title: Development of a model web-based system to support a statewide quality consortium in radiation oncology.
abstract: OBJECTIVE
  A database in which patient data are compiled allows analytic opportunities for continuous improvements in treatment quality and comparative effectiveness research. We describe the development of a novel, web-based system that supports the collection of complex radiation treatment planning information from centers that use diverse techniques, software, and hardware for radiation oncology care in a statewide quality collaborative, the Michigan Radiation Oncology Quality Consortium (MROQC).
  
  
  METHODS
  The MROQC database seeks to enable assessment of physician- and patient-reported outcomes and quality improvement as a function of treatment planning and delivery techniques for breast and lung cancer patients. We created tools to collect anonymized data based on all plans.
  
  
  RESULTS
  The MROQC system representing 24 institutions has been successfully deployed in the state of Michigan. Since 2012, dose-volume histogram and Digital Imaging and Communications in Medicine-radiation therapy plan data and information on simulation, planning, and delivery techniques have been collected. Audits indicated >90% accurate data submission and spurred refinements to data collection methodology.
  
  
  CONCLUSIONS
  This model web-based system captures detailed, high-quality radiation therapy dosimetry data along with patient- and physician-reported outcomes and clinical data for a radiation therapy collaborative quality initiative. The collaborative nature of the project has been integral to its success. Our methodology can be applied to setting up analogous consortiums and databases.
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan. Electronic address: jmmoran@med.umich.edu.
authors.forename: Jean M
authors.initials: JM
authors.lastname: Moran
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Mary
authors.initials: M
authors.lastname: Feng
authors.affiliation: Department of Radiation Oncology, William Beaumont Hospital, Royal Oak, Michigan.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Benedetti
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Robin
authors.initials: R
authors.lastname: Marsh
authors.affiliation: Department of Biostatistics, University of Michigan, Ann Arbor, Michigan.
authors.forename: Kent A
authors.initials: KA
authors.lastname: Griffith
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Martha M
authors.initials: MM
authors.lastname: Matuszak
authors.affiliation: School of Information, University of Michigan, Ann Arbor, Michigan.
authors.forename: Michael
authors.initials: M
authors.lastname: Hess
authors.affiliation: Radiation Oncology, St. Joseph Mercy Hospital, Ypsilanti, Michigan.
authors.forename: Matthew
authors.initials: M
authors.lastname: McMullen
authors.affiliation: Johnson Family Center for Cancer Care, Mercy Health Partners, Muskegon, Michigan.
authors.forename: Jennifer H
authors.initials: JH
authors.lastname: Fisher
authors.affiliation: 21st Century Oncology of Michigan, Farmington Hills, Michigan.
authors.forename: Teamour
authors.initials: T
authors.lastname: Nurushev
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Margaret
authors.initials: M
authors.lastname: Grubb
authors.affiliation: Radiation Oncology Department, Henry Ford Health System, Detroit, Michigan.
authors.forename: Stephen
authors.initials: S
authors.lastname: Gardner
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Daniel
authors.initials: D
authors.lastname: Nielsen
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Reshma
authors.initials: R
authors.lastname: Jagsi
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: James A
authors.initials: JA
authors.lastname: Hayman
authors.affiliation: Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
authors.forename: Lori J
authors.initials: LJ
authors.lastname: Pierce
mesh_terms: D003625:Data Collection; D016208:Databases, Factual; D006801:Humans; D020407:Internet; D058996:Quality Improvement; D018787:Radiation Oncology / Q000458:organization & administration / Q000592:standards; D011795:Surveys and Questionnaires; D014584:User-Computer Interface