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EUROCHIP AUSTRIA Quality Assessment and Improvement in GynOncology

EUROCHIP AUSTRIA Quality Assessment and Improvement in GynOncology . Willi Oberaigner, Innsbruck. Aim. Introduce a system of quality assessment and quality improvement in gynaecological departments in Austria

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EUROCHIP AUSTRIA Quality Assessment and Improvement in GynOncology

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  1. EUROCHIP AUSTRIAQuality Assessment and Improvement in GynOncology Willi Oberaigner, Innsbruck

  2. Aim • Introduce a system of quality assessment and quality improvement in gynaecological departments in Austria • for main cancer sites: cervical cancer, endometrium cancer, ovarian cancer, breast cancer Varenna 2007

  3. Methods • Questionnaire based system for ovarian cancer introduced in 1999 • feasible • about 2/3 of gynaecological departments collaborate • Patient status by record linkage to official mortality file of Austria (Stat. Austria) • Quality indicators • Yearly benchmarking information for every department • Quality improvement depends on decision of every department Varenna 2007

  4. Methods • Expanding system to • cervical cancer • endometrium cancer • breast cancer • restricted to gynaecological units Varenna 2007

  5. Results • 73 departments out of 95 departments collaborate • proportion of cancer cases covered by system • 50% of ovarian cancer • 40% of endometrium cancer • 50% of cervical cancer • 15% of breast cancer!! breast cancer cases are mainly treated by surgical departments Varenna 2007

  6. Future steps • Expanding the system to a higher proportion of gynaecological departments • Expanding the system to an internet based data collection. • Introducing a system of data monitoring in order to check validity of information. • Introducing a system of structured quality improvement Varenna 2007

  7. Conclusion • System • is feasible • covers about 50% of gynecological cancer sites • benchmarking system works • need a system of organised quality improvement Varenna 2007

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