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Albert J. and Judith A. Dunlap Cancer Center at Mayo Clinic Health ...

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cases were detected <strong>at</strong> a highly curable stage. This high percent of early stage cases is also a marker of the<br />

clinic’s efforts to promote screening <strong>and</strong> accuracy of early detection methods such as mammography.<br />

3. Quality of breast cancer care <strong>at</strong> <strong>Mayo</strong> <strong>Clinic</strong> <strong>Health</strong> System in Eau Claire.<br />

We reviewed 80 consecutive cases diagnosed <strong>and</strong> tre<strong>at</strong>ed by our group in 2010–2011. They were reviewed for<br />

the care they received <strong>and</strong> how they m<strong>at</strong>ched up to recognized measures of high-quality breast cancer care. The<br />

following summarizes this review.<br />

A. The p<strong>at</strong>tern of care in the CP3R d<strong>at</strong>a reports — These reports track the long-term trends in the<br />

group’s efforts in key survival enhancing measures. These are n<strong>at</strong>ional measures <strong>and</strong> felt by many<br />

groups, including the ACS CoC, NCCN, ASCO <strong>and</strong> others, to demonstr<strong>at</strong>e the quality of a group’s<br />

cancer program.<br />

<strong>Cancer</strong> Program Practice Profile Reports (CP 3 R)<br />

for Breast <strong>Cancer</strong>s Diagnosed 2004 - 2010<br />

<strong>Mayo</strong> <strong>Clinic</strong> <strong>Health</strong> System, Eau Claire, Wis.<br />

FACILITY SELECTION ALL MEASURES SUMMARY THIS MEASURE SUMMARY<br />

Combin<strong>at</strong>ion chemotherapy is considered or<br />

administered within four months (120 days) of diagnosis<br />

for women under 70 with AJCC T1cN0M0, or Stage II<br />

or III hormone receptor neg<strong>at</strong>ive breast cancer. [MAC]<br />

Diagnosis Year: 2010<br />

(Last Upd<strong>at</strong>e: Dec 10, 2012 11:12:16 PM CST)<br />

Perf. R<strong>at</strong>e 95% CI Cases #Prog.<br />

My <strong>Cancer</strong> Program 100 % (100 - 100) 7<br />

My St<strong>at</strong>e (WI) 98.2 % (96.6 - 99.8) 271 32<br />

My ACS Division (Mid-West) 97.1 % (95.8 - 98.4) 654 69<br />

My Census Region (Gre<strong>at</strong>lakes) 92.9 % (91.9 - 93.9) 2482 253<br />

My CoC Program Type (COMP) 91.9 % (91.3 - 92.5) 6821 560<br />

All CoC Approved Programs (ALL) 90.7 % (90.2 - 91.2) 13670 1283<br />

Interpreting this table: The estim<strong>at</strong>ed performance r<strong>at</strong>es shown in this table provide your cancer program with an<br />

indic<strong>at</strong>ion of the proportion of women under 70 with advanced, mid-stage HR-breast cancer tre<strong>at</strong>ed or considered for<br />

multiagent chemotherapy according to recognized st<strong>and</strong>ards of care. These r<strong>at</strong>es are computed based on d<strong>at</strong>a directly<br />

reported from CoC approved registries to the NCDB using specific<strong>at</strong>ions endorsed by the NQF.<br />

The CP3R provides cancer programs with the opportunity to examine d<strong>at</strong>a to determine if these performance r<strong>at</strong>es are<br />

represent<strong>at</strong>ive of the care provided <strong>at</strong> the institution. This applic<strong>at</strong>ion provides the ability to review <strong>and</strong> modify cases<br />

using this applic<strong>at</strong>ion. Simply click on the cell of underlined cases of interest to view a detailed case listing.<br />

Displayed performance r<strong>at</strong>es are immedi<strong>at</strong>ely upd<strong>at</strong>ed once modific<strong>at</strong>ions via the CP3R are completed by cancer<br />

program staff. Note, any modific<strong>at</strong>ions made online should be reflected <strong>at</strong> the local cancer registry, <strong>and</strong> cancer<br />

programs are encouraged to resubmit d<strong>at</strong>a to the NCDB.

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