IOM: Cancer Care System in Crisis

Cheryl Clark, for HealthLeaders Media , September 11, 2013

6. Expand the depth of data available for assessing interventions.

The NCI should work with other agencies to "develop a common set of data elements that captures patient-reported outcomes, relevant patient characteristics and health behaviors" collected from clinical trials and observational studies.

Health IT
Organizations should develop an ethically sound healthcare information technology system that enables real-time analysis of data from cancer patients in a variety of care settings.

Federal health agencies should support integration of IT systems of cancer and create incentives for clinicians to participate.

Quality Measurement
Develop a national quality reporting program for cancer care.

The Department of Health and Human Services should create a long-term strategy for public reporting of quality measures for cancer care and fund and direct the development of meaningful quality measures, with a focus on performance targets for institutions, practices and individual clinicians.

Accessible and Affordable Cancer Care
Reduce disparities in access to cancer care for vulnerable and underserved populations.

HHS should develop a national strategy that leverages existing efforts, supports development of innovative programs, disseminates effective community interventions and provides ongoing support.

10. Improve the affordability of cancer care by leveraging existing efforts to reform payment and eliminate waste.

Professional societies should publicly disseminate evidence-based information about cancer care practices that are unnecessary or where the harm may outweigh benefits. Also, CMS and other payers should develop payment policies that reflect evidence-based findings.

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