Table 1. Quality indicators and related rating criteria.

Is there evidence current emotional well-being was assessed within one month of the first visit with a medical oncologist? Documentation is sufficient if the medical chart includes: copy of distress, depression, or anxiety screening measure OR copy of form including patient self-report of distress, depression, or anxiety OR note with statement referring to current ‘coping,’ ‘adjustment,’ ‘distress,’ ‘emotional,’ ‘depression,’ or ‘anxiety’ status of patient If Yes, mark Yes If No, mark No Was a problem with emotional well-being identified within one month of the first visit with a medical oncologist? A problem can be considered present if the medical chart includes a statement that the patient is ‘distressed,’ ‘depressed,’ ‘anxious,’ or having problems with ‘coping,’ ‘adjustment,’ or ‘emotional well-being.’ If Yes, mark Yes If No, mark No Is there evidence action was taken to address the problem or an explanation provided of why no action was taken within one month of the first visit with a medical oncologist? Documentation is sufficient if the medical chart includes one of the following: note describing care provided by primary oncology team for problem with ‘coping,’ ‘adjustment,’ ‘depression,’, ‘anxiety’, or ‘distress’ OR note describing referral to another professional for care of problem with ‘coping,’ ‘adjustment,’ ‘depression,’ ‘anxiety,’ or ‘distress’ OR note describing referral to mental health professional (i.e. psychiatrist, psychologist, social worker, pastoral care professional, mental health counselor, or psychotherapist) OR note describing care provided by another professional for problem with ‘coping,’ ‘adjustment,’ ‘depression,’ ‘anxiety,’ or ‘distress’ OR note describing why no action was taken to address problem with ‘coping,’ ‘adjustment,’ ‘depression,’ ‘anxiety,’ or ‘distress’ If Yes, mark Yes If No, mark No Is there evidence that pain was assessed within one month of the first visit with a medical oncologist? Documentation is sufficient if the medical chart includes a note with a statement referring to any ‘pain’ or ‘discomfort’ If Yes, mark Yes If No, mark No