1. ASCO/NCODA Oral Chemotherapy Dispensing Standards Initiative
Michael Reff, RPh, MBA
Executive Director / Founder of NCODA
Erin Kennedy, MHSc
Clinical Practice Guidelines Specialist
Amy Evers, BSN, RN, OCN
Associate Director, ASCO’s QOPI Certification Program
45 min

2. Championing our Future
Passion for Patients
Imagine…Tipping Point
Create Positive Change for Patients
Develop Quality Standards
Collaborate with Payers
Accomplish Beyond the First Fill Capabilities
Strengthen Mission Success
Championing our Future

3. About ASCO
World’s leading professional organization representing physicians caring for those with cancer
Founded in 1964
Headquarters in Alexandria, VA
Serves nearly 45,000 members
ASCO Mission: Conquering cancer though research, education, and promotion of the highest quality patient care.
Improves cancer care through:
Scientific meetings
Educational programs
Peer-reviewed journals

4. ASCO Promotes and Provides for:
Lifelong Learning for Oncology Professionals
Cancer Research
Improved Environment for Oncology Practice
Access to Quality Cancer Care
Expertise of Global Network of Oncologists
Educated and Informed Cancer Patients

5. ASCO Membership Global network of nearly 45,000 oncology professionals
Only organization representing all oncology subspecialties
Members benefit from worldwide, cross-discipline network of professional and personal expertise
30% of members are international
Members represent more than 120 countries

6. ASCO Network American Society of Clinical Oncology
Journal of Clinical Oncology 
jco.ascopubs.org 
Journal of Oncology Practice 
jop.ascopubs.org 
 ASCO Connection 
connection.asco.org 
 ASCO University 
university.asco.org 
CancerLinQ
asco.org/cancerlinq
Cancer Portals 
asco.org/cancerportals
Conquer Cancer Foundation
CONQUER.org 
Cancer.Net 
cancer.net 
Quality Oncology Practice Initiative 
qopi.asco.org 
QCP – QOPI Certification Program
qopi.asco.org

7. ASCO Guidelines and Standards
ASCO Guidelines address a wide range of cancer treatment, diagnosis, and management issues.
Also publish guideline endorsements, adaptations, standards and provisional clinical opinions (PCOs)
Annually, our team has 25 new guidelines, 15 updates in progress
There are > 1500 guideline or standards volunteers
ASCO has collaborated with 27 organizations on guideline development
ASCO guidelines consistently are among the most accessed Journal of Clinical Oncology articles 
First guideline published in 1994.
Briefly note the difference between a guideline and standard.

8. ASCO Guidelines and standards
Standards/Guideline Examples
And here’s an example of a standard that we recently released
Tie back to what Mike said about the increased need for standards for in the world of oral chemotherapy

9. The Development Process
Invite Co-Chairs and panelists to serve on the panel
Develop Protocol
Systematic Review conducted
A critical assessment and evaluation of all research studies that address a particular clinical or process issue; an organized method of locating, assembling, and evaluating a body of literature on a particular topic using a set of specific criteria.
Consensus Methodology
Have multidisciplinary panel;
Protocol helps with scope creep. Defines questions going to be asked, inclusion/exclusion criteria, populations, intervention, etc.
Systematic review can be large or small depending on the topic. Try to get the highest quality evidence-meta-anayses, RCTs, etc. Sometimes need case studies. The more narrow the search the better. First do title search, abstract search, full text.
Extract data into tables
Rate the evidence and recommendations: three core domains of 1) quality appraisal, 2) rating the strength of the evidence, and 3) rating the strength of standards.

10. Timeline and deliverables
Current status: Systematic review in progress
February - March 2019: finalize systematic review
March – April 2019: finalize standards statements with Expert Panel
Goal: project completion Q2 2019
Key publication in Journal of Clinical Oncology

11. Dissemination ASCO Guidelines App Journal of Clinical Oncology
Clinical Tools and Resources
Slide Sets
Recommendations Tables
Flow Sheets/Algorithms
Decision aids/discussion guides
Patient Guides
Podcasts (NEW)
Pocket Cards
ASCO University podcasts/courses
List Serves
State Societies, OPI, targeted Committees
Planning Web and Print Publication (ex. NCODA’s Oncolytics Today)

12. ASCO/NCODA Oral Chemotherapy Dispensing Standards
Early discussions of shared values and standards
ASCO and NCODA Concept to address gap of oral chemotherapy dispensing
Future potential of planning to work with NCODA to help speak with payers and employer groups to go Beyond the First Fill for a better patient care standard

13. Working Together, We become Stronger