practice Initiative (QOPI) measures for oncology fellows, advance practice providers, and attending physicians at the Durham Veterans Affairs Medical Center (DVAMC). Using data collected from the Spring 2012 and 2013 QOPI cycles, we abstracted charts of patients and separated them based on their primary provider. Descriptive statistics and the chi-square test were calculated for each QOPI measure between fellows, advanced practice providers (APPs), and attending physicians. A total of 169 patients were reviewed. Of these, 31 patients had a fellow, 39 had an APP, and 99 had an attending as their primary oncology provider. Fellows and attending physicians performed similarly on 90 of 94 QOPI metrics. High-performing metrics included several core QOPI measures including documenting consent for chemotherapy, recommending adjuvant chemotherapy when appropriate, and prescribing serotonin antagonists when prescribing emetogenic chemotherapies. Low-performing metrics included documentation of treatment summary and taking action to address problems with emotional well-being by the second office visit. Attendings documented the plan for oral chemotherapy more often (92 vs. 63%, P=0.049). However, after the chart audit, we found that fellows actually documented the plan for oral chemotherapy 88% of the time (p=0.73). APPs and attendings performed similarly on 88 of 90 QOPI measures. The quality of oncology care tends to be similar between attendings and fellows overall; some of the significant differences do not remain significant after a second manual chart review, highlighting that the use of manual data collection for QOPI analysis is an imperfect system, and there may be significant inter-observer variability.

Duke Scholars

Published In

J Cancer Educ

DOI

EISSN

1543-0154

Publication Date

December 2015

Volume

30

Issue

4

Start / End Page

774 / 778

Location

England

Related Subject Headings

  • Quality of Health Care
  • Quality Improvement
  • Quality Assurance, Health Care
  • Public Health
  • Practice Patterns, Physicians'
  • Neoplasms
  • Middle Aged
  • Medical Staff, Hospital
  • Medical Oncology
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Zhu, J., Zhang, T., Shah, R., Kamal, A. H., & Kelley, M. J. (2015). Comparison of Quality Oncology Practice Initiative (QOPI) Measure Adherence Between Oncology Fellows, Advanced Practice Providers, and Attending Physicians. J Cancer Educ, 30(4), 774–778. https://doi.org/10.1007/s13187-015-0798-z
Zhu, Jason, Tian Zhang, Radhika Shah, Arif H. Kamal, and Michael J. Kelley. “Comparison of Quality Oncology Practice Initiative (QOPI) Measure Adherence Between Oncology Fellows, Advanced Practice Providers, and Attending Physicians.J Cancer Educ 30, no. 4 (December 2015): 774–78. https://doi.org/10.1007/s13187-015-0798-z.
Zhu, Jason, et al. “Comparison of Quality Oncology Practice Initiative (QOPI) Measure Adherence Between Oncology Fellows, Advanced Practice Providers, and Attending Physicians.J Cancer Educ, vol. 30, no. 4, Dec. 2015, pp. 774–78. Pubmed, doi:10.1007/s13187-015-0798-z.
Journal cover image

Published In

J Cancer Educ

DOI

EISSN

1543-0154

Publication Date

December 2015

Volume

30

Issue

4

Start / End Page

774 / 778

Location

England

Related Subject Headings

  • Quality of Health Care
  • Quality Improvement
  • Quality Assurance, Health Care
  • Public Health
  • Practice Patterns, Physicians'
  • Neoplasms
  • Middle Aged
  • Medical Staff, Hospital
  • Medical Oncology
  • Male