Collecting and documenting disability status at an Enhancing Oncology Model site: Outcomes of an ASCO Quality Training Project.

423 Background: The Enhancing Oncology Model (EOM) is a voluntary payment and care delivery model of the Centers for Medicare & Medicaid Services. Participants are required to report disability status for each beneficiary starting Performance Period 3 (PP3). Willamette Valley Cancer Institute and Research Center’s (WVCI) baseline data showed that no EOM beneficiaries had electronic health record (EHR) documentation of disability status prior to PP3. The aim of this project was to improve collection and documentation of disability status, consistent with EOM requirements. Methods: We undertook the ASCO Quality Training program (QTP) in July 2024. The core team assembled an interprofessional workgroup comprising Quality Management, a physician champion, nursing, patient access team, support services, and medical assistants to understand performance variation. We followed the ASCO QTP process to collect baseline and diagnostic data, create process mapping and cause/effect diagramming, and develop an action plan. We completed two full PDSA cycles (Table). Organizational restructuring occurred during this period, resulting in new assignments for collecting and documenting disability status, with the ultimate goal of transitioning responsibility to the care team. Disability status documentation improved to 82%. Results: See table. Conclusions: Collecting and documenting disability status in the EHR is critical for meeting the needs of EOM beneficiaries to provide equitable, high-quality care. WVCI has developed a sustainable process for the initial collection and annual update of disability status. Next steps include optimizing disability documentation through additional tools such as EHR alerts. Furthermore, we are collaborating with other practices and disability workgroups to advance our work. Date PDSA Cycle PDSA Description Results 6/14/2024-9/13/2024 1 Pre-Implementation Phase:Developed disability collection education, intake form, scripting, and EHR template/documentation tipsheet Developed plan and workflow with staff and leadership Nurse Navigator team piloted new process 27.5% (97/352) 9/16/2024-10/14/2024 2A Collected Nurse Navigator team feedback on process, resulting in transitioning disability status collection to lay patient navigators, which resulted in a temporary decrease in documentation 3.6% (13/352) 10/14/2024-11/8/2024 2B Lay patient navigator team collected disability status Disability status transitioned to the care team after administrative reorganization 43.4% (153/352) 12/31/2024 Post-Project Results 82% (342/413)