Abstract
10 Background: Cancer centers are diverse health care organizations that involve clinicians and researchers focused on understanding, treating, and controlling cancer in the populations they serve. While there are many metrics used to evaluate cancer center performance, few standardized measures have been identified to evaluate the performance of cancer center leadership. The goal of this manuscript is to systematically identify, compare, and categorize metrics used to evaluate the leadership of U.S. cancer centers. Methods: We performed a structured, systematic electronic search of peer-reviewed journals using Medline to identify English language articles discussing metrics used to evaluate cancer center leadership. Identified studies were reviewed by two independent reviewers to determine appropriateness for inclusion. Metrics were classified using ten a priori-defined categories of evaluation for data abstraction. Results: We included 34 manuscripts in this review. The most commonly-discussed evaluation metric category is organizational strategy/planning (31 of the 34 papers), followed by leader characteristics (25 papers), clinical performance (21), and facility characteristics (20). Organizational strategy/planning include governance structure; strategic development; quality assurance/improvement; mission/vision; business planning; and program development. Leader characteristic metrics include communication; vision/strategic thinking; personal skills; team coordination; leadership style; and staff development. Clinical Performance metrics focus on delivery of and outcomes from clinical services while facility characteristics include space allocation and access to support services. Conclusions: The metrics reviewed and synthesized in this report may be considered measurable outcomes to evaluate whether cancer center leadership demonstrates key competencies. Additional research is needed to explore the link between metrics used to evaluate cancer center leaders, the desired competencies for healthcare leaders, and objective measures of whether a cancer center is “successful”.
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