Online Program

Development of a breast cancer clinical dashboard to ensure population health of Missouri medically underinsured women

Wednesday, November 6, 2013 : 8:50 a.m. - 9:10 a.m.

Keila Pena-Hernandez, MSPH, MT, Informatics Institute, University of Missouri, Columbia, MO 65211, Missouri Cancer Registry and Research Center, Columbia, MO
Suzanne Austin Boren, PhD, MHA, Department of Health Management and Informatics, University of Missouri, Columbia, MO
Jeannette Jackson-Thompson, MSPH, PhD, Missouri Cancer Registry and Research Center/Dept. of Health Management & Informatics, University of Missouri (MU) School of Medicine, Columbia, MO
BACKGROUND: Prolonged delays in breast cancer care are often identified as having a severe effect on outcome. Prior research has found that patients undergoing total mastectomy were more likely to have treatment delays longer than 30 days. These delays were also elevated at 90 days for those patients scheduled for a partial mastectomy. Low socioeconomic status is also a great predictor for delays in treatment. Some low-income women experience delays as much as 90 days, which creates a significant disparity in treatment. Therefore, efficient quality of care is critical to this population. Clinical Dashboards allow for the quality of care process to be driven effectively by providing timely and relevant information to physicians. PURPOSE: To create a breast cancer Clinical Dashboard that can ensure population health of Missouri medically underinsured women with breast cancer. METHODS: We searched PubMed and Ovid Medline databases with the Medical Subject Headings (MeSH) terms of “breast neoplasm” and “benchmarking”. A review of evidence-based published articles (from 1946 to January 2011) was conducted to identify the key indicators to construct the breast cancer clinical dashboard. RESULTS: A systematic review of the literature gave us a better picture of essential indicators for a breast cancer clinical dashboard. The key indicators discussed in the evidence-based research were related to time of diagnosis to treatment, stage at diagnosis as it relates to survivability rates, and pathology turnaround times. IMPLICATIONS: A Clinical Dashboard focused on breast cancer highlights indicators designated as quality of care measures. The US Department of Health and Human Services encourages the use of health information technology to improve patient care and create a culture of quality. The breast cancer Clinical Dashboard will serve this purpose for medically underinsured women living in other parts of the nation as well as in Missouri.

Learning Areas:

Public health or related research

Learning Objectives:
Identify key components of a breast cancer clinical dashboard. Explain how a breast cancer clinical dashboard ensures population health for medically underinsured women of Missouri. Discuss the broader applicability of clinical dashboards.

Keyword(s): Breast Cancer, Health Information

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked with the Missouri Cancer Registry and Research Center(MCR-ARC)as a graduate research assistant since fall semester of 2009. During my time at MCR-ARC, I have researched factors that influence cancer health disparities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.