Navigation Links
Tool Shows Promise for Measuring Productivity of Mid-Level Oncology Providers
Date:5/29/2009

A pilot study of a new productivity tool developed by the National Comprehensive Cancer Network (NCCN) shows potential in measuring the impact of mid-level oncology providers in outpatient oncology settings. Refining productivity metrics for this group can help inform workforce projections given reports of a looming shortage of oncologists. The results will be presented at the ASCO Annual Meeting on May 30, 2009 in Orlando, Florida.

ORLANDO, Fla., May 30 /PRNewswire-USNewswire/ -- Mid-level providers have the potential to mitigate the impending workforce shortage of oncologists; however, their impact on clinical practice and productivity has been challenging to measure. A metric and tool developed by the National Comprehensive Cancer Network (NCCN) shows promise in the ability to quantify the productivity of mid-level oncology providers, physician assistants (PAs) and nurse practitioners (NPs), in outpatient oncology settings. The results of a pilot study evaluating this tool will be presented at the 2009 American Society for Clinical Oncology (ASCO) Annual Meeting on May 30, 2009.

"In many cases, mid-level providers do not bill for their services separate from the physician making it difficult to assess their productivity in an oncology setting," says author F. Marc Stewart, MD, Fred Hutchinson Cancer Research Center. "We developed this tool in an attempt to facilitate staffing and workforce projections, especially in the face of future physician shortages."

The study analyzed eligible responses from 176 mid-level providers from 15 of the 21 NCCN Member Institutions. The online survey included questions on work characteristics, allocation of time and labor, and productivity. Productivity was defined by the authors as the average number of new or follow-up patients seen per half-day clinic. In addition, the survey asked questions with the intent to identify any significant differences between NP and PA productivity within a variety of oncologic specialties including Medical Oncology/Solid Tumor, Hematologic Malignancies/Bone Marrow Transplant, and Surgical Oncology.

"We found that the tool was a useful instrument in gauging the impact of mid-levels, and that NPs and PAs do seem to have a measurable effect on the number of patients seen in the participating academic outpatient oncology clinics," says lead author Jennifer Hinkel, MSc, Manager, Business Insights at NCCN.

The authors noted that, as expected, NPs and PAs in the surgical oncology specialty saw more patients than mid-levels in other specialties. Brief pre- and post-operative visits may account for a large percentage of these mid-levels' clinic time allowing for a larger volume of patients to be seen.

In the majority of the data collected, there was no significant difference between the number of patients NPs and PAs saw within each specialty except in the medical oncology specialty, where NPs reported seeing significantly more follow-up patients than PAs.

"This variation may be due to different practice patterns or the use of PAs for more procedure-oriented tasks rather than for outpatient clinic visits," says Hinkel.

The authors plan to repeat the survey using a broader sample and in conjunction with an existing oncology physician productivity tool developed by NCCN to better determine the direct impact of mid-level providers on overall clinical productivity.

Recent data from the American Society of Clinical Oncology's Workforce Study published in 2007 has shown that by the year 2020 there will be a shortage of between 2,350 and 3,800 oncologists, a problem that will be magnified by a 48 percent increase in the overall demand for oncology visits.

Additional authors include Jonathan L. Vandergrift, MS, National Comprehensive Cancer Network; Sara J. Perkel, National Comprehensive Cancer Network; Marcy B. Waldinger, MHSA, University of Michigan Comprehensive Cancer Center; and William Levy, Fred Hutchinson Cancer Research Center.

About the National Comprehensive Cancer Network

The National Comprehensive Cancer Network (NCCN), a not-for-profit alliance of 21 of the world's leading cancer centers, is dedicated to improving the quality and effectiveness of care provided to patients with cancer. Through the leadership and expertise of clinical professionals at NCCN Member Institutions, NCCN develops resources that present valuable information to the numerous stakeholders in the health care delivery system. As the arbiter of high-quality cancer care, NCCN promotes the importance of continuous quality improvement and recognizes the significance of creating clinical practice guidelines appropriate for use by patients, clinicians, and other health care decision-makers. The primary goal of all NCCN initiatives is to improve the quality, effectiveness, and efficiency of oncology practice so patients can live better lives.

The NCCN Member Institutions are: City of Hope Comprehensive Cancer Center, Los Angeles, CA; Dana-Farber/Brigham and Women's Cancer Center | Massachusetts General Hospital Cancer Center, Boston, MA; Duke Comprehensive Cancer Center, Durham, NC; Fox Chase Cancer Center, Philadelphia, PA; Huntsman Cancer Institute at the University of Utah, Salt Lake City, UT; Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance, Seattle, WA; The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD; Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago, IL; Memorial Sloan-Kettering Cancer Center, New York, NY; H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL; The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute, Columbus, OH; Roswell Park Cancer Institute, Buffalo, NY; Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine, St. Louis, MO; St. Jude Children's Research Hospital/University of Tennessee Cancer Institute, Memphis, TN; Stanford Comprehensive Cancer Center, Stanford, CA; University of Alabama at Birmingham Comprehensive Cancer Center, Birmingham, AL; UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; University of Michigan Comprehensive Cancer Center, Ann Arbor, MI; UNMC Eppley Cancer Center at The Nebraska Medical Center, Omaha, NE; The University of Texas M. D. Anderson Cancer Center, Houston, TX; and Vanderbilt-Ingram Cancer Center, Nashville, TN.

For more information on NCCN, please visit NCCN.org.


'/>"/>
SOURCE National Comprehensive Cancer Network
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. New study shows promise in reducing surgical risks associated with surgical bleeding
2. New research shows how chronic stress worsens neurodegenerative disease course
3. Embryonic Human Stem Cells May Help Repair Heart Muscle, Lab Study Shows
4. Circulating fats kill transplanted pancreas cells, study shows
5. New Heart Pump Shows Promise in Trial
6. Novel 3-D cell culture model shows selective tumour uptake of nanoparticles
7. New Survey Shows Americans are Still Concerned About Food Safety, Yet Still Not Smart About What They Like to Eat
8. Australian-led international study shows blood pressure drugs cut death rate in type 2 diabetes
9. Amid Improving Life Expectancy Rates, Risk of Premature Death is Still Significant for Americans, New Study Shows
10. Avocados may help prevent oral cancer, OSU study shows
11. New Poll Shows Public Distrusts Flawed Healthcare Approach Favored by Governor and Speaker in AB 8
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/10/2016)... ... February 10, 2016 , ... Intermedix ... of Emergency Medicine , an emergency medicine professional association, to support the organization's ... , The American Academy of Emergency Medicine, or AAEM, seeks to empower emergency ...
(Date:2/10/2016)... SAN FRANCISCO, Calif. (PRWEB) , ... February 10, 2016 , ... ... category: Best Water Brand. There were three leading bottled water brand owners that topped ... edge services that enhance connectivity and optimize conversion. The premier brand was Tibet 5100, ...
(Date:2/10/2016)... ... February 10, 2016 , ... Intalere’s 2016 Executive Forum, ... 200 of the country’s top healthcare executives to share insights on transformational strategies ... the Forum is the provider-centric perspective, experience, expertise and strategy shared by the ...
(Date:2/10/2016)... ... 2016 , ... Armune BioScience signed a definitive agreement with ... centers across the country. Launched in April of 2015, Apifiny is the only cancer ... Apifiny order volume exceeded 3,000 tests in 2015. Primary care physicians and urologists have ...
(Date:2/10/2016)... (PRWEB) , ... February 10, 2016 , ... ... it will attend the Ohio Safety Congress and Expo event March 9-11, 2016. ... the Greater Columbus Convention Center. , As the longest running and largest ...
Breaking Medicine News(10 mins):
(Date:2/10/2016)... , Feb. 10, 2016  Visage Imaging Inc. ... Ltd. (ASX: PME), has announced that the American College ... (UF) have selected the Visage 7 Enterprise Imaging ... the Emergent/Critical Care Imaging SIMulation (SIM). SIM is ... Imaging Program (WIDI), a multi-faceted and fully-integrated online ...
(Date:2/10/2016)... DIEGO , Feb. 10, 2016 ... company developing novel, clinical-stage therapies for sickle cell disease ... underwritten public offering of 29,090,910 units at a price ... consists of one share of the Company,s common stock ... Company,s common stock at an exercise price of $0.42 ...
(Date:2/10/2016)... Antibacterial Drugs Market - Global Industry ... ", reveals that the global antibacterial drugs market is forecast ... owing to patent expiries of blockbuster drugs. Even though the ... forecast period, the value is anticipated to decline from US$43.9 ... Antibacterial Drugs Market - Global Industry Analysis, Size, Share, ...
Breaking Medicine Technology: