Benchmarks in Clinical Productivity: A National Comprehensive Cancer Network Survey

Stewart, F. Marc; Wasserman, Robert L.; Bloomfield, Clara D.; Petersdorf, Stephen H.; Witherspoon, Robert P.; Appelbaum, Frederick R.; Ziskind, Andrew A.; McKenna, Brian; Dodson, Jennifer M.; Weeks, Jane C.; Vaughan, William P.; Storer, Barry; Perkel, Sara J.; Waldinger, M. B.

doi:10.1200/jop.0712001

Cited by 14 publications

(11 citation statements)

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“…Study design drew extensively from a UK-wide nursing study (The UK Best practice Nursing Database).N.A.Mixture of indicators, both qualitative and quantitative and process and outcome indicatorsA broader NHS ward data system, was successfully converted for hospice use. The resultant hospice and palliative care ward data show that, compared to NHS palliative care wards, charitable hospices: (i) look after fewer patients, but generate greater workloads owing to higher patient-dependency and acuity scores; (ii) are much better staffed; and (iii) achieve higher service-quality scores.N.A.N.A.Setoguchi [24]Retrospective and prospective cohort study.Partner: IndustryContent: PerformancePurpose: Collaborative Defined benchmark measures for the quality of end-of-life cancer care previously developed by Earle et al New measures were defined for the use of opiate analgesia, which included the proportion of patients who received an outpatient prescription for a long-acting opiate; a short-acting or a long-acting opiate; or both a short acting and a long-acting opiate.Outcome indicatorsRetrospective and prospective measures, including a new measure of the use of opiate analgesia, identified similar physician and hospital patterns of end-of-life care.Findings suggest that the use of opiates at the end of life can be improvedN.A.Stewart [21]Multi comparisons study (clinical productivity and other characteristics of oncology physicians). Data collection by surveyPartner: IndustryContent: PerformancePurpose: Collaborative Established productivity benchmarks.…”

Section: Resultsmentioning

confidence: 99%

“…Different methods were used for this indicator development such as a consensus method (Delphi) [17–19]. In other articles a less structured way of reaching consensus was used such as conference calls [20] and surveys [21]. One study used a prospective interventional design [14] while another study [23] used a retrospective comparative benchmark study with a mixed-method design.…”

Section: Resultsmentioning

confidence: 99%

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Benchmarking specialty hospitals, a scoping review on theory and practice

Wind

Harten

2017

BMC Health Serv Res

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BackgroundAlthough benchmarking may improve hospital processes, research on this subject is limited. The aim of this study was to provide an overview of publications on benchmarking in specialty hospitals and a description of study characteristics.MethodsWe searched PubMed and EMBASE for articles published in English in the last 10 years. Eligible articles described a project stating benchmarking as its objective and involving a specialty hospital or specific patient category; or those dealing with the methodology or evaluation of benchmarking.ResultsOf 1,817 articles identified in total, 24 were included in the study. Articles were categorized into: pathway benchmarking, institutional benchmarking, articles on benchmark methodology or -evaluation and benchmarking using a patient registry. There was a large degree of variability:(1) study designs were mostly descriptive and retrospective; (2) not all studies generated and showed data in sufficient detail; and (3) there was variety in whether a benchmarking model was just described or if quality improvement as a consequence of the benchmark was reported upon. Most of the studies that described a benchmark model described the use of benchmarking partners from the same industry category, sometimes from all over the world.ConclusionsBenchmarking seems to be more developed in eye hospitals, emergency departments and oncology specialty hospitals. Some studies showed promising improvement effects. However, the majority of the articles lacked a structured design, and did not report on benchmark outcomes. In order to evaluate the effectiveness of benchmarking to improve quality in specialty hospitals, robust and structured designs are needed including a follow up to check whether the benchmark study has led to improvements.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2154-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Benchmarking specialty hospitals, a scoping review on theory and practice

Wind

Harten

2017

BMC Health Serv Res

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“…15 Maternal obezite durumunda abartılı bir lipid cevabı, insülin rezistansında belirgin bir artış ve endotel bağımlı mikrovasküler fonksiyonlarda gerileme söz konusudur. 15,26,27 Obez kadınlar gebelik süresince daha fazla yağın birikimi ile agreve olan lipotoksisiteye, metabolik bozukluğa ve inflamasyona karşı bir yatkınlığa sahiptir. 15 Oksidatif stres durumunda fazla miktardaki lipidler okside olarak lipid peroksidaz, okside lipoprotein ve oksisterol formlarına dönü-şür.…”

Section: Obez Olmayan (N=69)unclassified

The Correlation Between Maternal Body Mass Index and Serum Total Antioxidant Status in Term Pregnancies

Kaya¹,

Keskin²,

Kaya³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…One article, from the National Comprehensive Cancer Network (NCCN), focuses on oncologists in academic practice. 1 The second article, from the Onmark network of oncologists, focuses on support staff productivity and resource (ie, chemotherapy chair) allocation. 2 A related piece chronicles how physician work is measured and reported by the Current Procedural Terminology process and its embedded concept of relative value units (RVUs).…”

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confidence: 99%

From Bench to Benchmarking

2007

JOP

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Would it surprise you to know that the first patients with Hodgkin's disease treated with MOPP (mustargen, vincristine, prednisone, procarbazine) were continually hospitalized in the National Cancer Institute Clinical Center for 6 months? MOPP is widely regarded as the first curative chemotherapy for a previously incurable adult malignancy. The regimen also served as the prototype for development of the cyclic cytotoxic chemotherapy regimens in use today, and for decades was a benchmark for the treatment of Hodgkin's disease. Thirty-three years later, MOPP's successor chemotherapies are infused in oncologist offices, and patients then recover in their own homes.Part of the progress made in treating Hodgkin's disease and other malignancies is derived from studying optimum chemotherapy dose delivery. While there are emerging benchmarks around chemotherapy dose and timing, there are few publicly available benchmarks to guide other aspects of oncology practice.In this issue of JOP, we publish results of two early studies that benchmark medical oncology practice. One article, from the National Comprehensive Cancer Network (NCCN), focuses on oncologists in academic practice. 1 The second article, from the Onmark network of oncologists, focuses on support staff productivity and resource (ie, chemotherapy chair) allocation. 2 A related piece chronicles how physician work is measured and reported by the Current Procedural Terminology process and its embedded concept of relative value units (RVUs). 3 To provide context, it is worth an explanatory note about the two organizations that sponsored the studies. The NCCN is an organization of 20 academic cancer centers. Membership is limited but geographically representative. Physicians represented in the survey data practice almost exclusively in an academic setting, are paid by salary, and patient care is a portion of their weekly activities. Onmark is a commercial entity and functions as a "group purchasing organization" or GPO, the main function of which is to assist office-based oncology practices with their purchase and supply of chemotherapy drugs. (Disclosure: I am on NCCNЈs Board of Directors, and was one of Onmark's parent, OTN, first customers.) Both entities have an interest in providing productivity benchmarks to their members.Both surveys start with the premise that economic pressures are forcing oncology practices and faculties to efficiently use expensive staff and physician resources. Both focused on the physician and on physician work as a central unit of measure, and both used data from roughly 2005. Though there are other places to start the analysis (the oncology patient is one choice), choosing the oncology physician as a starting point makes sense. Oncologists are expensive and increasingly scarce resources; oncologists often function as leaders of teams of other expensive professionals, and rightly sizing the team is important; and finally, most oncology practices are owned and organized by oncologists.Authors of both surveys struggled with the definit...

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Benchmarks in Clinical Productivity: A National Comprehensive Cancer Network Survey

Cited by 14 publications

References 8 publications

Benchmarking specialty hospitals, a scoping review on theory and practice

Benchmarking specialty hospitals, a scoping review on theory and practice

The Correlation Between Maternal Body Mass Index and Serum Total Antioxidant Status in Term Pregnancies

From Bench to Benchmarking

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