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Table 2 NCCCP site deliverables and evaluation metrics

From: Improving clinical research and cancer care delivery in community settings: evaluating the NCI community cancer centers program

Area

Deliverable

Metrics

Clinical

Trials

Increase clinical trial accrual including a specific focus on:

• accrual of underrepresented and disadvantaged patients

• accrual to all clinical trials including treatment, prevention, and behavioral trials with specific focus to increase accrual to multi-modality trials and NCI-sponsored trials

• increase the capability to offer phase II trials and develop protocols for appropriate referral of patients for phase I trials to NCI-designated cancer centers or academic medical research institutes

Track accrual overall and for underrepresented patients

• NCI trials

• Early phase trials

• Linkages with other NCI clinical trials programs (eg., Community Clinical Oncology Programs (CCOPs))

• Referrals to NCI-designated cancer centers or academic medical research institutes for Phase I trials

Track participation in clinical trials and research activities of NCI funded Cooperative Groups such as: CALGB, ECOG, SWOG, RTOG, NSABP, GOG

Healthcare

Disparities

Demonstrate a documented improvement in

health screening activities and outreach to community members including a specific focus on underrepresented and disadvantaged populations

Implement a policy that all patients who are screened will be treated with appropriate follow- up care

Link with NCI disparities programs (eg., Community Networks Program, Cancer Information Service)

Increase partnering with local, state, and national community organizations, government and non- government

Expand patient navigation

Track screening activities

by disease site (eg. breast, colon) and focus on underrepresented and disadvantaged populations

Track efforts to consistently collect race and ethnicity data.

Confirm adherence to screening and treatment policy

Track linkages

Track number, type, and goals of partnerships

Track expanded staff and resources for navigation

Information

Technology

Recommend IT infrastructure requirements, necessary interfaces, and applicability of specific components of caBIGRfor community hospital settings

Implement and integrate electronic health records

Complete individual detailed analysis and report

Track implementation of

EHRs

Biospecimens

Recommend the necessary infrastructure requirements, policies and procedures, cost, and other implementations issues, for biospecimen collection and storage, required for implementation enabling community hospitals to participate in biospecimen initiatives

Complete individual detailed analysis and report

Quality of

Care

Increase Multi-disciplinary (MDCs) care

disease-site-specific committees and clinics Increase use of evidence-based guidelines, standards and protocols (eg., NCCN, ASCO).

Participate in a disease specific Quality of Care study

Expand genetics and molecular testing

Develop cancer center specific medical staff 'conditions of participation' that will be locally determined requirements to insure that those who provide care as cancer center physicians practice in a manner that is consistent with the patient care, quality, research, and community outreach goals of the NCCCP cancer center

Track number and type of MDCs

Track number and type of guidelines. Document improved compliance with guidelines

Participate in NCCCP pilot Commission on Cancer quality of care study to measure improvements in breast and colon cancer treatment

Track components of the genetics program that are offered on site or through referral over time

Adopt and implement

'conditions of participation'

Survivorship

Expand survivorship and palliative care programs

Provide patient treatment summary to patients. Track new or expanded survivorship and palliative care programs/activities