LAUSR

Gaps in the quality of care delivered to patients with cancer exist. In response, providers of breast cancer care specified more than 100 breast cancer quality measures (QM), developed standards for accreditation, and built benchmarking platforms. Furthermore, in some programs, public transparency, pay-for-performance, and target goals were introduced. These programs have been successful, as measured by robust participation; in some cases, outcomes have improved, too. Is this enough? Do our programs reflect patient preferences and values? Do they aid patients in determining destination of care? Since patients have been under-represented during program development, many policy stakeholders believe that existing programs can be improved. This study aimed to profile surgeons into different tiers of breast-conserving surgery (BCS) performance. Statistical models allowed patients to rank (weight) hierarchically their preferences for individual QM contained within a composite QM. The observed surgical outcomes from a single institution were used to develop and pilot the models. PRESENT