American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Expectation

Under Standard 4.3 “A Cancer Liaison Physician serves in a leadership role within the cancer program and is responsible for evaluating, interpreting, and reporting the program’s performance using the National Cancer Database (NCDB) data. The CLP reports the results of this analysis to the cancer committee at least 4 times a year.”

Task

Access and review your NCDB reports - Cancer Program Practice Profile Reports (CP3R), Hospital Comparison Benchmark Reports, and Survival reports to assess your cancer program’s performance as compared to data from other hospitals in your category, state, ACS region, or nationally. Use this data to create a report based on your facility's needs, improvements, or successes for your cancer committee meeting on a quarterly basis.

Quality Reporting: Getting Started

National Cancer Data Base Quality Measures (PDF)

Interpreting the National Cancer Data Base Quality Measures (PDF)

Interpreting the National Cancer Data Base Quality Measures (video)

Estimated Performance Rates

CLP: Getting Started in CoC Datalinks

CLP: Navigating the Cancer Program Practice Profile Reports

Standards 4.4 and 4.5 Instructions Sheet

Submit examples of your quarterly Cancer Liaison Physician Reports to the Cancer Committee. Reports will be vetted and best practices will be formatted as Tools for Cancer Liaison Physicians.

Tools and Tips for the CLP

CLP Orientation Video

NCDB Tip Card (PDF)

Cancer Liaison Physician Reporting Template

Cancer Liaison Physician Report Using CP3R Example I

Cancer Liaison Physician Report Example II

Time to Treatment (PDF) Report Example III

Reported Measure Compliance (PDF) Report Example IV

Stage at Diagnosis (PDF) Report Example V

Public Benchmark Reports Video

Other Data Resources