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fD8  7)JYQG+teY\RꕍNC+ ޾:(M?BIG6-ѸW/[ngԐ DCQ$WO>}׸[ڶFi2hDVd#C%3;ttv<}f;m|;F*͕hΙi?l=;5Snsʙ6+z> endobj 5 0 obj <>stream H\j0 ~ CqB`4rd1sOK /$_1wlCr8OڰG񖣰]gcc%JޭyVS[ߜBk.CU {j"xEyi*>WP8OIlD'̀*(odC,ɺ^~ "g9:qOEdrćħė8}0"$>stream application/pdf Sanford Cancer 2C Adobe Illustrator CS5.1 2014-04-03T15:07:01-05:00 2016-01-12T16:04-06:00 2016-01-12T16:04-06:00 xmp.did:7A079F157D2168118C14CF84DCA45593 uuid:72da2088-9bc8-7d4f-9651-90d575ac3925 proof:pdf uuid:C5AAFD501497DF11B72FDABD605E2CFC xmp.iid:79079F157D2168118C14CF84DCA45593 xmp.did:79079F157D2168118C14CF84DCA45593 uuid:C5AAFD501497DF11B72FDABD605E2CFC proof:pdf saved xmp.iid:F87F1174072068118DBB97D16F18E8D0 2010-07-22T13:27:45-05:00 Adobe Illustrator CS4 / saved xmp.iid:8F54EF490C20681197A599D5ED4E2A40 2010-07-25T21:03:25-05:00 Adobe Illustrator CS4 / saved xmp.iid:79079F157D2168118C14CF84DCA45593 2014-04-03T14:56:26-05:00 Adobe Illustrator CS5.1 / saved xmp.iid:7A079F157D2168118C14CF84DCA45593 2014-04-03T15:06:59-05:00 Adobe Illustrator CS5.1 / Document Print 1 False False 8.500000 11.000000 Inches PANTONE 541 C PANTONE 284 C Default Swatch Group 0 White CMYK PROCESS 0.000000 0.000000 0.000000 0.000000 Black CMYK PROCESS 69.531296 67.187500 63.671898 73.828102 PANTONE 541 C SPOT 100.000000 LAB 22.745098 -7 -39 PANTONE 284 C SPOT 100.000000 LAB 67.450981 -9 -36 Adobe PDF library 9.90 endstream endobj 7 0 obj <> endobj 8 0 obj <> endobj 9 0 obj <> endobj 10 0 obj <>stream 2022-02-09T11:35:25-06:00 2022-02-09T11:35:25-06:00 2022-02-09T11:35:25-06:00 Adobe InDesign 16.4 (Macintosh) uuid:6f43ac71-4ff5-be41-b7f1-2e5fcabb5885 xmp.did:10AA1A7F2220681188C688C6109A1F99 xmp.id:2d54c2c6-d54b-40c5-9628-6d44553adf68 proof:pdf xmp.iid:350bcc1a-c3b3-4b2b-9a85-848a1f12cce0 xmp.did:dee1895d-7a15-4595-a712-860965538a15 xmp.did:10AA1A7F2220681188C688C6109A1F99 default converted from application/x-indesign to application/pdf Adobe InDesign 16.4 (Macintosh) / 2022-02-09T11:35:25-06:00 application/pdf Adobe PDF Library 16.0 False DINOT-Bold DINOT DINOT-Italic Helvetica Mac National Cancer Database Quality Measures Measure Measure Type Sanford Estimated Performance Rates 2018 National COC Rates 2018 BREAST BCSRT (NQF #219) Radiation therapy is administered within 1 year (365 days) of diagnosis for women under age 70 receiving breast conserving surgery for breast cancer. Accountability Benchmark: 90% 100% 91.39% MAC (NQF #0559) Combination chemotherapy is considered or administered within 4 months (120 days) of diagnosis for women under 70 with AJCC T1cN0M0, or stage IB - III hormone receptor negative breast cancer. Accountability 100% 92.76% HT (NQF #0220) Tamoxifen or third generation aromatase inhibitor is considered or administered within 1 year (365 days) of diagnosis for women with AJCC T1cN0M0, or stage IB - III hormone receptor positive breast cancer. Accountability Benchmark: 90% 100% 90.11% MASTRT Radiation therapy is considered or administered following any mastectomy within 1 year (365 days) of diagnosis of breast cancer for women with ≥ 4 positive regional lymph nodes. Accountability Benchmark: 90% 100% 86.22% COLON ACT (NQF #0223) Adjuvant chemotherapy is considered or administered within 4 months (120 days) of diagnosis for patients under the age of 80 with AJCC Stage III (lymph node positive) colon cancer. Accountability 86.67% 85.40% Discussion: At Sanford Cancer Center, we review every case that does not meet one of the Accountability 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, and ultimately outcomes. For 2018, those patients that did not meet the identified measures include: ACT (Accountability Measure): 2 of 14 patients did not meet this measure. One patient received adjuvant chemotherapy 16 days past the guideline of within 120 days of diagnosis. One patient had reassuring surgical outcomes, therefore chose observation instead of adjuvant chemotherapy. 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. One responsibility of being an American College of Surgeons Commission on Cancer (CoC) accredited program is to report clinical data to the CoC to measure our performance against other accredited programs and to participate in studies of quality. Here we report on five measures monitored by the CoC and reported as the Rapid Cancer Reporting System (RCRS). The percentage given provides “an indication of the proportion of patients treated according to recognized standards of care.” These five measures are accountability measures that track adherence to a standard of care which is based on clinical trial evidence. The CoC has also established benchmarks for each accredited program to meet on three of the measures. The Rapid Cancer Reporting System (RCRS) is a quality data platform of the Commission on Cancer’s (CoC) National Cancer Database (NCDB). RCRS is a web-based data collection and reporting system that advances hospital-based quality improvement by providing measures of high quality, coordinated patient care. For 2018, estimated performance rates for Sanford Cancer Center were above accredited Commission on Cancer programs nationally in all five CP3R measures. 495-896-879 4/21 endstream endobj 11 0 obj <> endobj xref 0 12 0000000000 65535 f 0000037681 00000 n 0000038684 00000 n 0000043183 00000 n 0000067171 00000 n 0000067422 00000 n 0000067762 00000 n 0000075107 00000 n 0000075142 00000 n 0000075382 00000 n 0000075440 00000 n 0000082682 00000 n trailer <]>> startxref 116 %%EOF