Performance indicators for monitoring the integrated care pathway of patients with colorectal cancer: the E.Pic.A. project
Performance indicators for colorectal cancer
Keywords:Colorectal cancer, Key performance indicators, Appropriateness, Sustainability, Italian National Health System
Background: Given limitations in economic resources, achieving sustainability in healthcare is an increasingly important issue driving policy decisions. Colorectal cancer (CRC) is a frequent oncological diagnosis with an incidence that is expected to increase, making the efficient utilisation of resources a major priority for its diagnosis and treatment. To assess potentially inappropriate utilisation of services in the integrated care pathway of patients with malignant CRC, a series of key performance indicators (KPIs) have been developed by a multidisciplinary panel of the E.Pic.A. project (Economic Appropriateness of an Integrated Care Pathway).
Methods: The KPIs identified had to comply with criteria of reliability, representativeness, accessibility and operativity. A definition is provided for each of the KPIs, along with the methodology used to calculate it and a reference target.
Results: Eight KPIs were identified that can measure inadequacies of services provided in the diagnostic and treatment pathways for CRC: four for instrumental diagnostics, three for surgery and one for oncologic therapy.
Conclusions: Use of the methodology described can help payors to obtain detailed information on inappropriate and wasteful use of healthcare resources, which would then permit their reallocation for interventions with higher value for patients with CRC and other pathologies. (HTA & Market Access, Oncology)
Spandonaro F, d’Angela D, Giordani C, Polistena B. 13° Rapporto Sanità – Il cambiamento della Sanità in Italia fra Transizione e Deriva del sistema. http://www.creasanita.it/13volume_dwn/dwn_flild/Rapporto_Sanita_2017.pdf. Accessed April 16, 2019. [Article in Italian].
Bloomberg. Where do you get the most for your health care dollar? https://www.bloomberg.com/graphics/infographics/most-efficient-health-care-around-the-world.html. Accessed April 16, 2019.
GIMBE. 2° Rapporto GIMBE sulla sostenibilità del Servizio Sanitario Nazionale. June 2017. Available at: http://www.rapportogimbe.it/2_Rapporto_GIMBE_Sostenibilita_SSN.pdf. Accessed April 16, 2019. [Article in Italian].
Fabris F, Bocchi M, Mecchi V, et al. Indicatori di esito tra gli obiettivi di budget in un’Azienda Ospedaliera Universitaria: le conoscenze dei professionisti sanitari. Evidence. 2014;6(2):e1000069. [Article in Italian].
Parmenter, D. Key performance indicators: developing, implementing, and using winning KPIs. Hoboken, NJ: Wiley 2015. ProQuest Ebook Central. https://0-ebookcentral-proquest-com.opac.unicatt.it/lib/unicatt-ebooks/detail.action?docID=1895928. Accessed April 16, 2019.
Associazione Italiana di Oncologia Medica (AIOM). I numeri del cancro in Italia nel 2017. http://www.registri-tumori.it/PDF/AIOM2017/2017_numeri_del_cancro.pdf. Accessed April 16, 2019. [Article in Italian].
Associazione Italiana di Oncologia Medica (AIOM). Linee guida: neoplasie del retto e ano. Edizione 2018. https://www.aiom.it/wp-content/uploads/2018/11/2018_LG_AIOM_RettoAno.pdf. Accessed April 16, 2019. [Article in Italian].
Programma Nazionale Esiti (PNE). https://pne.agenas.it/PNEed16/index.php. Accessed April 16, 2019. [Article in Italian].
Massa I, Balzi W, Burattini C, et al. The challenge of sustainability in healthcare systems: frequency and cost of inappropriate patterns of breast cancer care (the E.Pic.A study). Breast. 2017;34:103-107.
How to Cite
Copyright (c) 2019 Andrea Ricotti, Giovanni Messori Ioli, Mattia Altini, Letizia Bachini, William Balzi, Giovanni Luca Frassineti, Fabrizio Gemmi, Ilaria Massa, Andrea Pierini, Oscar Bertetto, Patrizia Racca
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors contributing to AboutOpen agree to publish their articles under the Creative Commons NonCommercial 4.0 International License (CC BY-NC 4.0), which allows third parties to copy and redistribute the material providing appropriate credit and a link to the license but does not allow to use the material for commercial purposes and to use the material if it has been remixed, transformed or built upon.