Cancer Quality Initative Seminar

Established in 2007, GHC's Cancer Quality Initiative (CQI) seminar series is designed for key hospitals (mainly accredited cancer institutes) dedicated to improving the quality of care for cancer patients.

CQI 研究会は、がん医療の質向上を目指す有志施設が集まり、2007 年に設立した会です。 参加施設の診療プロセスについてDPCデータ等を用いて分析し、お互いの施設名を開示した形で病院間比較を行っています。分析結果をフィードバックすることで各施設での質改善活動を支援し、その結果として“がん医療の均てん化”を目指しております。

With 200 participating hospitals at present, GHC carries out a benchmarking exercise for clinical pathways and treatment outcomes based on data from all participating hospitals. The non-anonymized data is shared amongst participating hospitals, in order for hospitals to openly compare, discuss and share their best practices with one another - leading hospitals to the ultimate goal of a uniformed, quality approach towards cancer treatment across Japan.

GHCはCQI研究会の企画・運営・分析を担っています。

Prefectural Hospital Consortiums

GHC co-organizes consortiums for prefectural hospitals in collaboration with the relevant prefectural bodies. Prefectural hospitals gather to compare their performance through a non-anonymized benchmarking exercise at these consortiums, and exchange ideas and plans for improved hospital administration practices.（※）は東海地区、DoCoM（※）は北海道地区、せやCoM（※）は大阪周辺の自治体病院が集まり、病院名を実名で公開し、DPCデータをもとに治療内容などのベンチマーク分析を実施しています。
自治体病院が、各地域における病院間比較を通して、自治体病院全体の経営の質、医療の質の向上をめざし、積極的に改善策を模索する場です。
運営は各組織の事務局が実施し、各施設の自主的な参加・提案のもと、ＧＨＣは一部分析を支援しています。
※文中の「CoM」は「コンソーシアム」を表します。

Stanford University

GHC engages in collaborative research with Stanford University (where GHC Chairman, Dr. Aki Yoshikawa was the Associate Director of the Comparative Health Care Policy Research Project, Asia / Pacific Research Center), working particularly closely with Professor Jay Bhattacharya and his team.

One of the research projects was "A Comparison of the Geographic Variation in Surgical Outcomes and Cost Between the US and Japan", where the larger extent of cost variability in the US and the presence of higher geographic variation in post-operative outcomes in Japan were brought to light.
「日米における術後アウトカムのバラつき」に関する研究では、5つの難度の高い術式におけるアウトカムを比較。米国では医療費のバラつきが大きいが、日本は術後死亡率や術後合併症などの医療の質におけるバラつきが大きいことなどが分かりました（関連記事『日米の血を継ぐデータサイエンティストが抱く医療を前進させる3つの信念』）。

Mayo Clinic

GHC also carries out collaborative research with the renowned Mayo Clinic.

One of our joint research projects involved a cross-sectional study of patient outcomes and costs in total joint replacement procedures, where it was surfaced that facilities with a lower procedural volume have a tendency towards a higher rate of post-operative complications, and there is significant variability in LOS and per case expenditures for total joint replacement in Japan.EDRGの日本への導入の可能性は？　医療費に占める割合の高いDPCが対象候補』）。