Oncology Medical Homes: ASCO-Community Oncology Alliance Standards.

IF 4.6 3区 医学 Q1 ONCOLOGY
Kim Woofter, Erin B Kennedy, Kerin Adelson, Ronda Bowman, Andrew E Chapman, Niharika Dixit, Rose Gerber, Paula Jefferies, Eric Martin, Therese M Mulvey, MiKaela Olsen, Deirdre O'Mahony, Blase Polite, Navid Sadeghi, Melissa Shaw, Matthew R Skelton, John Cox
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引用次数: 0

Abstract

Purpose: To update Standards for an Oncology Medical Home (OMH) certification program on the basis of evidence and expert consensus. OMH is a system of care delivery that models coordinated, efficient, accessible, and evidence-based care reinforced by measurement of outcomes to facilitate continuous quality improvement.

Methods: An Expert Panel formed to review and update the OMH Standards. The Panel updated the 2021 systematic literature review on the topics of OMH model of care, clinical pathways, and survivorship care plans (SCPs). New topics for this update include safety and just culture in health care, multidisciplinary team (MDT) management, and geriatric assessment. An informal consensus process was used to revise, update, and add new standards. The process incorporated practice experience gained from a pilot certification process on the basis of the standards. Input was gained from open comment and external review before finalization.

Results: No new evidence was identified to warrant revisions to standards on the overarching OMH model of care, SCPs, and clinical pathways originally reported in the 2021 ASCO-Community Oncology Alliance OMH Standards. An additional literature search on safety and just culture in oncology identified three integrative reviews and one systematic review. This evidence, combined with existing ASCO guidance on MDT management and geriatric assessment, plus Expert Panel survey feedback, resulted in modifications to two existing standards and the addition of four new standards.

Standards: 2025 OMH Standards are provided. The Standards support quality oncology care delivery in the areas of patient engagement, availability and access to care, evidence-based medicine, comprehensive team-based care, quality improvement, goals of care, palliative and end-of-life care discussions, and safe antineoplastic therapy administration.Additional information, including the Standards implementation manual, is available at: www.asco.org/standards.

肿瘤医疗之家:asco -社区肿瘤联盟标准。
目的:在证据和专家共识的基础上更新肿瘤医疗之家(OMH)认证计划的标准。OMH是一种以协调、高效、可获取和循证护理为模式的医疗服务提供系统,通过对结果的衡量来加强,以促进持续的质量改进。方法:成立专家小组审查和更新OMH标准。专家组更新了2021年关于OMH护理模式、临床途径和幸存者护理计划(scp)主题的系统文献综述。本次更新的新主题包括卫生保健中的安全和公正文化、多学科团队(MDT)管理和老年评估。一个非正式的共识过程被用来修订、更新和增加新的标准。该过程结合了在标准基础上从试点认证过程中获得的实践经验。在定稿之前,从公开评论和外部审查中获得了意见。结果:没有发现新的证据来保证对2021年asco -社区肿瘤联盟OMH标准中最初报告的总体OMH护理模式、scp和临床途径的标准进行修订。另一项关于肿瘤学安全性和公正文化的文献检索确定了三个综合评价和一个系统评价。这一证据,结合现有的ASCO关于MDT管理和老年评估的指南,加上专家小组的调查反馈,导致对两个现有标准进行修改,并增加了四个新标准。标准:提供2025 OMH标准。该标准支持在患者参与、护理的可用性和可及性、循证医学、全面的团队护理、质量改进、护理目标、姑息治疗和临终关怀讨论以及安全的抗肿瘤治疗管理等领域提供高质量的肿瘤护理。其他信息,包括标准实施手册,可在:www.asco.org/standards。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.40
自引率
7.50%
发文量
518
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