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Home > Surveys > Trends in Community Cancer Centers 2015: Overview

Trends in Cancer Programs 2014

2015 Trends in Cancer ProgramsThe 2015 Trends in Cancer Programs survey is year six of an ongoing survey of ACCC-member cancer programs, designed to educate on nationwide developments in the business aspects of cancer care. The survey is also a tool to assist members in evaluating their own organization's performance relative to similar cancer programs.

View highlights brochure here.

ACCC members can view the 2015 full survey report here (log-in required).

Key 2015 Survey Findings:

  • While provision of patient-centered services continues to grow, cancer programs report their number one challenge was "lack of reimbursement for supportive care services." The majority of respondent report offering nurse navigation (89%), psychological counseling (88%), survivorship care (87%), and palliative care (87%). Expansion of these services may have contributed to the 61% of respondents who cited "budget restrictions" as their second biggest challenge.
  • More programs report using metrics to measure and track quality to show payers the value of care provided. Nearly all respondents communicate value to payers through a variety of metrics, including Commission on Cancer accreditation (87%), The Joint Commission accreditation (74%), Press Ganey scores (57%), reporting data on quality initiatives (52%), NAPBC accreditation (51%), and benchmarking patient outcomes against other programs (51%).
  • Financial toxicity continues to have a negative impact on cancer patients. With implementation of the Affordable Care Act, the number of uninsured patients continues to decline; however, more than half of cancer programs (54%) report an increase in the number of under-insured patients. At the same time, nearly half of respondents (44%) identified the increased number of patients unable to afford treatment as one of their "biggest challenges."
  • More cancer programs are implementing quality and compliance initiatives related to oral anticancer drugs. The 2015 survey finds that 53% of respondents now offer these programs, up from 34% in the 2014 survey. Nearly all respondents (94%) say they teach/educate patients about issues related to oral medications, and 77% proactively reach out to patients to ensure compliance.
  • Despite increased focus on providing patient-centered care, programs continue to report challenges in meeting the CoC patient-centered standards that went into effect in 2015. About half of programs (51%) are concerned about meeting Standard 3.3 Survivorship Care, while 41% of programs are concerned about meeting Standard 1.9 Clinical Trial Accrual.

If you have any questions about the survey, please contact Provider Resources.

The survey is a joint project between ACCC and Lilly Oncology.

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