Download WA Cancer Taskforce Project Newsletter, Issue 1

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]