Florida Initiative for Quality Cancer Care: Improvements on Colorectal Cancer Quality of Care Indicators during a 3-Year Interval Erin M. Siegel, PhD,

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Florida Initiative for Quality Cancer Care: Improvements on Colorectal Cancer Quality of Care Indicators during a 3-Year Interval Erin M. Siegel, PhD, MPH, Paul B. Jacobsen, PhD, Ji-Hyun Lee, DrPH, Mokenge Malafa, MD, FACS, William Fulp, MS, Michelle Fletcher, BA, Jesusa Corazon R. Smith, MD, Richard Brown, MD, Richard Levine, MD, Thomas Cartwright, MD, Guillermo Abesada- Terk, MD, George Kim, MD, Carlos Alemany, MD, Douglas Faig, MD, Philip Sharp, MD, Merry-Jennifer Markham, MD, David Shibata, MD, FACS Journal of the American College of Surgeons Volume 218, Issue 1, Pages 16-25.e4 (January 2014) DOI: 10.1016/j.jamcollsurg.2013.09.008 Copyright © 2014 Terms and Conditions

Figure 1 Variability in adherence to select quality of care indicators over time across medical oncology practices. The magnitude of the change in adherence from 2006 (hatched bars) to 2009 (black bars) varied significantly across medical oncology practice sites for (A) perineural invasion (site by time interaction, p < 0.001), (B) examination of ≥12 lymph nodes (site by time interaction, p ≤ 0.001), (C) informed consent (site by time interaction, p = 0.04), and (D) documentation of planned chemotherapy regimen (site by time interaction, p < 0.001); however, (E) treatment with approved chemotherapy regimens improved consistently across sites (site by time interaction, p = 0.80). Journal of the American College of Surgeons 2014 218, 16-25.e4DOI: (10.1016/j.jamcollsurg.2013.09.008) Copyright © 2014 Terms and Conditions

Online Figure 1 The Florida Initiative for Quality Cancer Care is a consortium of 11 medical oncology practices across the state of Florida. (From Malafa MP, Corman MM, Shibata D, et al. The Florida Initiative for Quality Cancer Care: a regional project to measure and improve cancer care. Cancer Control 2009;16:318–327, with permission. Journal of the American College of Surgeons 2014 218, 16-25.e4DOI: (10.1016/j.jamcollsurg.2013.09.008) Copyright © 2014 Terms and Conditions