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Quality of Care Measures

Colon and Rectal Cancers

The following three colon and rectal cancer quality-focused measures have been endorsed by the National Quality Forum (NQF). With submission of EMHC-specific data to the National Cancer Data Base (NCDB) we are able to compare our compliance rate of these accountability or quality improvement measures against state and national rates. These measures not only emphasize the quality of patient care but also the importance of accurate and complete documentation.

Comparison data below is for colon and rectal cancer cases diagnosed in calendar year 2007.

EMHC IL ALL

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. [ACT]

100%

89.6%

82.4%

At least 12 regional lymph nodes are removed and pathologically examined for resected colon cancer. [12RLN]

100%

78%

74.7%

Radiation therapy is considered or administered within 6 months (180 days) of diagnosis for patients under the age of 80 with clinical or pathologic AJCC T4N0M0 or Stage III receiving surgical resection for rectal cancer. [Rec/RT]

100%

93.4%

84.7%

EMHC: Elmhurst Memorial Healthcare
IL: State of Illinois, Commission on Cancer (CoC) Approved Cancer Programs
All: All CoC Approved Cancer Programs

 

Breast Cancer

The following three breast cancer quality-focused measures have been endorsed by the National Quality Forum (NQF). With submission of EMHC-specific data to the National Cancer Data Base (NCDB) we are able to compare our compliance rate of these accountability measures against state and national rates. These measures not only emphasize the quality of patient care but also the importance of accurate and complete documentation.

Comparison data below is for breast cancer cases diagnosed in calendar year 2007.

EMHC IL ALL

Radiation therapy is administered within 1 year (365 days) of diagnosis for women under the age of 70 receiving breast conserving surgery for breast cancer. [BCS/RT]

97.5%

87%

78.9%

Combination chemotherapy is considered or administered within 4 months (120 days) of diagnosis for women under age 70 with AJCC T1cN0M0, or Stage II or III hormone receptor negative breast cancer. [MAC]

87.5%

85.5%

80.5%

Tamoxifen or third generation aromatase inhibitor is considered or administered within 1 year (365 days) of diagnosis for women with AJCC T1cN0M0, or Stage II or III hormone receptor positive breast cancer. [HT]

94.1%

71.5%

62.7%

EMHC: Elmhurst Memorial Healthcare
IL: State of Illinois, Commission on Cancer (CoC) Approved Cancer Programs
All: All CoC Approved Cancer Programs

 



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