Improving the quality of thyroid cancer care: How does the thyroid cancer care collaborative cross the institute of medicine's quality chasm?

Saral Mehra, R. Michael Tuttle, Donald Bergman, Victor Bernet, Elise Brett, Rhoda Cobin, Gerard Doherty, Joshua Klopper, Stephanie Lee, Josef Machac, Kresimira Milas, Jeffrey I. Mechanick, Lisa Orloff, Gregory Randolph, Douglas S. Ross, Robert Smallridge, David Terris, Ralph Tufano, Eran Alon, Jason ClainLaura Dos Reis, Sophie Scherl, Mark L. Urken

    Research output: Contribution to journalArticle

    8 Citations (Scopus)

    Abstract

    Background: The current systems of healthcare delivery in the United States suffer from problems that often leave patients with inadequate quality of care. In their report entitled "Crossing the Quality Chasm," the Institute of Medicine (IOM) identified reasons for poor and/or inconsistent quality of healthcare delivery and provided recommendations to improve it. The purpose of this review is to describe features of an innovative web-based program called the Thyroid Cancer Care Collaborative (TCCC) and see how it addresses IOM recommendations to improve the quality of healthcare delivery. Summary: The TCCC addresses the three actionable IOM recommendations directed at healthcare organizations and clinicians to redesign the care process. It does so by exploiting information technology (IT) in ways suggested by the IOM, and it fits within a set of 10 rules provided by the IOM. Some features of the TCCC include: (i) automated disease staging based on three validated scoring systems; (ii) highly illustrated educational videos on all aspects of thyroid cancer care; (iii) personalized clinical decision-making modules for clinicians and physicians; (iv) portability of data to share among treating physicians; (v) virtual tumor boards, "ask the expert," and frequently asked questions modules; (vi) physician workflow integration; and (vii) data for comprehensive analysis to answer difficult questions in thyroid cancer management. Conclusion: The TCCC has the potential to improve thyroid cancer care delivery and offers several benefits to patients, clinicians, and researchers. The TCCC is a valuable example of how IOM initiatives can improve the healthcare system.

    Original languageEnglish (US)
    Pages (from-to)615-624
    Number of pages10
    JournalThyroid
    Volume24
    Issue number4
    DOIs
    StatePublished - Apr 1 2014

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    National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
    Thyroid Neoplasms
    Quality of Health Care
    Delivery of Health Care
    Physicians
    Workflow
    Research Personnel
    Organizations
    Technology

    ASJC Scopus subject areas

    • Endocrinology, Diabetes and Metabolism
    • Endocrinology
    • Medicine(all)

    Cite this

    Improving the quality of thyroid cancer care : How does the thyroid cancer care collaborative cross the institute of medicine's quality chasm? / Mehra, Saral; Tuttle, R. Michael; Bergman, Donald; Bernet, Victor; Brett, Elise; Cobin, Rhoda; Doherty, Gerard; Klopper, Joshua; Lee, Stephanie; Machac, Josef; Milas, Kresimira; Mechanick, Jeffrey I.; Orloff, Lisa; Randolph, Gregory; Ross, Douglas S.; Smallridge, Robert; Terris, David; Tufano, Ralph; Alon, Eran; Clain, Jason; Dos Reis, Laura; Scherl, Sophie; Urken, Mark L.

    In: Thyroid, Vol. 24, No. 4, 01.04.2014, p. 615-624.

    Research output: Contribution to journalArticle

    Mehra, S, Tuttle, RM, Bergman, D, Bernet, V, Brett, E, Cobin, R, Doherty, G, Klopper, J, Lee, S, Machac, J, Milas, K, Mechanick, JI, Orloff, L, Randolph, G, Ross, DS, Smallridge, R, Terris, D, Tufano, R, Alon, E, Clain, J, Dos Reis, L, Scherl, S & Urken, ML 2014, 'Improving the quality of thyroid cancer care: How does the thyroid cancer care collaborative cross the institute of medicine's quality chasm?', Thyroid, vol. 24, no. 4, pp. 615-624. https://doi.org/10.1089/thy.2013.0441
    Mehra, Saral ; Tuttle, R. Michael ; Bergman, Donald ; Bernet, Victor ; Brett, Elise ; Cobin, Rhoda ; Doherty, Gerard ; Klopper, Joshua ; Lee, Stephanie ; Machac, Josef ; Milas, Kresimira ; Mechanick, Jeffrey I. ; Orloff, Lisa ; Randolph, Gregory ; Ross, Douglas S. ; Smallridge, Robert ; Terris, David ; Tufano, Ralph ; Alon, Eran ; Clain, Jason ; Dos Reis, Laura ; Scherl, Sophie ; Urken, Mark L. / Improving the quality of thyroid cancer care : How does the thyroid cancer care collaborative cross the institute of medicine's quality chasm?. In: Thyroid. 2014 ; Vol. 24, No. 4. pp. 615-624.
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    AU - Bernet, Victor

    AU - Brett, Elise

    AU - Cobin, Rhoda

    AU - Doherty, Gerard

    AU - Klopper, Joshua

    AU - Lee, Stephanie

    AU - Machac, Josef

    AU - Milas, Kresimira

    AU - Mechanick, Jeffrey I.

    AU - Orloff, Lisa

    AU - Randolph, Gregory

    AU - Ross, Douglas S.

    AU - Smallridge, Robert

    AU - Terris, David

    AU - Tufano, Ralph

    AU - Alon, Eran

    AU - Clain, Jason

    AU - Dos Reis, Laura

    AU - Scherl, Sophie

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