A patient-centered outcome measurement approach for bundled payments in cancer care.

266 Background: The project aims are to: 1) apply a patient-centered approach to evaluate quality of care in a bundled payment pilot for head & neck cancer; and, 2) measure quality at the condition-level; and, 3) incorporate patient-reported outcomes (PRO) in routine quality assessments. A three-tiered outcomes hierarchy developed by Michael Porter of Harvard Business School is used to define outcome measures, to be used for quality improvement and reporting during the pilot. Porter’s model evaluates outcomes over the full cycle of care, examining: (1) health status achieved/retained; (2) recovery process; and, (3) health sustainability. [Porter, M.E. (2010). What is value in health care? N Engl J Med, 363(26), 2477-2481. doi: 10.1056/NEJMp1011024.] Methods: An 11-member team of clinical, quality, data, and IT experts identified measure concepts, developed measure specifications, and implemented reporting. The project lead interviewed clinical experts to gain consensus around a focused set of measures and...