You must be the change you wish to see in the world.
– Mahatma Gandhi
In November 2012, the American Society of Clinical Oncology hosted its first annual Quality Care Symposium in San Diego. The attendants and presenters were like-minded individuals who were focused on systematically evaluating and improving cancer care. Throughout the symposium, Donabedian’s structure-process-outcome model was a recurring and unifying framework for evaluating quality metrics. No one questions the importance of improving the quality of care, but many other questions remain: What is quality care? How will it be measured? Will its measurement be comparable across practices? How can small systems that have figured out good solutions to quality care go about reproducing their models of quality care on a larger scale so that we all may benefit?
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