Committee for Quality Assurance, the URAC, the Joint Commission) to determine the extent to which they have

–  created oversight mechanisms used to measure and report on the quality of ambulatory cancer care (including psychosocial care);

–  incorporated requirements for identifying and responding to psychosocial health care needs into their protocols, policies, and standards in accordance with the standard of care put forth in this report; and

–  used performance measures of psychosocial health care in their quality oversight activities.

For recommendation 7 on workforce competencies, DHHS could

• Monitor and report on actions taken by Congress and federal agencies to support and fund the establishment of a Workforce Development Collaborative on Psychosocial Care during Chronic Medical Illness.

• Review board exams for oncologists and primary care providers to identify questions relevant to psychosocial care.

• Review accreditation standards for educational programs used to train health care personnel to identify content requirements relevant to psychosocial care.

• Review certification requirements for clinicians to identify those requirements relevant to psychosocial care.

• Examine the funding portfolios of the NIH, CMS, AHRQ, and other public and private sponsors of quality-of-care research to quantify the funding of initiatives aimed at assessing the incorporation of workforce competencies in education, training, and clinical practice and their impact on achieving the standard for psychosocial care.

For recommendation 8 on standardized nomenclature and recommendation 9 on research priorities, DHHS could

• Report on NIH/AHRQ actions to develop a taxonomy and nomenclature for psychosocial health services.

• Examine the funding portfolios of public and private research sponsors to assess whether funding priorities included the recommended areas.



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