Meeting requirements for survivorship visits: Interventions for patient identification.

Authors

null

Nancy K. Termer

University of Rochester Medical Center, Rochester, NY

Nancy K. Termer , Margie Richardson , M Jacob Adams , Alexander Alongi , Patricia Bellohusen , Lauren B. Bruckner , Richard Cowen , Susan Fritsch , Dwight Hettler , Sarah L. Kerns , Chintan Pandya , AnnaLynn Williams , Louis S. Constine

Organizations

University of Rochester Medical Center, Rochester, NY, James P Wilmot Cancer Center, Rochester, NY

Research Funding

Other

Background: A major challenge in providing quality survivorship care to cancer patients is efficiently and effectively identifying and scheduling patients who need a Survivorship Visit (SV). While the Commission on Cancer (CoC) Standard 3.3 defines which patients require a Survivorship Care Plan (SCP), staff need to operationalize the definition and search the clinic’s patient records on a regular basis to accurately identify eligible patients. This is a challenge for a busy cancer center. Methods: In July 2017 the Judy DiMarzo Cancer Survivorship Program instituted a full time Data Analyst (DA) to assist in identifying survivors using the OncoLog Cancer Registry and the Electronic Medical Record (EMR). Previously the identification process was limited to the EMR, and the Survivorship Program Nurse Coordinator (NC) was a combined role overseeing metrics, identifying patients and assisting with SVs. Currently the DA has piloted a method extracting data monthly from OncoLog and the EMR to assess eligibility of Standard 3.3. The data is compiled and sent to the NC who assists the cancer-specific service lines responsible for the patients identified to ensure SVs occur in a timely manner. Results: Our pilot intervention resulted in a 283% increase in SVs per month, from an average of 30 SVs to 115 SVs per month. The overall achievement for the CoC SV delivery requirement increased from 16% prior to the intervention to 33% in just 3 months. GI increased from 5% to 20%. Lung increased from 16% to 39%. The average SV was 3 months after the end of treatment. Approximately 60 hours was dedicated to establishing this method and 35 hours per month in the eligibility, identification process. Conclusions: By adding a DA role, extracting data from Oncolog and the EMR, as well as increasing accountability at the service line level to improve identification and scheduling of eligible patients, the delivery of SCPs to eligible patients substantially increased. Nevertheless this process is time consuming and will likely not be sufficient to ensure that all eligible survivors receive appropriate care. Consequently, additional, systematic improvements in this process should be explored such as EMR methodologies to automate patient identification.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2018 Cancer Survivorship Symposium

Session Type

Poster Session

Session Title

Poster Session A: Care Coordination, Cost, and Education; Communication and Transitions; Health Promotion

Track

Care Coordination, Cost, and Education,Health Promotion,Communication and Transitions

Sub Track

Survivorship Care Plans

Citation

J Clin Oncol 36, 2018 (suppl 7S; abstr 59)

DOI

10.1200/JCO.2018.36.7_suppl.59

Abstract #

59

Poster Bd #

C16

Abstract Disclosures

Similar Abstracts

Abstract

2023 ASCO Quality Care Symposium

Loss to primary care provider follow-up among survivors five to seven years post-diagnosis.

First Author: Alexandra G. Peluso

First Author: Sarah A Birken

Abstract

2023 ASCO Quality Care Symposium

Using clinical pathways to identify patient candidates for survivorship in testicular cancer.

First Author: Matthew Rice

Abstract

2018 Cancer Survivorship Symposium

Using electronic medical records system to advance cancer survivorship programs.

First Author: Megan Lanigan