Development of a Novel Statewide Learning Collaborative to Increase Lung Cancer Guideline Adherence and Improve Cancer Care Delivery
开发新型全州学习协作,以提高肺癌指南的遵守率并改善癌症护理服务
基本信息
- 批准号:9763344
- 负责人:
- 金额:$ 16.75万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-09-15 至 2022-08-31
- 项目状态:已结题
- 来源:
- 关键词:AccountingAddressAdherenceAmericanAnnual ReportsAreaAwardCancer EtiologyCancer PatientCaringCessation of lifeClinicalClinical ResearchClinical TrialsColon CarcinomaComorbidityComplexConsensusDataDevelopmentDiagnostic testsDisciplineEffectivenessEnvironmentEvaluationEvaluation MethodologyFundingFutureGoalsGuideline AdherenceGuidelinesHealth Care CostsHospitalsIllinoisImageInfrastructureInterventionKnowledgeLearningMalignant NeoplasmsMalignant neoplasm of lungMalignant neoplasm of prostateMeasurableMeasurementMeasuresMedical OncologyMentorshipMethodsModelingMonitorOperative Surgical ProceduresOutcome MeasurePatientsPerformancePositioning AttributePostoperative PeriodPrevalenceProcessProviderPublishingQualitative MethodsQualitative ResearchQuality IndicatorQuality of CareQuantitative EvaluationsRadiation OncologyRecommendationResearchResearch MethodologyResearch PersonnelScienceSocietiesSpecialistStagingTechniquesTestingThoracic SurgeonThoracic Surgical ProceduresTrainingUnited StatesVariantWorkbasecancer carecancer therapycancer typecare deliverycare systemscareercareer developmentcomparativecostevidence baseevidence based guidelinesexperiencehospital performanceimplementation scienceimprovedinnovationmalignant breast neoplasmmedical specialtiesmolecular markermortalitynoveloncologypreferenceprogramsskillssuccesstherapy developmenttooluptake
项目摘要
Project Summary / Abstract
Lung cancer is the leading cause of cancer-related mortality in the United States, accounting for 221,200
new cases and 158,040 deaths annually (more than colon, breast and prostate cancers combined). Despite
the presence of well-developed guidelines for care, adherence to these recommendations is variable and often
poor. To help hospitals achieve optimal adherence to guidelines, meaningful comparative data on adherence
to measurable quality indicators in lung cancer care must first be gathered in order to identify areas for
improvement. Once such preliminary adherence data are available, assessing specific barriers to evidence-
based care will guide the development of interventions to address the barriers. Once the interventions are
combined into a quality improvement tool, systematic testing of implementation in a range of hospitals will be
needed to assess efficacy, feasibility, sustainability, and generalizability. This project proposes to use a
learning collaborative model to assess barriers to guideline adherence in lung cancer care and identify
solutions. The ultimate goal of the proposal is to improve guideline adherence and decrease unwanted
variation in lung cancer care. Lessons learned through evaluation of hospital adaptation and implementation of
interventions will lead to identification of common principles that can guide diverse types of hospitals in
providing effective, guideline adherent lung cancer care. This work will lead to a generalizable model to assess
cancer care quality, understand the underlying reasons for variability, improve adherence to national guidelines
and disseminate evidence-based best practices.
The candidate, Dr. Odell, is a board-certified general thoracic surgeon with both a clinical and research
focus on the treatment of lung cancer. His clinical training and prior research experience measuring outcomes
and assessing interventions to optimize lung cancer treatment and working within the Illinois Surgical Quality
Improvement Collaborative (ISQIC) has uniquely prepared him for this proposal. Dr. Odell's career goal is to
become an independently funded investigator who combines advanced quantitative and qualitative analytics
with expertise in implementation and dissemination science to facilitate effective, evidence-based cancer care
though hospital-based programs. To fulfill this goal, he will need specific additional training during this award
period to gain expertise in 3 areas: (1) quantitative evaluation methodology, (2) qualitative research methods,
and (3) implementation and dissemination science. The mentorship team, experienced collaborators,
institutional environment and robust quality improvement infrastructure of ISQIC are ideally suited to these
educational goals. Finally, the project serves as an ideal vehicle for my career development objectives and will
afford Dr. Odell the opportunity to directly apply the skills and techniques learned in qualitative methods,
quantitative improvement principles, and implementation science and will position him to perform ongoing,
innovate, independent research in cancer care delivery.
项目总结/摘要
肺癌是美国癌症相关死亡的主要原因,占22.12万
每年新增病例和158,040例死亡(超过结肠癌、乳腺癌和前列腺癌的总和)。尽管
存在完善的护理指南,遵守这些建议是可变的,通常
扶贫为了帮助医院实现对指南的最佳遵守,
必须首先收集肺癌护理中可衡量的质量指标,以确定
改进.一旦这些初步的依从性数据可用,评估证据的具体障碍-
基础护理将指导制定干预措施,以消除这些障碍。一旦干预措施
结合成一个质量改进工具,在一系列医院的实施系统测试将
需要评估有效性、可行性、可持续性和普遍性。该项目建议使用一个
学习合作模式,以评估肺癌护理中遵守指南的障碍,并确定
解决方案该提案的最终目标是提高对指南的遵守,
肺癌治疗的变化。通过医院适应性评估和实施
干预措施将导致确定可以指导不同类型医院的共同原则,
提供有效的、遵循指南的肺癌护理。这项工作将导致一个可推广的模式,以评估
癌症护理质量,了解变异的根本原因,提高对国家指南的依从性
并传播循证最佳做法。
候选人,博士奥德尔,是一个委员会认证的普通胸外科医生与临床和研究
关注肺癌的治疗。他的临床培训和先前的研究经验测量结果
评估干预措施,以优化肺癌治疗,并在伊利诺伊州外科质量
改进协作组织(ISQIC)为他提供了独特的建议。奥德尔医生的职业目标是
成为一名独立资助的研究人员,结合先进的定量和定性分析
具有实施和传播科学方面的专业知识,以促进有效的循证癌症护理
医院为基础的项目。为了实现这一目标,他将需要在此期间的具体额外培训
期间获得3个领域的专业知识:(1)定量评估方法,(2)定性研究方法,
(3)实施与传播科学。导师团队,经验丰富的合作者,
ISQIC的制度环境和强大的质量改进基础设施非常适合这些目标
教育目标。最后,该项目是我实现职业发展目标的理想工具,
为奥德尔博士提供直接应用定性方法中学到的技能和技术的机会,
量化改进原则和实施科学,并将使他能够持续执行,
在癌症护理提供方面的创新、独立研究。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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David D. Odell其他文献
Ex-vivo lung perfusion: National trends and post-transplant outcomes
离体肺灌注:全国性趋势及移植后结局
- DOI:
10.1016/j.healun.2024.09.020 - 发表时间:
2025-02-01 - 期刊:
- 影响因子:6.000
- 作者:
Jonathan E. Williams;Sara L. Schaefer;Ryan C. Jacobs;David D. Odell;Kiran H. Lagisetty;Aaron M. Williams - 通讯作者:
Aaron M. Williams
Pulmonary Artery Sling: A Rare Presentation With Tracheobronchial Malacia in an Adult
- DOI:
10.1378/chest.10290 - 发表时间:
2010-10-01 - 期刊:
- 影响因子:
- 作者:
David D. Odell;Adnan Majid;Charles T. Bakhos;Sidharta P. Gangadharan;Armin Ernst - 通讯作者:
Armin Ernst
Postoperative outcomes following lung resection performed at private equity–acquired hospitals
在私募股权收购的医院进行肺切除术后的结果
- DOI:
10.1016/j.jtcvs.2024.12.032 - 发表时间:
2025-06-01 - 期刊:
- 影响因子:4.400
- 作者:
Jonathan E. Williams;Sara L. Schaefer;Ryan C. Jacobs;Faelan Jacobson-Davies;Andrew M. Ibrahim;David D. Odell - 通讯作者:
David D. Odell
PP01.17 Neoadjuvant Therapy Before Resection of Primary Pulmonary Lymphoepithelial Carcinoma
原发性肺淋巴上皮癌切除术前的新辅助治疗
- DOI:
10.1016/j.jtho.2024.05.263 - 发表时间:
2024-07-01 - 期刊:
- 影响因子:20.800
- 作者:
Erik Wu;Joseph Reznicek;Anjana V. Yeldandi;Jyoti D. Patel;David D. Odell - 通讯作者:
David D. Odell
The Society of Thoracic Surgeons Looking to the Future Scholarship Program: A 15-Year Review
- DOI:
10.1016/j.athoracsur.2023.09.016 - 发表时间:
2024-04-01 - 期刊:
- 影响因子:
- 作者:
Dianela Perdomo;Rachel Pebworth;Jennifer S. Lawton;Ahmet Kilic;Rishindra M. Reddy;Elizabeth A. David;David D. Odell;Stephen C. Yang - 通讯作者:
Stephen C. Yang
David D. Odell的其他文献
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{{ truncateString('David D. Odell', 18)}}的其他基金
Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer
肺癌远程医疗用户报告癌症监测 (RETURNS) 计划的开发和实施
- 批准号:
10802764 - 财政年份:2023
- 资助金额:
$ 16.75万 - 项目类别:
Development of a Novel Statewide Learning Collaborative to Increase Lung Cancer Guideline Adherence and Improve Cancer Care Delivery
开发新型全州学习协作,以提高肺癌指南的遵守率并改善癌症护理服务
- 批准号:
10221631 - 财政年份:2017
- 资助金额:
$ 16.75万 - 项目类别:
Development of a Novel Statewide Learning Collaborative to Increase Lung Cancer Guideline Adherence and Improve Cancer Care Delivery
开发新型全州学习协作,以提高肺癌指南的遵守率并改善癌症护理服务
- 批准号:
10017909 - 财政年份:2017
- 资助金额:
$ 16.75万 - 项目类别:
Full Project 2: Supporting High Risk African American Men in Research, Engagement & Decision Making (SHARED)
完整项目 2:支持高风险非裔美国男性进行研究和参与
- 批准号:
10082865 - 财政年份:2015
- 资助金额:
$ 16.75万 - 项目类别:
Full Project 2: Supporting High Risk African American Men in Research, Engagement & Decision Making (SHARED)
完整项目 2:支持高风险非裔美国男性进行研究和参与
- 批准号:
10266785 - 财政年份:2015
- 资助金额:
$ 16.75万 - 项目类别:
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