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Utilization of an audit tool to evaluate accuracy of treatment summary and survivorship care plans

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Abstract

Purpose

A quality review process was implemented to determine compliance with the requirement from the Commission on Cancer to use the American Society of Clinical Oncology (ASCO) template as the minimum data set for Treatment Summary and Survivorship Care Plans (TS/SCP) provided to cancer survivors.

Methods

TS/SCPs generated during 2017 (N = 1257) were audited for concordance with each of the 66 TS/SCP line items on ASCO’s template. Descriptive statistics and chi-square statistics were used to examine line item concordance, overall and by services groups (survivorship vs. other oncology service). Mixed-effects logistic regression was used to estimate the effects of service delivery group on the concordance.

Results

Institutional compliance with the ASCO template was very high; 76% of the 66 line items were present in at least 75% of the delivered TS/SCPs. There was a significantly higher rate of concordance for TS/SCPs provided by the survivorship service (83% vs. 66%, P = 0.006). TS/SCPs provided by the survivorship service were nearly twice as likely to be concordant with ASCO template (OR = 1.88, 95% CI = 1.77–2.00) compared to those by other service groups.

Conclusions

Use of the electronic medical record to auto-populate information was instrumental in achieving a high rate of concordance. Institutions should consider providing training to improve or maintain quality of these documents.

Implications for Cancer Survivors

Ensuring that the information contained on the TS/SCP is consistently present is necessary for a high-quality survivorship visit between the clinician, PCP, and survivor and as a record of care for future health care encounters.

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Acknowledgments

The authors acknowledge support from The Ohio State University Center for Clinical and Translational Science grant (National Center for Advancing Translational Sciences, Grant UL1TR001070) and Beverly S. Reigle, PhD, RN, Associate Professor, Emerita, University of Cincinnati.

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Authors and Affiliations

  1. Cancer Support Services, The Ohio State University Comprehensive Cancer Center–The James Cancer Hospital, Columbus, OH, USA

    Kristine K. Browning, Rupa Ghosh-Berkebile, Denise Schimming, Rachee Hatfield, Patrick DiMeo, Maryam B. Lustberg & Dori L. Klemanski

  2. College of Nursing, The Ohio State University, Columbus, OH, USA

    Kristine K. Browning & Alai Tan

  3. Division of Medical Oncology, The Ohio State University Comprehensive Cancer Center–The James Cancer Hospital, Columbus, OH, USA

    Maryam B. Lustberg

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  1. Kristine K. Browning
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Correspondence to Kristine K. Browning.

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All authors of this article have met the requirements for “Ethical Responsibilities of Authors,” this work has not been previously published.

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The authors declare that they have no conflict of interest.

Ethical approval

This study article does not contain any studies with human participants or animals performed by any of the authors. Ethical approval retrospective studies: The longitudinal database (#23T10_58_50) and submission for publication of the study (#16T11_08_08) were approved by The Ohio State University Comprehensive Cancer Center (OSUCCC) – The James Quality and Patient Safety Committee.

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Browning, K.K., Tan, A., Ghosh-Berkebile, R. et al. Utilization of an audit tool to evaluate accuracy of treatment summary and survivorship care plans. J Cancer Surviv 13, 890–898 (2019). https://doi.org/10.1007/s11764-019-00804-7

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