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Development of the Veteran Health Administration – Radiation Oncology Quality and Safety Initiative (VHA-ROQSI)

2013; Elsevier BV; Volume: 87; Issue: 2 Linguagem: Inglês

10.1016/j.ijrobp.2013.06.1301

1879-355X

Rishabh Kapoor, Jatinder Palta, Michael P. Hagan,

Radiology practices and education

Purpose/Objective(s)The overall goal of VHA-ROQSI is to ensure that veterans receive radiation therapy safely and effectively and to monitor quality and treatment outcomes at each Radiation Oncology Service (ROS) within VHA. The electronic infrastructure developed to achieve these objectives can serve as a model for the radiation oncology community at large.Materials/MethodsThe VHA-ROQSI is a new initiative by the VHA's National Radiation Oncology Program office with a goal of electronically collecting and aggregating data to assess quality and safety of radiation treatment delivery and determine disease site-specific outcomes. This would be accomplished by; (1) Gathering and maintaining ROS profile data: The data include information on radiation therapy planning, delivery equipment, services provided, patient volume, and quality assurance activities. The data elements are captured are harmonized with similar efforts from RPC and ACR for credentialing and accreditation respectively. (2) Gathering data on accreditation and credentialing status of each ROS: These data elements are collected and updated periodically via web based forms. (3) Creating a system-wide log of periodic remote monitoring of output calibration data and provide each ROS a feedback on a continuing basis. (4) Implementing a remote peer review system: A Web-based peer review system will enable proactive and rapid peer review of all complex clinical cases. (5) Implementing a radiation oncology incident reporting system (ROIR): Each ROSs will be able to report adverse events and near miss information on patients for review by radiation oncology domain experts. (6) Collecting disease site-specific outcome data: De-identified outcome data on patient treated at each ROS will be collected in a central registry. The data will also include DICOM-RT based dosimetry parameters.ResultsWe have designed an electronic infrastructure that minimizes key strokes and multiple entries of redundant data by end users to accomplish each one of the aforementioned objectives. The prototypes of various modules for electronic data collection have been developed and are in beta testing. Once completed, the integrated system will facilitate peer review of complex treatment plans, collection of data elements for treatment quality and outcome assessment, and tracking of adverse events and near misses on patient treatments.ConclusionsThe VHA-ROQSI overcomes the challenge faced by radiation oncology services providers of submitting redundant data to disparate sources to fulfill the practice requirements. The electronic infrastructure designed to satisfy the requirements of VHA-ROQSI will circumvent the need for separate registries for outcome, quality, and safety tracking under development by various stakeholders at the present time Purpose/Objective(s)The overall goal of VHA-ROQSI is to ensure that veterans receive radiation therapy safely and effectively and to monitor quality and treatment outcomes at each Radiation Oncology Service (ROS) within VHA. The electronic infrastructure developed to achieve these objectives can serve as a model for the radiation oncology community at large. The overall goal of VHA-ROQSI is to ensure that veterans receive radiation therapy safely and effectively and to monitor quality and treatment outcomes at each Radiation Oncology Service (ROS) within VHA. The electronic infrastructure developed to achieve these objectives can serve as a model for the radiation oncology community at large. Materials/MethodsThe VHA-ROQSI is a new initiative by the VHA's National Radiation Oncology Program office with a goal of electronically collecting and aggregating data to assess quality and safety of radiation treatment delivery and determine disease site-specific outcomes. This would be accomplished by; (1) Gathering and maintaining ROS profile data: The data include information on radiation therapy planning, delivery equipment, services provided, patient volume, and quality assurance activities. The data elements are captured are harmonized with similar efforts from RPC and ACR for credentialing and accreditation respectively. (2) Gathering data on accreditation and credentialing status of each ROS: These data elements are collected and updated periodically via web based forms. (3) Creating a system-wide log of periodic remote monitoring of output calibration data and provide each ROS a feedback on a continuing basis. (4) Implementing a remote peer review system: A Web-based peer review system will enable proactive and rapid peer review of all complex clinical cases. (5) Implementing a radiation oncology incident reporting system (ROIR): Each ROSs will be able to report adverse events and near miss information on patients for review by radiation oncology domain experts. (6) Collecting disease site-specific outcome data: De-identified outcome data on patient treated at each ROS will be collected in a central registry. The data will also include DICOM-RT based dosimetry parameters. The VHA-ROQSI is a new initiative by the VHA's National Radiation Oncology Program office with a goal of electronically collecting and aggregating data to assess quality and safety of radiation treatment delivery and determine disease site-specific outcomes. This would be accomplished by; (1) Gathering and maintaining ROS profile data: The data include information on radiation therapy planning, delivery equipment, services provided, patient volume, and quality assurance activities. The data elements are captured are harmonized with similar efforts from RPC and ACR for credentialing and accreditation respectively. (2) Gathering data on accreditation and credentialing status of each ROS: These data elements are collected and updated periodically via web based forms. (3) Creating a system-wide log of periodic remote monitoring of output calibration data and provide each ROS a feedback on a continuing basis. (4) Implementing a remote peer review system: A Web-based peer review system will enable proactive and rapid peer review of all complex clinical cases. (5) Implementing a radiation oncology incident reporting system (ROIR): Each ROSs will be able to report adverse events and near miss information on patients for review by radiation oncology domain experts. (6) Collecting disease site-specific outcome data: De-identified outcome data on patient treated at each ROS will be collected in a central registry. The data will also include DICOM-RT based dosimetry parameters. ResultsWe have designed an electronic infrastructure that minimizes key strokes and multiple entries of redundant data by end users to accomplish each one of the aforementioned objectives. The prototypes of various modules for electronic data collection have been developed and are in beta testing. Once completed, the integrated system will facilitate peer review of complex treatment plans, collection of data elements for treatment quality and outcome assessment, and tracking of adverse events and near misses on patient treatments. We have designed an electronic infrastructure that minimizes key strokes and multiple entries of redundant data by end users to accomplish each one of the aforementioned objectives. The prototypes of various modules for electronic data collection have been developed and are in beta testing. Once completed, the integrated system will facilitate peer review of complex treatment plans, collection of data elements for treatment quality and outcome assessment, and tracking of adverse events and near misses on patient treatments. ConclusionsThe VHA-ROQSI overcomes the challenge faced by radiation oncology services providers of submitting redundant data to disparate sources to fulfill the practice requirements. The electronic infrastructure designed to satisfy the requirements of VHA-ROQSI will circumvent the need for separate registries for outcome, quality, and safety tracking under development by various stakeholders at the present time The VHA-ROQSI overcomes the challenge faced by radiation oncology services providers of submitting redundant data to disparate sources to fulfill the practice requirements. The electronic infrastructure designed to satisfy the requirements of VHA-ROQSI will circumvent the need for separate registries for outcome, quality, and safety tracking under development by various stakeholders at the present time