title: Leveraging state cancer registries to measure and improve the quality of cancer care: a potential strategy for California and beyond.
abstract: Despite recent increased attention to healthcare performance and the burden of disease from cancer, measures of quality of cancer care are not readily available. In 2013, the California HealthCare Foundation convened an expert workgroup to explore the potential for leveraging data in the California Cancer Registry (CCR), one of the world's largest population-based cancer registries, for measuring and improving the quality of cancer care. The workgroup assessed current registry operations, the value to be gained by linking CCR data with health insurance claims or encounter data and clinical data contained in health system electronic health records, and potential barriers to these linkages. The workgroup concluded that: 1) The CCR mandate should be expanded to include use of its data for quality of cancer care measurement and public reporting; and 2) a system should be developed to support linkage of registry data with both claims data and provider electronic health record data.
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS). robert.hiatt@ucsf.edu.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Hiatt
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Caroline G
authors.initials: CG
authors.lastname: Tai
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Blayney
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Dennis
authors.initials: D
authors.lastname: Deapen
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Michael
authors.initials: M
authors.lastname: Hogarth
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Kenneth W
authors.initials: KW
authors.lastname: Kizer
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Joseph
authors.initials: J
authors.lastname: Lipscomb
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Jennifer
authors.initials: J
authors.lastname: Malin
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Stephen K
authors.initials: SK
authors.lastname: Phillips
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: John
authors.initials: J
authors.lastname: Santa
authors.affiliation: Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA (RAH, CGT); Stanford Cancer Institute, Stanford University, Stanford, CA (DWB); Preventive Medicine, Division of Epidemiology, University of Southern California, Los Angeles, CA (DD); Department of Pathology and Laboratory Medicine (MH) and Institute for Population Health Improvement (KWK), University of California Davis, Sacramento, CA; Department of Health Policy and Management, Rollins School of Public Health, Winship Cancer Institute, Emory University, Atlanta, GA (JL); Oncology and Care Management, WellPoint, Inc., Thousand Oaks, CA (JM); Hooper, Lundy & Bookman, P.C., San Francisco, CA (SKP); Consumer Reports Health, Yonkers, NY (JS); Department of Medicine, Harvard Medical School/Dana Farber Cancer Institute, Boston, MA (DS).
authors.forename: Deborah
authors.initials: D
authors.lastname: Schrag
mesh_terms: D002140:California; D057286:Electronic Health Records; D006801:Humans; D007344:Insurance Claim Reporting; D008498:Medical Record Linkage; D009369:Neoplasms; D011785:Quality Assurance, Health Care; D058996:Quality Improvement; D012042:Registries / Q000592:standards*