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Breast cancer screening in Georgia

2. im. International Congress of Radiology Marrakech, June 5 th , 2008. Breast cancer screening in Georgia. Emmanuel PAVAGEAU. Key milestones. Short schedule  reactivity neaded. Varketeli Medical Center, Tbilissi. May 9 th , 2008 “Fully operationnal day”. Process mapping, 7 steps.

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Breast cancer screening in Georgia

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  1. 2 im International Congress of RadiologyMarrakech, June 5th, 2008 Breast cancerscreening in Georgia Emmanuel PAVAGEAU

  2. Key milestones Short schedule  reactivity neaded

  3. Varketeli Medical Center, Tbilissi May 9th, 2008 “Fully operationnal day”

  4. Process mapping, 7 steps • Campaign visibility • Patient enrolment • Patient visit to Mammography center • First reading at Expert Center • Second reading at Expert Center • Diagnosis closing, conclusion • Complementary exams at National center • And … beyond the scene • Statistics and epidemiology • Quality control Quality and process control : essential

  5. National BSC : diagnosis center Headquarter Satellite Center Satellite Center Satellite Center Satellite Center

  6. National Screening Center Phone center : Patient call Campaign organization : Inscription, eligibility and follow-up Mammography reading : 1st and 2nd reading Medical Center for Special exams : Biopsy, ultrasound 2 medical + 2 admin. functions

  7. Mammography:National center & satellite centers Patient admission Mammography exam room Patient data + Images sent To Reading Center 1 medical + 2 admin. functions

  8. National Screening Center Tbilissi 2 x WS Seno DS Logic 7 + biopsy Mammography Satellite Center Location: tbc Phase 1: equipment Seno 2000 d

  9. Start-up: September/October 2007 • Euro guidelines process mapping • Issues / points to be adressed • Refine patient inscription process • Operational language • Computer system administrator • Pathology center & treatment follow-up • Operational team appointed • 1st training: Clermont-Ferrand

  10. Staff organization, patient enrolmentand information workflow

  11. Headquarter & satellite Call Center Standardist Reception Receptionist Clinical Exam Mammologist Mammography Room Technician Reading Room Radiologist Headquarter Satellite Center Administration Secretary

  12. Workflow and staff responsability 12 3 13 1 2 Reception Call Center 4 5 11 10 Administration Clinical Exam 6 HQ SC 9 7 Mammography Reading 8 Ultrasound Biopsy Cytology 14

  13. IT engineering

  14. N’l Admin National Center NHSPA Patient ID RCP RA 600 BSC PCU’s MED. IMAG. Worklist Satellite Software engineering: 3 domains

  15. IT layout: mammo rooms 6 7 LAN Patient desk Mammo exam room Seno DS BSC admin 6 – WS, appointment admin 7 – WS, patient data admin 15

  16. System fully operationnal : May 9th BSC Guests : First Lady, French Embassy, University, UNFPA

  17. 1st month statistics • Women inscription : • 1673, BSC Center • Mammography exams : • BSC : 545 patients (in one GEHC room) • “Subcontractors”: 461 patients • Cancer cases • 13 cases detected in BSC • Productivity • Explanation time: 2 to 3 patients per hour • 2 to 3 months for waiting list Successfull ramp-up

  18. Questions / answers Thank you for your attention

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