Development of a benchmark tool for cancer centers; results from a pilot exercise

BMC Health Services Research

Tuula Helander¹  Péter Nagy²  Ernestas Janulionis³  Wineke van Lent⁴  Isabelle Nefkens⁵  Joris van Dijk⁵  Francisco Rocha-Goncalves⁶  Anke Wind⁷  Wim van Harten⁷ 

[1] Comprehensive Cancer Center, Helsinki University Hospital, and University of Helsinki;Department of Molecular Immunology and Toxicology, National Institute of Oncology;National Cancer Institute;OLVG;PANAXEA;Portuguese Institute of Oncology Porto (IPO-Porto);The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital;

关键词: Benchmarking;    Quality of care;    Quality improvement;    Cancer centers;   

DOI  :  10.1186/s12913-018-3574-z

来源: DOAJ

【 摘 要 】

Abstract Background Differences in cancer survival exist between countries in Europe. Benchmarking of good practices can assist cancer centers to improve their services aiming for reduced inequalities. The aim of the BENCH-CAN project was to develop a cancer care benchmark tool, identify performance differences and yield good practice examples, contributing to improving the quality of interdisciplinary care. This paper describes the development of this benchmark tool and its validation in cancer centers throughout Europe. Methods A benchmark tool was developed and executed according to a 13 step benchmarking process. Indicator selection was based on literature, existing accreditation systems, and expert opinions. A final format was tested in eight cancer centers. Center visits by a team of minimally 3 persons, including a patient representative, were performed to verify information, grasp context and check on additional questions (through semi-structured interviews). Based on the visits, the benchmark methodology identified opportunities for improvement. Results The final tool existed of 61 qualitative and 141 quantitative indicators, which were structured in an evaluative framework. Data from all eight participating centers showed inter-organization variability on many indicators, such as bed utilization and provision of survivorship care. Subsequently, improvement suggestions for centers were made; 85% of which were agreed upon. Conclusion A benchmarking tool for cancer centers was successfully developed and tested and is available in an open format. The tool allows comparison of inter-organizational performance. Improvement opportunities were successfully identified for every center involved and the tool was positively evaluated.

【 授权许可】

Unknown