Table 3.
Adoption, Implementation, and Maintenance (12- and 24-Months Data Timepoint) of Components of CoC Accreditation Standard and Steps of Comprehensive Psychosocial Distress Screening
| CoC Accreditation Standard Component or Step in Comprehensive Psychosocial Distress Screening | Cohorts | Baseline | Adoption 6 Months | Implementation 12 Months | Maintenance 24 Months |
|---|---|---|---|---|---|
| All N=72; each cohort N=18 | All N=72; each cohort N=18 | All N=72; each cohort N=18 | |||
| n (%) | n (%) | n (%) | n (%) | ||
| The cancer center has a cancer committee for overseeing CoC compliance | All | 63 (88) | 64 (89) | 65 (90) | 67 (93) |
| 1 | 15(83) | 15 (83) | 15 (83) | 16 (89) | |
| 2 | 15 (83) | 17 (94) | 17 (94) | 18 (100) | |
| 3 | 18 (100) | 18 (100) | 18 (100) | 18 (100) | |
| 4 | 15 (83) | 14 (78) | 15 (83) | 15 (83) | |
| The cancer center has formulated a psychosocial distress policya | All | NA | 52 (72) | 60 (83) | 64 (88) |
| 1 | NA | 12 (67) | 12 (67) | 15 (83) | |
| 2 | NA | 16 (84) | 18 (100) | 18 (100) | |
| 3 | NA | 15 (83) | 17 (94) | 16 (89) | |
| 4 | NA | 13 (93) | 13 (72) | 15 (83) | |
| The cancer center has a psychosocial oncology committee | All | 30 (42) | 35 (49) | 40 (56) | 38 (53) |
| 1 | 11 (61) | 11 (61) | 12 (67) | 10 (56) | |
| 2 | 7 (39) | 7 (39) | 10 (56) | 11 (61) | |
| 3 | 5 (28) | 9 (50) | 8 (44) | 9 (50) | |
| 4 | 7 (39) | 8 (44) | 10 (56) | 8 (44) | |
| The cancer center has started psychosocial distress screeningb | All | 51 (71) | 55 (76) | 67 (93) | 70 (98) |
| 1 | 8 (44) | 12 (67) | 17 (94) | 17 (94) | |
| 2 | 15 (83) | 18 (100) | 18 (100) | 18 (100) | |
| 3 | 16 (89) | 13 (72) | 16 (89) | 18 (100) | |
| 4 | 12 (67) | 12 (67) | 16 (89) | 17 (94) | |
| The cancer center has an internal referral network of psychosocial providers | All | NA | 57 (79) | 67 (93) | 69 (96) |
| 1 | NA | 15 (83) | 17 (94) | 18 (100) | |
| 2 | NA | 18 (100) | 17 (94) | 18 (100) | |
| 3 | NA | 13 (72) | 16 (89) | 18 (100) | |
| 4 | NA | 11 (61) | 17 (94) | 15 (83) | |
| The cancer center has an external referral network of psychosocial providers | All | NA | 45 (63) | 56 (78) | 62 (86) |
| 1 | NA | 11 (61) | 15 (83) | 17 (94) | |
| 2 | NA | 17 (94) | 14 (78) | 14 (78) | |
| 3 | NA | 9 (50) | 13 (72) | 16 (89) | |
| 4 | NA | 8 (44) | 14 (78) | 15 (83) | |
| The cancer center audits health records for documentation of psychosocial distress screening | All | 15(21) | 30 (42) | 39 (54) | 45 (63) |
| 1 | 4 (22) | 4 (22) | 9 (50) | 10 (56) | |
| 2 | 6(33) | 8 (44) | 12 (67) | 10 (56) | |
| 3 | 0 | 11 (85) | 8 (44) | 15 (83) | |
| 4 | 5 (27) | 7 (58) | 10 (56) | 10 (56) |
a
Not a CoC accreditation standard or a step in comprehensive psychosocial distress screening
b
At baseline, the questionnaire asked participants if they had started screening in at least 1 clinic or patient population, but at Adoption, Maintenance, and Implementation, the questionnaire asked participants if they screened in more than 1 clinic or patient population.