title: University of Michigan Comprehensive Cancer Center opportunities for improvement project.
abstract: The University of Michigan Comprehensive Cancer Center (UMCCC) Opportunities for Improvement project involved a detailed patient-level medical record review, feedback to medical providers and clinical leadership, and discussion of potential predictors of discordant or delayed care. The medical record review revealed that reasons for discordant or delayed care were well documented by clinical providers, and medical comorbidity was the most common predisposing factor. Another common theme was the difficulty in obtaining treatment records for patients who received a portion of their care outside UMCCC. The project provided a valuable opportunity to examine established processes of care and data collection and consider how the newly implemented electronic health record might support future efforts aimed at improving efficiency and communication among providers.
authors.affiliation: From aNorthwestern Feinberg School of Medicine, Northwestern Lake Forest Hospital, Lake Forest, Illinois, and bUniversity of Michigan Comprehensive Cancer Center, Ann Arbor, Michigan.
authors.forename: Tara M
authors.initials: TM
authors.lastname: Breslin
authors.forename: Marcy
authors.initials: M
authors.lastname: Waldinger
authors.forename: Samuel M
authors.initials: SM
authors.lastname: Silver
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis / Q000628:therapy; D002173:Cancer Care Facilities; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D008824:Michigan; D011785:Quality Assurance, Health Care; D058996:Quality Improvement