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DRAFT Achilles Action Plan

DRAFT Achilles Action Plan. Expand day chemotherapy unit hours of operation to manage increased demand Business plan & Working Party Develop care co-ordination roles using breast care model Adapt new model based on existing urology nurse liaison role, trial then evaluate

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DRAFT Achilles Action Plan

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  1. DRAFT Achilles Action Plan • Expand day chemotherapy unit hours of operation to manage increased demand • Business plan & Working Party • Develop care co-ordination roles using breast care model • Adapt new model based on existing urology nurse liaison role, trial then evaluate • Rename as ‘Integrated Cancer Centre’ to increase fund raising opportunities • Key Stakeholder Committee to develop strategic plan for fund raising

  2. DRAFT Cyclone Action Plan (1) • June 05: Data definitions & activity by TPL • HRT/Kespasi; confirmation by members; collect & report back to Tumour Program • Aug 04: Confirm specifications for MDJ’s and Care Co-ordination model • Define tasks, draft specification standards for MDTs X 10; confirm care co-ordination model including screening tools

  3. DRAFT Cyclone Action Plan (2) • Dec 04: Service Directory & affiliation (hard copy) – when to refer & to whom • Agree affiliation criteria (including early signs and symptoms); invite all Clinics to be listed by Tumour Program; publish annually (Westmead model) • Dec 04: Formal management & ownership of inpatients by Tumour Program • Data mapping back to Tumour Program; Business meeting to examine common elements of  admission/stays; develop cost sharing formulae • June 05: Meet CSF standards (NSW well placed to lead) • As specified

  4. DRAFT Cougar Action Plan • Develop Prostate Specialised Care Team • Get key people together - appoint lead clinician; learn from BSE program – familiarise all team members with goals/outcomes of MDT; identify resource support • Investigate need/feasibility of extended hours for Day treatment • Discuss with staff; survey patient interest in out of hours treatment; identify potential demand & opportunities for improvement

  5. DRAFT Polaris Action Plan (1) • June 04: preliminary discussion of options for surgical oncology becoming part of Cancer Services • Discuss options, operational & financial models; find attractors for surgeons – ‘what’s in it for them?” • June 05: decision of parts to include

  6. DRAFT Polaris Action Plan (2) • Establish formal MDT structure in major tumour groups (organisation, not clinics) with terms of reference • Discuss models with others e.g. SWSCS • Establish terms of reference, letters of appointment, etc • Define who is part of the MDT for various tumours & stages of care

  7. DRAFT Polaris Action Plan (3) Define care co-ordination role & develop across tumour streams • June 04: examine other models • Look at other centres & what works • Find ways to fund the role • Select methods to evaluate the role with others e.g. Latrobe Uni • June 05: establish funding models

  8. DRAFT Eagle Action Plan (1) • June 04: Implement two Care Co-ordinators • Liaise with other Hospitals (Wellington, Alfred) • Write job descriptions • Obtain funding

  9. DRAFT Eagle Action Plan (2) Protocols/criteria (auditable) for patient selection onto treatment programs (also ceasing therapy) • June 04: Establish protocols • Meet with Oncology Unit to obtain agreement in principle; obtain evidence (EBM); develop protocols • June 05: Regular activity & peer review

  10. DRAFT Eagle Action Plan (3) • Review structure of “cancer services” to ensure integrated accountable service (service plan) • Work with hospital Executive to undertake Strategic Planning/Service Planning exercise • Review treatment protocols/care plans • Exist now but not updated for couple of years • Obtain funding to assist (med oncology time & ? Project officer)

  11. DRAFT Eagle Action Plan (4) • Consider alternative sources of funding – NGO • Discuss with Executive; obtain advice • Utilise data to review outcomes • Extend existing database; useful reports • Review what needed to utilise information – what wanted to achieve? • Resources – lack of med oncologists has been a problem

  12. DRAFT Eagle Action Plan (5) • June 04: Medical Care for febrile neutropenics) • Already in draft; need to progress • March 04: Involve PalliativeCare Specialists more in Integrated Team • Invite to MDT meetings • Review current cost-centre reporting to enable better delineation by expenditure • Improve drug information – separate haematology and oncology drug costs • Cost of stem cell transplants; number to be treated?

  13. DRAFT DionysisAction Plan • Dec 04: Clinical Cancer Stream with Director in control with strong degree of accountability and budget control • 7 day working in clinical area • Discuss with key players e.g. nurses • Continue to develop MDT within different cancer streams with co-ordinator for individual tumours • Require integrated data collection to track patients between institutions • Address isolation of services outside major centre by clinical cancer stream

  14. DRAFT Sirius Action Plan • Outpatient autologous BMT • Reduce radiation therapy waiting list • Process mapping • Review pressure points • Review roles • Use telemedicine for MDTs • Explore opportunity • Discuss with Director Cancer Services • MDT 2 sides • Core clinical • Core care

  15. DRAFT Jason/Athene Action Plan • Appoint Clinical Director (Jason/Athene) • Consolidate like services (Athene) • Develop Directory of Cancer Services (Jason/Athene)

  16. DRAFT Falcon Action Plan • Better document composition of MDTs & advertise them • Develop list of MDM members • Write procedures for MDMs • Advertise via website • Explore feasibility of outpatient BMT • Discuss with Haematology; develop guidelines; pilot program • Measure full range of patient contact activity • Review definitions of IP & OP episodes of service; modify data collection methods; provide the data

  17. DRAFT Fury Action Plan • Dec 04: Formalise Oncology as entity • Meet with service team reps (8 tumour groups) • Establish a business case • Appoint Cancer Care Co-ordinator to champion • Dec 04: Ensure MDMs occur across Cancer types • Identify where now occurring/not occurring • Local or central – video-conferencing • Composition of current MDMs • June 04: Ensure benefits of MDM realised or achieved • Policies, guidelines, protocols & audit • Review IT support required

  18. DRAFT Panther Action Plan (1) • June 04: Establish Exec Director Cancer Services for single point accountability • Progress and support within Hospital • June 05: broader approach • Develop Strategic Plan via Exec Director facilitation • Feedback and support this meeting’s discussion to Executive; planning day end year

  19. DRAFT Panther Action Plan (2) • June 04: Care Co-ordinator role • Decide tumour group; develop goals, roles etc; clarify opportunities for funding • 2005: evaluate role & extend other groups • Review MDM/Clinics/Teams • June 04: Develop terms of reference; engage stakeholders; establish review procedure

  20. DRAFT Panther Action Plan (3) • Emergency care access • June 04: work group report to MAG on issues & access for patients • feedback to MAG • formalise working group • identify areas for improvement • June 05: patient have good information regarding emergency access

  21. DRAFT Gemma Action Plan • June 04: complete business case for Integrated Cancer Service • Approval of CEO and Dept Health • Identify additional resources (business manager and secretary) • June 05: IC Service established • June 04: appoint dedicated data collector • Recruit assistance of IT staff

  22. DRAFT Electra Action Plan (1) • June 04: scope Website-based program • Review advantages as information base • Review existing examples • Study IT requirements & resources to maintain • June 04: review merits of Lantis program for institute data base • Observe in use at Liverpool; scope project & cost system; develop case for implementation if meets needs • Link to minimum data base sets (in development)

  23. DRAFT Electra Action Plan (2) • June 04: Information cards for patients • Reach concensus agreement to do • Design cards & issuing system • Tele-medicine • Define potential use to service and external stakeholders • Explore access to technology • Develop pilot program and trial

  24. DRAFT Thunder Action Plan (1) • Establish Breast Multi-disciplinary Clinic • Stronger ‘command and control’ structure • Review existing 7 clinics formal structures • Formalise membership and leadership • Ensure record of activity is kept • Extend Care C-ordination model to Chemotherapy giving process • Charge nurse buy-in • Develop written pathway

  25. DRAFT Thunder Action Plan (2) Tele-medicine • Peripheral clinic MDC and Palliative Care videophone in rural areas • Review current IT infrastructure • Review funding availability • Discuss with palliative care nurse

  26. DRAFT Thunder Action Plan (3) • Extend links between hospitals • continue HRT discussions and work with key HRT member hospitals • Support continuation of HRT model in other specialties • Write to CEO/medical director of hospital • Provide CEO with report

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