Lee Jay S, Nathan Hari
Department of Surgery, University of Michigan, 2210A Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Department of Surgery, University of Michigan, 2210A Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Surg Oncol Clin N Am. 2018 Oct;27(4):621-632. doi: 10.1016/j.soc.2018.05.003. Epub 2018 Jul 21.
Recent debate has focused on which quality measures are appropriate for surgical oncology and how they should be implemented and incentivized. Current quality measures focus primarily on process measures (use of adjuvant therapy, pathology reporting) and patient-centered outcomes (health-related quality of life). Pay for performance programs impacting surgical oncology patients focus primarily on preventing postoperative complications, but are not specific to cancer surgery. Future pay for performance programs in surgical oncology will likely focus on incentivizing high-quality, low-cost cancer care by evaluating process measures, patient-centered measures, and costs of care specific to cancer surgery.
