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(Accountability) 90% 98.10% 95.76% 97.94% HT (NQF #0220) Tamoxifen or third generation aromatase inhibitor is recommended or administered within 1 year (365 days) of diagnosis for women with AJCC T1cN0M0, or IB - III hormone receptor-positive breast cancer. (Accountability) 90% 100% 94.57% 97.46% MASTRT Radiation therapy is recommended or administered following any mastectomy within 1 year (365 days) of diagnosis of breast cancer for women with ≥ 4 positive regional lymph nodes. (Accountability) 90% 100% 100% 100% nBx Image or palpation-guided needle biopsy to the primary site is performed to establish diagnosis of breast cancer. (Quality Improvement) 80% 100% 96.17% 95.22% COLON 12RLN (NQF #0225) At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer. (Quality Improvement) 85% 97.70% 95.24% 100% Measure Expected EPR 2017 2018 2019 GASTRIC G15RLN At least 15 regional lymph nodes are removed and pathologically examined for resected gastric cancer. (Quality Improvement) 80% 0% 66.67% 100% NON-SMALL CELL LUNG LCT Systemic chemotherapy is administered within 4 months to day preoperatively or day of surgery to 6 months postoperatively, or it is recommended for surgically resected cases with pathologic, lymph node-positive (pN1) and (pN2) NSCLC. (Quality Improvement) 85% 100% No Data No Data LNoSurg Surgery is not the first course of treatment for cN2, M0 lung cases. (Quality Improvement) 85% 100% 91.67% No Data RECTUM RECRTCT Preoperative chemo and radiation are administered for clinical AJCC T3N0, T4N0 or Stage III; or Postoperative chemo and radiation are administered within 180 days of diagnosis for clinical AJCC T1-2N0 with pathologic AJCC T3N0, T4N0, or Stage III; or treatment is recommended; for patients under the age of 80 receiving resection for rectal cancer. (Quality Improvement) 85% 85.70% 85.00% 93.33% Discussion: At Sanford Bemidji Joe Lueken Cancer Center, we review every case that does not meet one of the Accountability or Quality Improvement measures to understand the reasons behind the patient not meeting the measure and to identify opportunities for improving our systems and services for patients to continually improve adherence to measures. Measure definition and use: Accountability High level of evidence supports the measure, including multiple randomized control trials. These measures can be used for such purposes as public reporting, payment incentive programs, and the selection of providers by consumers, health plans, or purchasers. Quality Improvement Evidence from experimental studies, not randomized control trials supports the measure. These are intended for internal monitoring of performance within an organization. Sanford’s Roger Maris Cancer Center has access to Commission on Cancer (CoC) quality measure performance rates, through the National Cancer Database’s (NCDB) Rapid Cancer Reporting System (RCRS). These web-based reports offer providers comparative information to assess adherence to and consideration of standard of care treatments for five cancer types. Currently, the CoC has developed eleven measures, comprised of two different measure types. There are evidence-based or accountability measures that demonstrate provider accountability, where there is high levels of evidence supporting these measures. Quality improvement measures monitor the need for quality improvement within the organization. The CoC sets an expected estimated performance rate for nine of the eleven measures. The table shows data from 2017 – 2019, from each of the nine Accountability and Quality Improvement measures with expected EPRs. The data is based on what was most recently available in RCRS at the time of the report. 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