ESTRO 2025 - Abstract Book

S2301

Interdisciplinary – Health economics & health services research

ESTRO 2025

second. This abstract highlights our methodological approach and results of implementing VBHC through continuous quality improvement.

Material/Methods:

Our institute aspires an organization-wide program with a bottom-up structure. Clinicians take the lead in continuous quality of care improvement (Figure 1). Structurally registered patient-relevant outcomes, such as survival, radiation toxicity and quality of life, support our clinicians to steer daily practices and validate the impact of transformative innovations. A VBHC action team for each tumour care line (e.g. prostate, lung, rectal, mamma) defines the patient-relevant outcomes, using the outcome sets validated by the International Consortium for Health Outcomes Measurement (ICHOM). A cyclic approach rooted in Deming's Plan-Do-Study-Act (PDSA) 2 cycle is then adopted, starting with visualization of our patient-relevant outcomes and meticulous analyses of our institute’s performance on these outcomes in comparison with nationally and internationally available benchmarks. These analyses support formulation of improvement goals and exploration, selection and implementation of evidence based innovations that elevate our quality of care to the highest level. Regular evaluation of the initiatives’ impact on patient-relevant outcomes enables us to respond promptly to the results, i.e. sustainable implementation or taking different actions.

Results: