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JNCI Journal of the National Cancer Institute 2007 99(6):414-415; doi:10.1093/jnci/djk106
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© The Author 2007. Published by Oxford University Press.

EDITORIALS

Association Versus Causation Versus Quality Improvement: Setting Benchmarks for Lymph Node Evaluation in Colon Cancer

Rocco Ricciardi, Nancy N. Baxter

Affiliations of authors: Department of Colorectal Surgery, Lahey Clinic, Tufts University, Boston, MA (RR); Division of General Surgery, Department of Surgery, St Michael's Hospital and Department of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada (NNB)

Correspondence to: Nancy N. Baxter, MD, PhD, Division of General Surgery, Department of Surgery, St Michael's Hospital, 30 Bond St, CC16-040, Toronto, ON, Canada M5B 1W8 (e-mail: baxtern@smh.toronto.on.ca).

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There has been substantial attention and interest directed toward improving the quality of medical care in the United States; the need for quality improvement has reached the consideration of policy makers, providers, payers, and patients. In response to congressional mandates, the Institute of Medicine launched the Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Project (1), with the goal of accelerating the diffusion and pace of quality improvement efforts. Specific policies have been promoted to improve care, including measurement and reporting of performance data, payment incentives, and quality improvement initiatives. Measures in oncology are under active development, . . . [Full Text of this Article]


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