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QOPI: WHAT IS IT AND WHY SHOULD CANCER REGISTRARS CARE?
Theresa Vallerand, BGS, CTR
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Goals of Presentation
Define what QOPI stands for and what QOPI is
Identify 3 levels of participation Review of major groups of measures Discuss the importance to Cancer Registrars
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QOPI IS . . . Quality Oncology Practice Initiative Program of American Society of Clinical
Oncology (ASCO) A set of measures geared for the outpatient
chemotherapy clinic or practice, designed as a tool for performance improvement.
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QOPI Measures . . . ASCO American Medical Association – Physician
Consortium for Performance Improvement American Society for Radiation Oncology National Comprehensive Cancer Network National Initiative on Cancer Care Quality National Quality Forum
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QOPI Measures / Timely Review twice a year Updated as needed New measures added as needed Last revised for Fall 2013 reporting
Found on ASCO QOPI Website Just put QOPI into your search engine
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QOPI – Levels of Participation
Unregistered
Registered
Certification
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QOPI – Unregistered Use Available to be used as an unregistered
participant Unable to participate in data collection Not entitled to comparative or aggregate data Not entitled to data collection methodology
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QOPI – Registered User
Must be registered under an ASCO member in good standing
Must enter a Business Associate Agreement IRB approval not needed for most institutions Data collection methodology shared Data reporting HIPAA Compliant Aggregate and comparative information
available
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QOPI – Certification Level
Must participate in data collection and reporting Must submit data 2X / year Must meet scoring requirements Must complete a “SAR” type documentation Reviewers evaluate all submitted materials and data On-site review process
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QOPI – Certification Fee
Certification fee is multi-tiered
Number of physician FTE’s in practice
Number of physical locations Additional fee for 5+ locations
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QOPI – Stats
Participants in Fall 2012 Data Reporting: 272
Registered Facilities: 816 In 50 States and 3 Territories
Certified QOPI Participants: 200 In 42 States and 2 Territories
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QOPI – New England Stats
6 / 6 States have practices that participated Fall 2012 data reporting
6 / 6 States have Registered Practices
5 / 6 States have QOPI Certified Practices
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QOPI – New England Stats
Massachusetts – 8 Connecticut – 4 Maine – 4 Rhode Island – 4 New Hampshire - 2
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QOPI – Groups of Measures QOPI Certification Program (QCP) Measures Measures that must be reported and reach
required levels for certification 26 Measures (updated Spring 2013)
Additional Measures Not required for reporting No required levels for certification
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QOPI – Groups of Measures Core Symptom End of Life Breast Colorectal Non-Hodgkin Lymphoma Non-Small Cell Lung Cancer Gynecologic Oncology (test) Additional test measures added for Fall 2013 to the
existing groups
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QOPI – Importance to Registrars
Overlap COC Eligibility & Standards
Platform for Quality Studies
Career Development
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QOPI – COC and QOPI Overlap Eligibility Requirement 8 – Systemic Therapy QOPI Certification will fulfill E8 Cancer Forum
CP3R Several QOPI measures mirror CP3R measures Breast MAC – multi-agent chemotherapy HT – Hormonal therapy
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QOPI – COC and QOPI Overlap CP3R cont. Colorectal ACT – Adjuvant chemotherapy 12 RLN – Resection of 12
regional lymph nodes
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QOPI – Quality Studies Reporting of QOPI measures DOES NOT fulfill CoC
Standard 4.7 Studies of Quality Springboard to Studies Provide ideas for Studies of Quality
Expansion to Meet S4.7 Question to answer or hypothesis to explore Data Collection, Analysis and Findings Plan of Action if warranted Reporting to Cancer Committee, Medical Staff,
and Facility Administration
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QOPI – Career Development Cancer Registrars know cancer Cancer Registrars understand quality
care Cancer Registrars can read medical
charts Cancer Registrars mine data Cancer Registrars analyze data Cancer Registrars know how to
navigate a certification or accreditation process
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QOPI – Career Development
Cancer Registrars are computer savvy Cancer Registrars are less expensive
to employ than Registered Nurses Cancer Registrars can provide the
services needed for a clinical oncology practice or clinic to report to QOPI
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QOPI Conclusion
Define what QOPI stands for and what QOPI is Identify 3 levels of participation Review of major groups of measures Discuss the importance to Cancer Registrars
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QOPI - Conclusion
Questions, Comments, etc.
Theresa Vallerand, CTR, BGS [email protected]