Breast Cancer Surveillance Consortium (BCSC): sponsored by the National Cancer Institute Cancer...
-
Upload
brianne-logan -
Category
Documents
-
view
221 -
download
1
Transcript of Breast Cancer Surveillance Consortium (BCSC): sponsored by the National Cancer Institute Cancer...
Breast Cancer Surveillance Consortium (BCSC):
sponsored by the National Cancer Institute
Cancer Screening Surveillance in Clinical Practice
Tracy Onega, PhDDirector, NH Mammography Network, Assistant Professor of Community & Family MedicineDartmouth Medical School & the Norris Cotton Cancer Center
Circa early-mid 1990s………….
No understanding of screening mammography process or quality
MQSA passed to ensure standardized delivery of quality mammography services
NCI responded to legislative mandate by establishing surveillance system to provide reliable and comprehensive performance data
Flashback to pre-BCSC……..
Breast Cancer Screening Process
PROCESS SURVEILLANCE OUTCOME SURVEILLANCE
Patient Factors
Screening Examination
s
Diagnostic
Evaluations
Intermediate Outcome
Long-term Outcome
Treatment
Surveillance Systems for Routine Clinical
Practice
• Integral to clinical care processes
• Population based / part of consortia
• Interdisciplinary
• Longitudinal
• Informing and Improving:
• Patients’ lives
• Provider care
• Evidence-based guidelines
• Tailored screening approaches
• Research
Screening Registries Should Be…..
The Cornerstone:Infrastructure & Common Data Elements
GHRI
SFMR
CMR
NHMN
VBCSS
Map SCC Consolidated
Data
Data Management /Warehouse
Data Analysis
Registry Data Collection MethodsRegistry Data Collection Methods
Women’s Questionnaire(filled out at time
of mammogram)
Radiologist/Rad Tech Form
(filled out at time ofmammogram)
Pathology Reports(abstracted) State
CancerRegistry
Vital Status (DHHS)
Registry DatabaseRegistry Database
Radiologist Info
Facility Info
Cancer Care Continuum & BCSC Resources
Foundation for Infrastructure
Facilities
Women
Providers
Voluntary registries – how to develop & maintain buy-in?
Fostering Participation
Facilities
Clinicians
Patients
MQSA, quality measures,benchmarking
Performance feedbackRelationships
Disseminating findings,Electronic data capture,Rad tech support
Software for clinical data collection
Tablet PCs
Integration with electronic health records
Continuous breast density
Digital image collection
Standardized data elements for new modalities
Built-in reporting
Data Collection Innovations
Built-in Reporting
From: Geller B.
Confidentiality & Legal Infrastructure
• Federal Certificate of Confidentiality• strongest protection• tested in court• protects providers and patients
http://cancercontrol.cancer.gov/acsrb/priorities_figures.html
Screening in Cancer Control
Concept Map Showing Priority and Thematic Areas of Research for the Applied Cancer Screening Research Branch at NCI
Improved Breast Cancer ScreeningPractices
Expanding the Utility of the BCSC
Medicare Claims
Ovarian Cancers
New Technologi
es
Thank You to the
National Cancer
Institute