Creating Virtual Integration and Improved Oncology Care Quality Through a Co-Management Services Agreement.

Purpose: Implementation of a co-management services agreement (Co-MSA) creates agreed-upon cancer care delivery quality metrics, a forum for discussion of service line oversight, and virtually integrated care without institutional employment of oncologists. The goal of this project was to demonstrate that a Co-MSA improved predefined quality metrics and provided enhanced communications between a health system's oncology service line and a group of independent oncologists.

Methods: Iterative planning discussions were scheduled biweekly over an 18-month period.