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Delivering radiotherapy in a rural environment

Explore delivering radiotherapy in rural BC, our service delivery model, and the Cancer Business in the interior region. Learn about the facility requirements, Halcyon features, and the shared responsibility operating model.

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Delivering radiotherapy in a rural environment

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  1. Delivering radiotherapy in a rural environment Marco Carlone

  2. Outline Radiotherapy in British Columbia’s interior region Our service delivery model A possible way forward

  3. Where we operate

  4. Cancer Care in the Interior The BC Cancer Plan acknowledges the need to build capacity to meet the population’s needs in the future

  5. BC’s Southern Interior • Population ~ 900,000 • Only two cities with population > 100,000 • About 2/3 population lives in rural areas • Area > England

  6. The Cancer Business:BC Cancer and Regional Health Authorities BC Cancer Regional Health Authorities Acute Care Cancer Surgery Chemotherapy Delivery Diagnostics and Imaging Supportive Care Screening Palliative Care Prevention • Radiation Services • PET Scanning • Chemotherapy Delivery • Diagnostics and Imaging • Supportive Care • Screening • Palliative Care • Prevention

  7. Radiation services in BC Interior Delivered only in Kelowna Kelowna Cancer centre cannot easily be expanded Our provincial cancer plan requires us to provide more patient centered services ( = provide access to radiotherapy closer to patient homes) We know that use of radiotherapy increases with access to radiotherapy

  8. What are our requirements for providing rural radiotherapy? Has to fit within our system We have to have some medical facility that already exists Must work within our existing partnerships Has to have a sustainable staffing model Must not be cost prohibitive Should be something that we can replicate at several centres.

  9. Most important features of Halcyon Self Shielded Not a C-arm linac Modular design Simpler installation/commissioning Simpler QA measurements? Has almost all radiotherapy features we need Facility Requirements are simplified Maintenance is simplified

  10. Operating model Will do treatment planning at the main facility in Kelowna May or may not do CT simulation in Kelowna Shared responsibility with the Regional Health Partner i.e. Regional Health Authority owns the facility, BC Cancer owns the RT equipment Physicians will travel to the remote centre to run clinics (already do this)

  11. Staffing model Main Cancer centre in Kelowna: 16 RadOncs 10 Medical Physicist 55 RTTs 10 Nurses 3 Engineers 2 Physics Assistants 1 Tool & Die Too many professions to cover illness, holidays, etc.

  12. Staffing model Remote Cancer centre staff model? 16 RadOncs 10 Medical Physicist 55 RTTs 10 Nurses 3 Engineers 2 Physics Assistants 1 Tool & Die Combine RTT + Physics Assistant + Engineer

  13. The combined staffing model is how BC’s Mammography system works

  14. The combined staffing model is how BC’s Mammography system works

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