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WA Cancer Taskforce Project Newsletter Issue 1, Progress Update July 2016 TASKFORCE PROJECTS Project 1 R-establishment of oncology service at RPH Project 2 Audit of treatment wait times Project 3 MDT meetings included as part of the scheduled timetable of all cancer clinicians Project 5 Reintroduction of Clinical Nurse Specialist roles Project 8 (a) Sub-specialist care in uncommon cancers be confined to limited tertiary centres (b) Audit surgical care outcomes Project 4 Clerical and IT support for all MDT meetings Project 6 Establish a standing expert advisory group on cancer Project 9 Multidisciplinary diagnostic clinics explored Project 10 Explore Development of a WA State-wide cancer service Project 14 Access to psychosocial support, as required Project 13 Support the cancer workforce nursing project Project 7 Data management at cancer centres EXPERT ADVISORY CANCER GROUP (EACG) Project 12 Dedicated surgical oncology training track Project 11 Cancer Care Pathways PROJECT GROUPS The aims of the WA Adult Cancer Taskforce Recommendation Program are to: • • • • • Improve access to coordinated services Increase the timeliness of care Improve the safety and quality outcomes for patients Improve the patient experience throughout the cancer care pathway Enhance staff satisfaction by streamlining process and using our valuable human resources in the most effective way. Recommendation 1 Re-establishment of Level 4 oncology service at Royal Perth Hospital Overview of key elements Progress Update: The re-establishment of a Level 4 oncology services at Royal Perth Hospital is complete, as of 03 May 2016. First MDM for breast held 17 May; Prof Christobel Saunders is lead of breast service at RPH. The project team, drawing on staff from Royal Perth Hospital (RPH) and Fiona Stanley Hospital (FSH), undertook significant work to ensure services were in place as scheduled. A nurse practitioner supported clinical governance and safety and quality requirements, ensuring policies, procedures and pathways were in place. Medical oncology consultants from FSH have established a roster to cover the RPH service Overview of fragmented data systems Recommendation 2 Audit of treatment wait times Progress Update: This audit will endeavor to determine the time from date of referral to the date of first cancer treatment – surgery; chemotherapy or radiotherapy. Comprehensive discussions and meetings with data system managers across multiple tumour sites, hospitals and stakeholders, have demonstrated that current data systems do not support extraction of patient data that will match the start and end point of the patient journey. There is no single system within WA Health containing all required data elements. Some analysis may be viable through Data Linkage. Discussions have commenced and data options are being reviewed. Recommendation 4 Clerical and IT support for multidisciplinary team (MDT) meetings Overview of MDT functionality Progress Update: Assessment of clerical and IT support needs for MDTs is complete and the draft report will be tabled at the August Expert Advisory Cancer Group (EACG) meeting for endorsement Following a literature review and attendance at MDTs across the WA metropolitan area, a matrix assessing clerical and IT functions, support requirements and infrastructure needs was complied. Recommendations to meet the needs of MDTs now and in the future that align with best practice standards nationally and internationally are outlined in the report. Implementation of these recommendations is not in scope of this project. Overview of the functional requirements Recommendation 7 Data management at cancer centres Progress Update: The development of Business and Functional Requirements for state-wide Multidisciplinary Team (MDT) meetings for all cancer tumour groups is currently under way. An MDT User Group has been formed where clinicians and MDT Officers have been invited to provide essential information to inform the business and functional requirements. The MDT enhancements will assist in streamlining MDT meetings. The proposed user friendly, intuitive interface for real-time data entry will be designed to encourage a higher level of data integrity and improve reporting and research capabilities. Collating of data sets both locally and nationally are in progress, the data sets will inform and be used to further develop cancer databases with a view to increase data integrity, accuracy and improve comparability. Recommendation 8a, 11 & 14 Optimal care pathways Overview of the steps in the Optimal Care Pathways for Lung Cancer Progress Update: The completed Optimal Care Pathway package for Lung, Colorectal and Oesophagogastric Cancer has been sent out for “Phase 1” consultation. A three week turn around was given to obtain comments that were based solely on the amalgamation of information from the existing Models of Care into the Optimal Care Pathway’s. The feed back pack consisted of: • Letter • Snap shot of OCPs • FAQ • Gap analysis • Amalgamated OCP • Endorsed Model of Care “Phase 2” will commence with feedback obtained from relevant Collaboratives. Meetings will be organised with key stakeholders to discuss these changes. Upon agreement to these changes, the Optimal Care Pathway will be sent to Collaboratives, Head of Departments, consumers, carers and Non- Government Agencies for further feedback. Progress Update: The Project Officer is currently collaborating with the Office of Patient Safety & Clinical Quality regarding the Cubes of Cancer Activity (COCA) tool and the WA Cancer Surgery Outcomes Registry (WACSOR) project. COCA will be developed by the Business Intelligence Unit and will allow surgeons to benchmark their surgical outcomes. The Tool will present linked data from pre-existing databases and is not a data collection instrument or a stand- alone database. The WACSOR Executive Steering Committee is chaired by the Director General of Health. The first meeting was held 18 May; Project Officer for this recommendation – Lorna Hurst –provided secretariat. Expressions of interest have been requested from Tumour Collaborative Leads or members of the cancer specialties to participate in working groups. Department of Health HREC application has commenced to obtain de-identified linked data- for four (4) tumour sites – colorectal, lung, breast and prostate. Recommendation 8B Audit Surgical Care Outcomes Overview of the key benefits of surgical audit Recommendation 9 ‘One-stop’ diagnostic clinics explored Overview of the efficiency benefits Progress Update: The project has been discussed at WA Cancer and Palliative Care Network’s Clinical Leads’ meeting. Clinical Leads of tumour groups with existing one stop clinics agreed to discuss the workings of clinics with the project team. Project officers met with key clinicians at existing one-stop or rapid access clinics for breast, lung and urology. Important insights into structure and function have been provided. From these meetings it has become evident these clinics strive to achieve a common goal of coordinated timely diagnosis. However, it has also revealed the different models between tumour groups relating to the complex paths to diagnosis and access to diagnostic tools. Project officers have mapped current pathways for Lung, Breast and Prostate. A review of current literature and Optimal Care pathways is underway and project officers will meet with other clinicians and cancer nurse coordinators to determine the feasibility and transferability of the one stop model to other tumour groups. Data analysis to identify appropriate sites and potential service burden has commenced. Recommendation 13 Support the cancer workforce nursing project Overview of key deliverables Progress Update: To date the Project Officers have drafted a ‘Request for Quote” document for the Allied Health Workforce Survey which has been provisionally endorsed by the CoDirector of WACPCN. Indicative quotes will be sought from prospective service providers to determine the breadth of the body of work and information acquired from the indicative quotes will assist in finalising documents. Other helpful information has also been acquired from the Chief Health Professions Officer to project staff about AHPRA (Australian Health Practitioner Regulation Agency) contacts and information on Allied Health workforce numbers and contacts within the public and private environment. A Second survey will be compiled very similar in nature to the Allied Health Workforce Survey for the Nursing Workforce. The intention is to go out to a number of capable service providers to undertake the work. It is envisaged that a successful applicant will be identified and awarded the project early in this new financial year. RED AMBER GREEN Reporting Key Project Completed On track Title Issues or delays Status Intervention required Estimated Timeframe Complete Projected End Date 6 months (July 2016) December 2016 1 Re-establishment of Level 4 oncology service at Royal Perth Hospital (RPH) 2 Audit of treatment wait times 3 MDT meetings included as part of the scheduled timetable of all cancer clinicians 4 Clerical and IT support for all MDT meetings 12 weeks May 2016 5 Reintroduction of Clinical Nurse Specialist roles 12 weeks October 2016 6 Establish a standing expert advisory group on cancer 7 Support for data management at cancer centres (FSH; SCGH) 6 months July 2016 8 (A) Sub-specialist care in uncommon cancers be confined to limited tertiary centres 12 months January 2017 24 months January 2018 12 months January 2017 and 11 and 14 Cancer care pathways review Access to psycho-social support, as required Complete Complete 8 (B) Audit Surgical Care Outcomes 24 months January 2018 9 ‘One-stop’ diagnostic clinics explored 12 months (initially) January 2017 10 Explore development of a WA State-wide Cancer Service 4 months March 2017 12 Dedicated surgical oncology training track 12 months January 2017 13 Support the cancer workforce nursing project 18 months June 2017 For further information or to be added to the communique mailing list please contact the Cancer Taskforce Team: [email protected]