Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Overall status Quarter 1 Report G date: 1 June - 30 September 2012 Midland Cancer Network CFA annual report that includes indicators submitted to Ministry of Health 20 September 2012. NZ DHB lung cancer standards stock take and gap analysis report submitted to last CPSG meeting. NZ Breast Cancer Work Group had first meeting September to review first draft of national standards. Quarter report submitted to Ministry of Health 10 October 2012. Midland Radiation Oncology Demand and Capacity Modelling 2012-13 endorsed by Midland COOs and GM P & F and due to Midland CE Oct. Midland Faster Cancer Treatment Implementation Plan due to Midland CE Oct. meeting for endorsement to enable Ministry funds to be released. Note delays with Ministry service specification contract to region. Midland Cancer MDM Action Plan 2012-14 endorsed by Midland GM P&F in September. Facilitated the development of the Waikato DHB change to model of service for adult specialist palliative consultation document – out for consultation October. Proposed new regional model of service for Palliative Medicine Advanced Training submitted to Midland GMs P & F (endorsed Sept) and Midland COOs (awaiting response). AV upgrade Rotorua and Waikato hospitals completed August. HD VC equipment for cancer MDMs approved and equipment ordered Tairawhiti transition plan progressing well, Waikato Cancer Society purchased 2 bedroom apartments for community accommodation, clinical meeting with MidCentral Waikato and TDH to agree patient transition plan, Waikato Clinical Director visit to TDH occurred in September. Tairawhiti joined Midland Cancer Network effective 1 July 2013 Dr Humphrey Pullon appointed as MCN Clinical Director commences 1 October 2012 (limited capacity until replacement resource appointed). Lakes and MCN participated in the NCN HRC Lung Cancer research, the report has been released and findings are to be presented at Lakes in Oct. Midland Cancer Network 2012-13 Work Programme Key highlights Changes to work programme Risks / issues Request to partner and supporting HRC project led by Dr Jacqui Kidd – Palliative Care Health Literacy and Maori Communities. ACP funding from HWNZ still to be clarified. MCN financial infrastructure issues Key programmes Faster Cancer Treatment Implementation Plan G Tairawhiti Cancer Service Transition Plan G NZ Lung Cancer G Cancer MDM development G Hei Pa Harakeke Action Plan 2012-14 G NZ Breast Cancer G Cancer Care Coordination G Midland Bowel Cancer G Midland Lung Cancer G Midland Radiation Oncology G Midland Medical Oncology G Midland Palliative Care G Midlands HRC Research G D:\582707635.doc Midland Regional Services Plan – Midland Cancer Network 2012-13 Q1 reporting Expected action Midland Cancer Network 2012-13 Quarter 1 progress Sustain performance against radiotherapy and chemotherapy wait time targets 100% of people ready for radiotherapy start their treatment within four weeks of decision to treat 100% of people requiring chemotherapy are treated within four weeks of decision to treat Achieved and ongoing – refer to Waikato DHB cancer target reporting Develop and implement regional plan that aligns the priority areas identified in the report New Models of Care for Medical Oncology regional medical oncology plan phase one priorities implemented by June 2013 National implementation plan published by Ministry of Health on 13 September 2012 and sent to DHBs Worked with Ministry of Health on service specifications to undertake regional workforce planning. Workforce planning process for region in draft Ongoing implementation. KPIs to be reported for January-December 2012 Transition implementation plan and communications plan developed Work group established Joint meeting held with Mid Central to agree patient handover and process for transition 2013-14 clinic and volumes agreed Tairawhiti joined Midland Cancer Network effective 1 July 2013 Tairawhiti transition plan progressing well, with Waikato Clinical Director visit to TDH occurred in September Waikato Cancer Society purchased 2 bedroom apartments for community accommodation. Midland CEOs endorsed the Midland Demand and Capacity Modelling report 2012-2020 at October meeting Implement and further develop the Midland Chemotherapy Nursing Certification Framework (developed 2011-12) Support implementation of recommendations from the Tairawhiti DHB tertiary cancer review Support development of radiotherapy service with regional integration of services approach with possible entry of a private radiotherapy provider into BOPDHB regional radiation oncology plan phase one priorities implemented D:\582707635.doc Expected action Midland Cancer Network 2012-13 Quarter 1 progress Support development of Midland and local palliative care services regional palliative care service plan annual priorities implemented by June 2013 Faster Cancer Treatment - Undertake baseline stock take of systems capability to capture regional data for national minimum cancer dataset and business processes and FCT indicators Baseline data stocktake completed; regional FCT implementation plan developed by 1 July 2012 and phase one priorities of plan implemented by June 2013 collaboratively MCN and DHBs develop a regional FCT implementation plan to commence implementing the agreed faster cancer treatment indicators begin implementing regional clinical data repositories for cancer within available resources Continue improving the functionality and coverage of regional cancer multidisciplinary meetings (MDMs) within available resources Bay of Plenty and Lakes palliative care service plans completed. Waikato in development. Proposed new regional model of service for Palliative Medicine Advanced Training submitted to Midland GMs P & F (endorsed Sept) and Midland COOs (awaiting response). Facilitated the development of the Waikato DHB change to model of service for adult specialist palliative consultation document. Partnering and supporting HRC project led by Dr Jacqui Kidd – Health Literacy and Maori Communities. ACP funding from HWNZ still to be clarified. Baseline stock take completed. Midland Faster Cancer Treatment Work Group established. Draft Midland FCT Implementation Plan presented to Ministry of Health in July Final Midland FCT Implementation Plan signed off by Midland CEs in September 2012. Awaiting Ministry of Health service specification contract agreement. Regional FCT database to be developed and implemented by Waikato IS in Q2. Ministry of Health funding for FCT not expected until late November 2012. Ministry of Health asked for clarification. Written communication to come to the regions in due course. Midland MDM gap analysis completed. Gap Analysis and Action plan 2012-14 signed off by GMs Planning and Funding in September. AV upgrade Rotorua and Waikato completed August. HD VC equipment for cancer MDMs approved and equipment ordered Monitoring ongoing Service improvement initiatives to continue to improve timely access to services for priority bowel cancer Support DHBs to implement systems to record and monitor colonoscopy wait D:\582707635.doc Expected action Midland Cancer Network 2012-13 Quarter 1 progress times and achieve wait time target (TBC) Colonoscopy wait time indicators – patients accepted for diagnostic colonoscopy receive their procedure within wait time standards Support DHBs to implement national colonoscopy prioritisation tool (TBC) 100% of DHBs implemented national prioritisation tool Support Lakes as a trial site to complete implementation of the Global Rating Scale (GRS) endoscopy services quality tool Support the elective services Enhanced Recovery After Surgery (ERAS) initiative1 with pilot sites at BOP (lead) and Waikato Re-submit endoscopy reporting system for regional IT prioritisation 2013-14. Service improvement initiatives to continue to improve timely access to D:\582707635.doc Awaiting national colonoscopy prioritisation tool but Lakes – no issues Waikato – no feedback BOP – all surveillance stopped, links closely to Bay Navigator and their proposed single referral process Pilot completed. Expected to be rolled out nationally Waikato; ERAS pilot commenced 3 September Data currently collected manually and will be loaded into Excel. Draft database developed – meeting scheduled for 19th Oct with key staff to agree Demonstration of electronic pen arranged for 29th Oct with key staff. Plan is to use pen to collect data and then load to ERAS database and the future regional colorectal database. Fortnightly project meetings Teleconference with various DHBs and Ministry of Health regarding collection of 21 core data items. Our database will collect these items and more and able to compare across country at a later date if needed. The core items are not mandatory collection items as yet Taranaki project going well Regional business case for other DHBs rewritten in new template, started financials Waikato – final realisation that current endoscribe will not migrate to new facility when they move in January 2013 Reported the Midland lung cancer performance indicators to Ministry of Expected action Midland Cancer Network 2012-13 Quarter 1 progress services for priority lung cancer Host the National Lung Cancer Working Group and agreed work programme Host the National Breast Cancer Working Groups and agreed work programme Meet requirements of the NZ tumour stream standards and patient pathways project plan D:\582707635.doc Health cancer team Making enhancements to regional lung cancer database to align with the national lung cancer core data set and improve regional reporting Local DHB meetings planned Lakes and MCN participated in the NCN HRC Lung Cancer research, the report has been released and findings are to be presented at Lakes in Oct. Stock take and gap analysis report presented to Cancer Programme Steering Group. Presenting findings to regional lung cancer work groups in quarter 2. Developing national data set – submitted to HSIO Group and chair established. First work group meeting held September. Quarter reporting sent to Ministry of Health cancer team 10-10-12 Next meeting November