CMS utilizes clinical data and quality measures as a key mechanism to verify clinical improvements, assess patient health outcomes and appropriate coordination of care, and ensure continued quality of care for Medicare beneficiaries. CMS will track participant performance on multiple quality domains using patient- and practice-reported measures as well as claims-based measures. Quality measures were selected for OCM across four of the National Quality Strategy Domains, including Communication and Care Coordination, Person and Caregiver-Centered Experience and Outcomes, Clinical Quality of Care, and Patient Safety. CMS will provide ongoing feedback to practices throughout the model. In addition, the model uses 12 of these quality measures in the calculation of participants' performance-based payments.
"Many of these requirements have already been met and implemented by practices across QCCA," noted Ray Page, DO PhD, President of the Center for Cancer and Blood Disorders in Ft. Worth, Texas. "In many areas QCCA practices are ahead of the curve, including evidence-based pathway integration and measuring patient reported outcomes. We have already applied lessons learned from our internal programs to enhance our care delivery processes and technology, and believe that it will benefit patients."
Practices participating in the five-year Oncology Care Model will provide treatment following nationally recognized clinical guidelines for beneficiaries undergoing chemotherapy, with an emphasis on patient -centered care. They will provide enhanced services to beneficiaries who are in OCM to help them receive timely, coordinated treatment.
"The move to value-based care will completely change the landscape of cancer care and impact all aspects of care delivery and reimbursement," added Brian Mitchell, MD, Medical Director of the Virginia Cancer Institute. "It is very exciting to be among the first to participate in this important transformation that emphasizes practice transformation in key performance areas such as delivering patient navigation and comprehensive care plans with specific components from the Institute of Medicine."
"Participating in this innovative program with CMS is part of QCCA's commitment to improving the quality and value of care we provide to our communities. We are excited to be included in this ground-breaking initiative in health care, as it will ultimately improve patient care across the country," said Dinesh Kapur, MD, Medical Director of Eastern Connecticut Hematology Oncology, Norwich, CT.
The nine participating practices are:
Northwest Medical Specialties, Tacoma, WA
The Center for Cancer and Blood Disorders, Ft. Worth, TX
Highlands Oncology, Fayetteville, AR
Hematology Oncology Associates of Alabama, Birmingham, AL
Cancer & Hematology Centers of Western Michigan, Grand Rapids, MI
Cancer Specialists of North Florida, Jacksonville, FL
Virginia Cancer Institute, Richmond, VA
Carolina Blood and Cancer Care, Rock Hill, SC
Eastern Connecticut Hematology Oncology, Norwich, CT
The Quality Cancer Care Alliance (QCCA), is transforming oncology care by ensuring that cancer patients have access to the highest-quality, most-comprehensive, cutting edge treatments and clinical trials in a compassionate and community-based setting. QCCA is a national consortium of independent community oncology practices committed to leveraging their combined knowledge and experience to collectively improve clinical outcomes and patient care. QCCA is comprised of 12 progressive, independent, community oncology practices, working within a professional collaborative, dedicated to the sustainability of community oncology and includes more than 125 cancer care physicians at 61 sites across the country. For further information, contact Donna Hempel. Dhempel@QCCA.us.com Visit: www.qcca.us.com
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