Hereditary Breast Cancer Quality Improvement Pilot Project

From 2023-2024, the Family Medicine Education Consortium (FMEC) partnered with the National Association of Chronic Disease Directors on a cancer prevention and early detection quality improvement (QI) pilot project funded by the Centers for Disease Control and Prevention (CDC).  


As of July 2024
The FMEC is pleased to share the Executive Summary for the completed Hereditary Breast Cancer QI Pilot Project.  Approximately 211 physicians (158 residents, 53 faculty) and 52 other clinical staff are estimated to have been impacted by the project.  A subset of forty-eight family physicians and residents from the participating Family Medicine Residency Programs (FMRPs) completed the project for 20 Prescribed CME and 20 Performance Improvement credits (12 family physician faculty and 36 residents).  

The results shown by the end of the collaborative are impressive for the short period measured.  Cancer screening rates, discussing screening findings with patients, sharing CDC Bring Your Brave (BYB) patient education resources, and referring patients who screened positive for genetic counseling or testing had greatly improved among the participating FMRPs.  Participants reported being meaningfully involved in the pilot including learning about and executing the project, reviewing data in keeping with the project’s measurement plan, being involved in changes implemented during the project, and participating in meetings or conversations about the project.   When asked whether participants intended to continue to assess patients for risk of hereditary breast or ovarian cancer at the conclusion of the pilot, 96% responded yes.  When asked whether participants think they will continue to offer the BYB resources to patients who screen positive, 92% responded yes.  QI leaders expressed a high degree of satisfaction with the project and would recommend this type of a QI activity to their colleagues.    

CDC, FMEC, and NACDD have received many heartfelt and thoughtful comments from family physicians about the impact of the BYB materials. All of the FMRPs involved with this pilot are sharing CDC BYB educational resources with patients who screen positive for HBC.

Participants                                                                              Family Medicine Residency Program Participants 

Access the Training Recordings and PDFs of Slide Presentations

Hereditary Breast Cancer Education and Bring Your Brave CDC Educational Resources, January 17, 2024
View Recording

View Slides

Quality Improvement Basics, January 25, 2024
View Recording
View Slides

Project Structure, Timeline, and Data Collection Requirements, February 1, 2024
View Recording
View Slides

CME and Performance Improvement Credits

The AAFP has reviewed Family Medicine Education Consortium (FMEC) Hereditary Breast Cancer Quality Improvement Pilot Project and deemed it acceptable for up to 20.00 Performance Improvement AAFP Prescribed credits. Term of Approval is from 12/01/2023 to 07/31/2024. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician's Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Acknowledgements
Helping Families Communicate About Hereditary Breast or Ovarian Cancer project is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $450,000 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government.

HBC QI Pilot Project Resources

1)     Hereditary Cancer Resource Folder – Sample Documents Outline
2)     Tools to Assist with Family Cancer History Collection and Assessment
3)     HBC Potential Barriers and Ideas for Change
4)     List of CDC Bring Your Brave Assets Spreadsheet with hyperlinks (some of these materials are available in Spanish)
5)     Bring Your Brave Video Links and Descriptions
6)     CDC Breast Cancer Translation Resources and Options
7)     Bring Your Brave Flyer with QR Code (print and display this flyer in your clinics once you begin conducting HBC screening/risk assessment)
8)     Institute for Healthcare Improvement QI Essentials Tool
9)     QI Toolkit PDSA Worksheet
10)     HBC QI Pilot Project PDSA Overview

HBC QI Data Collection
View here: HBC QI Pilot Project Key Clinical Activities, Measures, and Data Collection Requirements



 

This project is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) through the National Association of Chronic Disease Directors (NACDD)