{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:39:26Z","timestamp":1784299166926,"version":"3.55.0"},"reference-count":23,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"23","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCO"],"published-print":{"date-parts":[[2009,8,10]]},"abstract":"<jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>The Quality Oncology Practice Initiative (QOPI) is a voluntary program developed by the American Society of Clinical Oncology (ASCO) to aid oncology practices in quality self-assessment. Few academic cancer centers have been QOPI participants.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We implemented the QOPI process at the University of Michigan Comprehensive Cancer Center, a large, hospital-based academic cancer center, and report our experience with five rounds of data collection. Patient medical records were selected using QOPI-specified procedures and abstracted locally; results were entered into an ASCO-maintained database and analyzed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Abstractors who were not directly involved with patient care required an average of 62.3 minutes per medical record (4.7 minutes per data element) to abstract data. We found that compliance with quality measures was uniformly high when measures were structured into our electronic medical record. Results from other measures, including those measuring chemotherapy administration in the last 2 weeks of life, were initially markedly different from those reported by other QOPI participants. Our practice changed toward the QOPI national practice norm after a presentation of the results at a faculty research conference. We found that other measures were consistently greater than 90%, including disease-specific diagnosis and treatment measures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Measuring and showing performance data to physicians was sufficient to change some aspects of physician behavior. Improvement in other measures requires structural practice changes. QOPI, an oncologist-developed system, can be adapted for use in practice improvement at an academic medical center.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1200\/jco.2008.21.6770","type":"journal-article","created":{"date-parts":[[2009,6,2]],"date-time":"2009-06-02T00:36:01Z","timestamp":1243902961000},"page":"3802-3807","source":"Crossref","is-referenced-by-count":77,"title":["Implementation of the Quality Oncology Practice Initiative at a University Comprehensive Cancer Center"],"prefix":"10.1200","volume":"27","author":[{"given":"Douglas W.","family":"Blayney","sequence":"first","affiliation":[{"name":"From the Comprehensive Cancer Center, University of Michigan Health System; Department of Pediatrics, University of Michigan Medical School; Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI; Quality Oncology Practice Initiative Steering Group, American Society of Clinical Oncology, Alexandria, VA; Oncology Hematology Consultants, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"McNiff","sequence":"additional","affiliation":[{"name":"From the Comprehensive Cancer Center, University of Michigan Health System; Department of Pediatrics, University of Michigan Medical School; Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI; Quality Oncology Practice Initiative Steering Group, American Society of Clinical Oncology, Alexandria, VA; Oncology Hematology Consultants, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Hanauer","sequence":"additional","affiliation":[{"name":"From the Comprehensive Cancer Center, University of Michigan Health System; Department of Pediatrics, University of Michigan Medical School; Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI; Quality Oncology Practice Initiative Steering Group, American Society of Clinical Oncology, Alexandria, VA; Oncology Hematology Consultants, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gretchen","family":"Miela","sequence":"additional","affiliation":[{"name":"From the Comprehensive Cancer Center, University of Michigan Health System; Department of Pediatrics, University of Michigan Medical School; Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI; Quality Oncology Practice Initiative Steering Group, American Society of Clinical Oncology, Alexandria, VA; Oncology Hematology Consultants, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Markstrom","sequence":"additional","affiliation":[{"name":"From the Comprehensive Cancer Center, University of Michigan Health System; Department of Pediatrics, University of Michigan Medical School; Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI; Quality Oncology Practice Initiative Steering Group, American Society of Clinical Oncology, Alexandria, VA; Oncology Hematology Consultants, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Neuss","sequence":"additional","affiliation":[{"name":"From the Comprehensive Cancer Center, University of Michigan Health System; Department of Pediatrics, University of Michigan Medical School; Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI; Quality Oncology Practice Initiative Steering Group, American Society of Clinical Oncology, Alexandria, VA; Oncology Hematology Consultants, Cincinnati, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"233","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410120089033"},{"key":"e_1_3_4_3_2","unstructured":"Crossing the Quality Chasm: A New Health System for the 21st Century 2001 Committee on Quality of Health Care in America Institute of Medicine Washington DC National Academies Press"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.03.3365"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.05.948"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.14.2992"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00001888-200407000-00003"},{"key":"e_1_3_4_8_2","first-page":"103","volume-title":"Clinical Informatics","author":"Bria WF","year":"2000","unstructured":"WF Bria: MO Brady MM Hassett Web-enabled clinical information systems: A new era begins Clinical Informatics 103\u2013 111,2000 Chicago, IL Healthcare Information and Management Systems Society"},{"key":"e_1_3_4_9_2","first-page":"20","article-title":"Clinical information systems in the academic medical center","volume":"20","author":"Bria WF","year":"1994","unstructured":"WF Bria: Clinical information systems in the academic medical center Physician Exec 20: 20\u2013 24,1994","journal-title":"Physician Exec"},{"key":"e_1_3_4_10_2","first-page":"941","article-title":"EMERSE: The Electronic Medical Record Search Engine","author":"Hanauer DA","year":"2006","unstructured":"DA Hanauer: EMERSE: The Electronic Medical Record Search Engine AMIA Annu Symp Proc 941,2006","journal-title":"AMIA Annu Symp Proc"},{"key":"e_1_3_4_11_2","volume":"45","author":"Office for Human Research Protections, Department of Health and Human Services","year":"2001","unstructured":"Code of Federal Regulations Title 2001 45: Office for Human Research Protections, Department of Health and Human Services \u00a7 46.101","journal-title":"Code of Federal Regulations Title"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.14.2851"},{"key":"e_1_3_4_13_2","unstructured":"HEDIS 2009 Summary Table of Measures Product Lines and Changes National Committee for Quality Assurance http:\/\/www.ncqa.org\/Portals\/0\/HEDISQM\/HEDIS2009\/2009_Measures.pdf"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.21888"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa012337"},{"key":"e_1_3_4_16_2","unstructured":"Harvard Business School and the Hawthorne Experiments (1924-1933) The Human Relations Movement http:\/\/www.library.hbs.edu\/hc\/hawthorne\/"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2007.0078"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.0722002"},{"key":"e_1_3_4_19_2","first-page":"69","article-title":"Outcomes assessment in the NCCN: 1998 update. 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