[Abstract #12318] Creating an Optimal Care Coordination Model to Improve Multidisciplinary Care for Lung Cancer Patients on Medicaid

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Authors
Amy Marbaugh¹ , Thomas Asfeldt ² , Randall Oyer MD³ , Christopher Lathan MD⁴ , Matthew Smeltzer PhD⁵ , Vikki Nolan PhD⁵ , Meredith Ray PhD⁵ , Nicholas Faris ⁶ , Mary Nalan ⁵ , Walter Stevens ⁵ , Amanda Kramar ¹ , Lorna Lucas ¹ , Raymond Osarogiagbon MD<sup>6

1</sup>Association of Community Cancer Centers, Rockville, MD, USA;
²Sanford Health, Sioux Falls, SD, USA;
³Lancaster General Health, Lancaster, PA, USA;
⁴Dana-Farber Cancer Institute, Boston, MA, USA;
⁵University of Memphis School of Public Health, Memphis, TN, USA;
⁶Baptist Cancer Center, Memphis, TN, USA 

Background

The Association of Community Cancer Centers (ACCC) created an Optimal Care Coordination Model (OCCM), which provides a comprehensive self-assessment tool designed to orient cancer programs to achieving patient-centered, multidisciplinary care. The OCCM is designed to help cancer programs, regardless of resources, location, or population, improve care for lung cancer patients, especially those on Medicaid.

Method

Using findings from an environmental scan (April 2016) and visits to 5 US cancer programs to explore current care models (July-October 2016), a Technical Expert Panel developed the OCCM, which has 13 defined Assessment Areas and utilizes an evaluation matrix.

To validate the OCCM, a competitive application process among ACCC’s membership used a comprehensive institutional quantitative and qualitative questionnaire. Applicants completed a self-assessment using the OCCM and then developed quality improvement projects designed to move their OCCM-scored care delivery performance from baseline to a higher level over a 12-month implementation period. Seven US community cancer centers were selected as Testing Sites. Quantifiable outcome measures were identified for each site, standardized across sites, and collected by a centralized data coordinating center.