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ANNUAL REPORT 2008/2009
BSWRICS
Barwon South Western Regional
Integrated Cancer Service
index
BSWRICS Agencies
INDEX & BSWRICS AGENCIES ��������������������������������������� 2
MESSAGE FROM THE DIRECTORS ������������������������������������ 3
The following agencies have signed a Memorandum of Understanding
to form part of BSWRICS:
SHORT HISTORY OF BSWRICS ��������������������������������������� 4
Balmoral Bush Nursing Centre
GOVERNANCE �������������������������������������������������� 4
Barwon Health
SNAPSHOT OF THE REGION ���������������������������������������� 5
Bellarine Community Health
FOUR KEY PRIORITY AREAS ����������������������������������������� 6
Casterton Memorial Hospital
VCAP & STRATEGIC PLAN ������������������������������������������ 7
Colac Area Health
INITIATIVES:
MULTIDISCIPLINARY CARE PROJECT ���������������������������������� 8
BSWRICS CANCER COORDINATION MODEL ����������������������������� 9
SUPPORTIVE CARE PROJECT �������������������������������������� 10
CANCER PATIENT INFORMATION CENTRE ������������������������������ 11
POLO RALPH LAUREN PINK PONY CAMPAIGN ��������������������������� 12
VICTORIAN CANCER OUTCOMES NETWORK ���������������������������� 13
MULTIDISCIPLINARY CANCER EDUCATION NETWORK ���������������������� 14
PROFESSIONAL DEVELOPMENT GRANTS ������������������������������ 15
HIGHLIGHTS & COLLABORATIONS ����������������������������������� 16
FUTURE DIRECTIONS �������������������������������������������� 17
Dartmoor Bush Nursing
Geelong Private Hospital
Hesse Rural Health Service
Heywood Rural Health
Lorne Community Hospital
Moyne Health Services
Otway Health & Community Services
Portland District Health
South West Healthcare
St John of God Health Care Geelong
St John of God Health Care Warrnambool
FINANCIAL STATEMENT ������������������������������������������ 18
Terang & Mortlake Health Service
BSWRICS TEAM ������������������������������������������������ 19
Timboon & District Health Service
Western District Health Service
2
BSWRICS Annual Report 08/09
a message from the directors
It is our pleasure to present the Barwon South Western Regional Integrated Cancer Service 2008 – 2009 Annual Report. This report highlights the progress
and key achievements of BSWRICS during the 2008 – 2009 reporting period.
Following the launch of Victoria’s Cancer Action Plan 2008 – 2011 in December 2008, work has commenced on the development of BSWRICS strategic plan
2009-1011. The strategic plan will set the goals for our continued progress toward improving the experience and outcomes of patients and their families,
affected by cancer in the Barwon South Western Region.
This year has seen the maturation of projects into programs and the inception of new projects that build on the strategic directions of Victoria’s Cancer
Action Plan 2008-2011. We have had the privilege of our Polo Ralph Lauren Pink Pony Campaign web cam communication project being recognised by the
National Breast and Ovarian Cancer Centre as an integral method of support for women and their families affected by breast cancer. The National Breast
and Ovarian Cancer Centre have expressed interest in developing the project into a national program. Another activity in the key area of Care Coordination
is the Psychosocial Assessment Tool for Supportive Intervention (PATSI) project funded by a grant from the Victorian Cancer Agency. The self-assessment
tool identified the levels of psychosocial distress of cancer patients newly referred to the Andrew Love Cancer Centre.
The Multidisciplinary Care team’s work has been recognised internationally. In September 2008 Cancer Care Ontario contacted BSWRICS regarding our use
of technology to support multidisciplinary meetings. BSWRICS was one of thirteen organisations worldwide, and one of two from Australia, to be included
in a global assessment scan of technologies being used to support the organisation and running of multidisciplinary meetings, to archive content from
the meetings, and to track data from the multidisciplinary meetings centrally. Following the global assessment, BSWRICS has continued to customise and
further develop CANMAP, an online database used to support multidisciplinary meetings. This customisation is working toward meeting the targets set in
action area four of Victoria’s Cancer Action Plan 2008-2011. The multidisciplinary meetings were also recognised in Victoria’s Cancer Action Plan 2008-2011
for the collaboration between public and private healthcare providers resulting in both public and private patient cases being discussed at the meetings
held in the Andrew Love Cancer Centre, with networking via videoconferencing.
Victoria’s Cancer Action Plan 2008-2011 gives clear targets for cancer services to achieve. Two of the targets are measured through the Department of
Health’s audit process. The Department of Health has set in place audits of cancer patient medical records across the Integrated Cancer Services health
services to measure progress in multidisciplinary care, care co-ordination and supportive care. We look forward to every opportunity of working together
to meet these challenges and to improve cancer care delivery.
The BSWRICS team remain committed to improving the experiences and outcomes for cancer patients as we continue to build on the initiatives introduced
in previous years.
We take this opportunity to thank all who have contributed their time, skills and support to BSWRICS progress in the past year. We look forward to working
with you in 2009-2010.
Associate Professor Richard BellDr Lucy Cuddihy
Co-director, BSWRICS
Co-director, BSWRICS
3
a short
history of bswrics
2003Cancer Services Framework for Victoria published. The major
theme is an integrated approach to service delivery, which
focuses on delivering the right treatment and support to
patients, as early as possible in their cancer journey.
2004The Integrated service model adopted resulted in the
establishment of three metropolitan and five regional
Integrated Cancer Services (ICS), based on geographic
populations and one statewide paediatric ICS. BSWRICS
Steering Committee established.
2005Barwon South Western Regional Integrated Cancer Service
established in January. Mapping of cancer services across
the region undertaken. Regional multidisciplinary education
network established. Multidisciplinary Cancer Care
Project commenced.
governance
BSWRICS STEERING COMMITTEE
Strategic planning
Corporate governance
MEMBERSHIP
Chair, Geoff Iles, CEO, Colac Area Health
Jim Fletcher, CEO, Western District Health Service
John Krygger, CEO, South West Healthcare
Alexander Morrison, General Manager Medical Services, Barwon Health
Kate Birrell, Group Director of Nursing, St John of God Healthcare (Resigned Dec 08)
Community Hospital Representative - TBA
Chris Faulkner, Regional Department of Human Services
Associate Professor Richard Bell, Co-director, BSWRICS
Dr Lucy Cuddihy, Co-director, BSWRICS
Clinical Representatives: Dr Theresa Hayes, Medical Oncologist Warrnambool and
Dr John Hounsell, Clinical Haematologist, Warrnambool
2006BSWRICS Cancer Services Plan 2006-2008 developed.
Regional Clinical Reference Group and Regional Continuum of
Care Reference Group commenced.
CANMAP (Online database) customised and developed for
use in Multidisciplinary Meetings and Care Coordination.
Cancer Support Group Project started.
2007Cancer Patient Information Centre opened. Barwon South
Western Regional Cancer and Palliative Care Directory for
Health Professionals launched in March.
Electronic Regional Oncology System developed, Charm
(electronic chemotherapy prescribing software) implemented
at Barwon Health.
2008Psychosocial Screening Project commenced.
Community Cancer Services Directory launched in November.
BSWRICS South West office established. Victorian Cancer
Outcomes Network – Evaluation of Cancer Outcomes project
and trial commenced.
2009Care Coordination Cancer Link Nurse Project commenced.
Polo Ralph Lauren Pink Pony Campaign, webcam
communication project for families affected by breast cancer
operational. Strategic Plan 2009 – 2011 being developed in
line with Victoria’s Cancer Action Plan 2008 - 2011.
4
BSWRICS EXECUTIVE
Geoff Iles
Jim Fletcher
Alexander Morrison
BARWON HEALTH
Host Agency
BSWRICS TEAM
REGIONAL CLINICAL REFERENCE GROUP
Multidisciplinary care
Harmonisation of oncology treatment protocols
Clinical research
Clinical data management and reporting
CONTINUUM OF CARE REFERENCE GROUP
Care co-ordination
Psychosocial & supportive care
Consumer participation
Multidisciplinary Cancer Education Network
Representatives
Medical oncology
Radiation oncology
Haematology
Surgical oncology
Oncology pharmacy
Clinical trials
Oncology social work
Oncology nursing
General practice
Radiology
Pathology
Palliative Care
Representatives
Directors of nursing
Community nursing
District nursing
Palliative care nursing
Oncology nursing
Oncology social work
Local government
Consumer
General practice
Barwon South West Regional
DHS Representative
BSWRICS Annual Report 08/09
a snapshot of the region
Within the BSWRICS region, in an average week
36 People will be diagnosed with cancer
3 Multidisciplinary Meetings will be held
271 Radiotherapy treatments will be given
622 Chemotherapy treatments will be given
5
Four Key Priority Areas
Victorian State-Wide Key Priority Areas for service improvement have been identified
and are the focus of the BSWRICS cancer service improvement initiatives.
Supportive Care Multidisciplinary Care
is an ‘umbrella’ term for
all services, both generalist
& specialist, that may be required
to support people with cancer
& their carers. It includes self-help and
support, information, psychological
support, symptom control, social support,
rehabilitation, spiritual support,
palliative care and bereavement care.
aims to ensure that members
of the treatment and care team can
discuss all aspects of a patient’s physical,
supportive care needs and other
impacting factors.
A regular meeting of all health practitioners
involved in the treatment and care of a cancer
patient is an essential feature of
multidisciplinary care.
Care Coordination Reducing Unwanted
Variations in Care
enhances the experience of patients
through the creation of improved links
between services to ensure that care is
delivered in an integrated, coordinated
and timely manner. The aim is to
create sustainable systems for care
co-ordination, therefore assisting
patients to access the full
range of cancer treatment,
information and support services
as close to home as possible.
6
recognises that cancer care needs to be
integrated and coordinated around the
needs of people, rather than service types,
professional boundaries,
organisation structures and funding.
A range of mechanisms such as
standards, performance indicators,
peer review and role designation
were highlighted in the Cancer
Services Framework for Victoria
to achieve high quality
cancer care across
tumour streams.
BSWRICS Annual Report 08/09
Victoria’s Cancer Action Plan 2008-2011
Victoria’s Cancer Action Plan 2008 – 2011(VCAP) was released in December 2008
The Cancer Action Plan will ensure that cancer prevention and care Victorians receive is the best it can be, informed by the latest research and state-ofthe-art technologies. The Cancer Action Plan outlines a medium-term vision for cancer reform that will offer standardised and high-quality cancer care
to all Victorians, regardless of whether they live in metropolitan, regional or rural Victoria. This is a comprehensive action plan with measurable targets
across four key action areas.
Action Area 1:
Action Area 2:
Priority 1: Reduce the prevalence of established risk
factors for cancer in the Victorian population
Priority 2: Increase participation rates in
population-based cancer screening
programs
Priority 1: Sustain and strengthen Victoria’s leadership
role in linking cancer research to clinical
outcomes within Australia
Priority 2: Invest in translational research and
develop partnerships with industry
Priority 3: Increase access to genetic screening
and new diagnostic technology
Action Area 3:
Priority 1: Improve cancer service capacity
across Victoria
Priority 2: Improve the quality of cancer services
through the consistent implementation
and monitoring of evidence-based care
Priority 3: Improve access to cancer diagnostic
and treatment equipment and ensure a
sustainable cancer workforce
PATIENT
CENTRED
CARE
Priority 3: Further develop institutional
structures, platforms and support systems
to facilitate cancer research and its effective
translation into clinical practice in Victoria
Action Area 4:
Priority 1: Create better experiences for cancer
patients and carers
Priority 2: Ensure the needs of adolescent and young
adults with cancer are addressed and that
long-term effects of treatment for survivors
of childhood cancers are managed
Priority 3: Increase capacity of palliative care services
to provide care for patients in the place of their choice
The BSWRICS Strategic Plan 2009-2011 is currently being developed. The strategic plan will align with Victoria’s Cancer Action Plan 2008-2011,
primarily focusing on key action areas three and four. The Cancer Services Framework for Victoria will also guide the BSWRICS Strategic Plan 2009-2011.
7
initiative
Multidisciplinary Care Project
AIM
•
upport tumour stream specific Multidisciplinary Care Meetings (MDMs) in Geelong and
S
multi tumour stream MDMs in the region.
•
Liaise with GP Division for GP representation for each MDM.
•
Streamline meeting processes to enable maximum number of patient discussions at MDMs.
•
ork collaboratively with imaging providers across the region to streamline the process of
W
gathering imaging for preview & presentation at meetings.
•
CAP target – 80% of newly diagnosed cancer patients have a documented multidisciplinary
V
care treatment plan by 2012.
2008-09 has continued to see strong growth in the area of Multidisciplinary Care. The establishment of the Upper Gastro-Intestinal multidisciplinary care
meeting in June 2009 has increased the BSWRICS facilitation of meetings to cover 6 tumour streams over a fortnightly rotation. Overall, there has been a
20% rise in the amount of cases put forward for discussion since last year’s report, a number that is indicative of the commitment by the multidisciplinary care
team members to the Department of Health’s model for multidisciplinary care. Meeting processes have been reviewed and changes made to improve the
distribution of the recommendations of the meeting to all treating team members, including GP’s. During the past 12 months we have welcomed our 4th
GP representative to the MDM meetings. To reflect the change in meeting processes the MDM policies and procedures have been adapted to a terms of
reference for each meeting.
Jacqui Hennock & Shayne Ryan, Multidisciplinary Care Coordination Team
KEY PRIORITY AREA INFLUENCED
8
•
Multidisciplinary Care
•
Care Coordination
•
Reducing Unwanted Variations in Care
BSWRICS Annual Report 08/09
initiative
BSWRICS Cancer Coordination (CC) Model
AIM
•
Enhance continuity of care for cancer patients
•
Improve communication links between clinicians
•
Increase availability of cancer nurses
•
Create sustainable regional links in cancer care
Phase 1 of the BSWRICS CC project began in 2006. It involved mapping of complex cancer journeys that provided data on patient needs, referral pathways
and gaps in the delivery of cancer care and support. Phase 2 of the CC model saw the appointment of a South West Cancer Coordinator to conduct
in-depth mapping, assist patients, and enhance multidisciplinary care and referral pathways. The BSWRICS office in Warrnambool was opened in February
2008. In June 2008 two Supportive Care Project Officers were appointed to address the Cancer Information and Supportive Care needs of patients in the
South West.
Data analysed from the project has identified access to specialist nurses as the highest gap. This evidence has informed the development of phase 3 of the
CC project, the introduction of Cancer Link Nurses into Barwon South West rural health services. A Cancer Link Nurse pilot project, in partnership with Colac
Area Health, commenced in June 2009. It is anticipated that the project will be expanded to other health services within our region.
A total of 105 patients were referred to the BSWRICS team in the South west from July 08 to June 09.
Maggie Stowers, Melinda Williams, Sharon Petering,
Shane Timms, Kathryn Wooles and Marg Vesey.
Cancer Coordination Team
30
27
21
KEY PRIORITY AREA INFLUENCED
•
Care Coordination
•
Supportive Care
10
7
4
2
2
1
1
9
initiative
Supportive Care Project
AIM
•
Trial a supportive care screening tool at the Andrew Love Cancer Centre (ALCC).
•
Identify the psychological/emotional needs of cancer patients and families across the Barwon
South Western Region.
The “Supportive Care Self Assessment Screening Tool Project” commenced in July 2008 and was funded
by the Victorian Cancer Agency. Oncology Psychologist, Mary Harvey, was employed from June 08 – June
09 to support this project and streamline referrals between psychiatric and cancer services. A supportive
care screening tool called “Distress Thermometer” was used to screen patients for psychological distress
and their need for supportive services.
Seventy-nine newly diagnosed patients consented to participate in the project which involved completing
a Distress Thermometer on three occasions at twelve week intervals. They were asked to fill out a feedback
survey at the end of the project.
Feedback from the patients regarding the supportive care screening tool and support services was very
positive. Many patients who were referred to the Psychologist commented that access to this service,
onsite at the ALCC, was an invaluable resource. Overall patients were very impressed with the support
they received during their cancer treatment by the clinicians at the ALCC.
A supportive care team was set up in conjunction with the project to assist with referrals. This team
consisted of the Oncology Social Workers, Cancer Coordinator, Pastoral Care Worker and Psychologist.
It was identified during the project that health clinicians and patients needed more education about the
various supportive care team roles. This lead to the development of the “Support for you & your family
throughout your cancer journey” brochure, currently on trial at the Andrew Love Cancer Centre.
The results from this project are in the process of being written into a report that is planned for release
late 2009.
Melinda Williams, Project Manager
Shayne Ryan and Mary Harvey, Project Team.
•
Care Coordination
“ I am personally very thankful to all the
staff at the ALCC that I came in contact
with during my radiotherapy treatment;
their kindness, understanding and
professionalism to their job”
•
Supportive Care
(Project Participant, June 09)
KEY PRIORITY AREA INFLUENCED
“The support afforded to me from the
resident psychologist was the most
valuable resource the Andrew Love
Cancer centre could provide. It relieved
my burden of needing to talk about my
cancer without distressing my friends
and family. It helped not only myself
but the recovery of our family”
(Project Participant, June 09 )
10
BSWRICS Annual Report 08/09
initiative
Cancer Patient Information Centre
AIM
•
Extend access to cancer information across the whole Barwon South Western region.
•
Investigate the type of information available to support the cancer patient’s emotional and psychological needs.
The Cancer Patient Information Centre (CPIC), established in August 07, continues to provide cancer patients, carers, friends and health professionals with
accredited cancer information. From July 2008 - June 2009 there have been 567 people that have accessed 5197 booklets and brochures. The CPIC monthly
awareness theme at the Andrew Love Cancer Centre continues with success. We have given out 449 pieces of literature from the CPIC as a result of these
monthly displays. A growing demand for cancer information for surgical cancer patients has led to the introduction of a more formalised restocking system
for perioperative services by the CPIC.
A new area has been developed in the CPIC to cover psychological/emotional support of the cancer patient and their family. This was a direct result of the
‘Supportive Care Self Assessment Screening Tool Project’.
South West Coordination Team (SWCT) has extended cancer information provision to cancer patients and families in the South West. The BSWRICS CPIC
team has collaborated with Portland Health Service and Colac Health Service during the implementation of two new Cancer Patient Resource Centres.
Melinda Williams and Shayne Ryan.
Cancer Patient Information Project Team.
KEY PRIORITY AREA INFLUENCED
•
Care Coordination
•
Supportive Care
11
initiative
Polo Ralph Lauren Pink Pony Campaign Seeding
Grant 2008
The Polo Ralph Lauren Pink Pony Campaign is an international initiative which
aims to address the disparities in care for women with breast cancer. The National
Breast and Ovarian Cancer Centre (NBOCC) administers the Australian arm of the
initiative.
BSWRICS was awarded a grant to trial the use of web cam communication for
women with breast cancer from rural communities in the Barwon
South West region.
Project Title: G’day Mum: Webcam Communication and Support for Rural
Women with Breast Cancer and their Children
AIM
•
To decrease the separation anxiety experienced by women and their families with the provision of on screen communication whilst away from home.
•
To provide a mode of communication that allows for vision of gradual changes in physical appearance due to side effects of treatment.
The project was conducted from June 2008 till June 2009. Laptops were configured to allow video communication. Families were trained in the use of the
laptops by the BSWRICS team in Warrnambool and Geelong.
OUTCOMES
•
Women found that the regular contact with their children reduced their children’s anxiety.
•
Partners stated that they felt less stressed about their wife attending a Cancer Treatment Centre which was far away.
•
Women who participated in the project found that being able to see their family, via the webcam, reduced their anxiety levels.
•
Webcam communication reduced the cost of regular telephone calls.
•
All women stated that the laptops were easy to use.
•
All women stated that they felt the training and education of the laptop was easy.
Following early success of this project the NBOCC visited the BSWRICS team and evaluated the processes and outcomes. As a result the NBOCC were
awarded funding from the Australian Government to expand the project as part of a broader program to support rural women with breast cancer.
BSWRICS would like to acknowledge the willing participation of the women and their families involved in this project.
Project Team: Maggie Stowers, Melinda Williams, Shane Timms, Lilian Falero and Sharon Petering.
KEY PRIORITY AREA INFLUENCED
•
12
Supportive Care
Mum linked in every night at 7pm to hear each child’s news and say goodnight.
The kids just loved it
BSWRICS Annual Report 08/09
initiative
Victorian Cancer Outcomes Network –
Evaluation of Cancer Outcomes (ECO)
A joint project between The Cancer Council Victoria, BSWRICS and
Department of Health.
AIM
•
rial a model of cancer data collection across a regional area of Victoria,
T
which has an urban/rural mix similar to the whole state.
•
Improve collection of cancer data.
According to Professor David Hill of The Cancer Council Victoria, the current lack of population based cancer stage and treatment information in Victoria
makes a difficult task of analysing survival and patient/community outcomes. The ECO Trial aims to improve this by collecting clinical data across the Barwon
South West (BSW) region for all patients diagnosed with cancer.
Over the last 12 months the ECO Team has worked with all clinicians in the BSW region, the health services of Barwon Health, Colac Area Health, South West
Healthcare, Western District Health Service, Portland District Health, St John of God Healthcare and the South West Alliance of Rural Health (SWARH) to
collect data relating to diagnosis, staging, treatment, outcomes, mortality and recurrence for all patients newly diagnosed with cancer from January 1, 2008.
More specifically the team has worked with the Public Health Services within the region to build comprehensive data repositories at each site in order to
facilitate transfer of data to the Victorian Cancer Registry.
The ECO Trial has been extended to December, 2010.
Eco Team: Linda Batson, Nicole Hopgood, Lilian Falero,
Leigh Matheson and Rachael Clemson.
KEY PRIORITY AREA INFLUENCED
•
Reducing Unwanted
Variations in Care
13
initiative
Multidisciplinary Cancer Education Network
AIM
•
Record forums to DVD
•
Improve video conferencing capabilities
•
Conduct forums at different sites around region
“I have just had a patient who had radiotherapy referred to me & I can now answer
questions re side effects as they occur.” South West Community Clinician
The Barwon South Western Cancer Education Network forums continue to be conducted each month and video linked within the region. The topics selected
are in direct response to the annual survey conducted each year. The attendee base for selected forums has been broadened to include consumers and
support groups representatives. This has provided much interest and support group leaders are able to report any new developments and news back to their
members. All attendees are eligible to receive Certificates of Attendance. Following completion of the Authorised Provider Course BSWRICS are able to
continue to endorse the forums on behalf of the Royal College of Nursing, Australia. This allows for accrual of professional development points for nurses.
BSWRICS has a commitment to promoting professional development and this year we have sponsored 90 health professionals from throughout the BSW
region to attend seminars, workshops and conferences on various areas of cancer treatment and care.
Maggie Stowers and Carmel Winstanley
Cancer Education Network Team
Topic and Presenter
Targeted Therapies (Professor Richard Bell)
Regional Sites Attended
Total
/ Video Linked
Nos
Colac, Hamilton, Heywood,
42
Warrnambool
KEY PRIORITY AREA INFLUENCED
•
14
Multidisciplinary Care
•
Care Coordination
•
Supportive Care
•
Reducing Unwanted Variations in Care
Sexuality in Cancer Care (Frances D’Arcy-Tehan)
Warrnambool
29
Lymphoedema Update (Dr Deb Harley and Theresa Suto)
Port Fairy, Portland
39
Multidisciplinary Care (Jacqui Hennock and Shayne Ryan)
Warrnambool
22
Leukaemia Update (Dr Helen Fairweather)
Colac, Hamilton
48
Social, Emotional & Spiritual Aspects of a Long Term
Camperdown, Colac, Hamilton,
58
Cancer Journey (Karen Todd and Russell Armstrong)
Portland, Warrnambool
Management of Head & Neck Cancer (Dr Rohen White)
Hamilton, Warrnambool
25
Clinical Trials Update (Anne Woollett)
Colac, Warrnambool
31
Diagnostic Imaging in Breast Cancer (Dr Linda West)
Warrnambool, Hamilton
32
BSWRICS Annual Report 08/09
professional development grants
Continuing professional development of health professionals in our region has again been a focus of BSWRICS. Grants to attend Conferences, Seminars
and Workshops have been made available to the following:
RECIPIENTS 2009:
11th National Breast Cancer Nurse Conference, Melbourne
Nurses: Portland District Health, Western District Health Service, St John
of God Geelong, Colac Area Health, Barwon Health, BreastScreen and
South West Healthcare
Bone Marrow & Stem Cell Short Course, Melbourne
Nurses: Barwon Health, Colac Area Health
Haematological Associations 2009 Annual Scientific Meeting, Adelaide
Nurse: Barwon Health
Clinical Oncological Society of Australia Annual Scientific Meeting, Gold Coast
Nurses: Barwon Health
“I simply would not have been able to attend the conference without
your assistance” Palliative Care Nurse, South West Healthcare
Source: Cancer Council 11th National Breast Cancer Nurses Conference 2009 website
“I found the Conference invaluable and felt encouraged to do further
study in Breast Cancer” Breast Care Nurse, Barwon Health
Colorectal Cancer – A Multidisciplinary Approach, Melbourne
Surgeons: South West Healthcare, St John of God Geelong;
Nurses: St John of God Geelong; GPs: Geelong
Grief and Bereavement Conference, Geelong
Nurse: Barwon Health
Australia & New Zealand Childrens Haematology & Oncology Group
Conference, Melbourne
Nurse: Barwon Health
Cancer Nurses Society Australia, Newcastle, NSW
Nurses: Colac Area Health, South West Healthcare, Barwon Health
“The conference was outstanding, not only the key speakers but the
opportunity to network” Nurse, Western District Health Service
Living with Cancer Facilitator Course, Melbourne
Nurses: Geelong Private Hospital, St John of God Geelong, Colac Area
Health, South West Healthcare, Western District Health Service
Social Worker: Barwon Health
Living with Cancer Facilitator Course, Portland
Nurses: South West Healthcare, Portland District Health; Psychologists:
Portland District Health;
District Nurses: Timboon & District Health Service, Portland District Health
Social Worker: Portland District Health
“The support of BSWRICS has really made it possible to expand
the Living with Cancer Program in the Barwon region” Sue Hegarty,
Cancer Services Coordinator, Cancer Council Victoria
BSWRICS Workshops:
Lunch and Learn Presentation, Geelong
Nurses: St John of God Geelong
BSWRICS Workshop on Responding to People experiencing Distress,
Warrnambool
Nurses: South West Healthcare, Portland District Health, St John of God
Hospital Warrnambool, Western District Health Service, Colac Area Health
Doctor: Portland District Health
15
highlights & collaborations
CNSA AWARD
TASMANIA CARE COORDINATION
Maggie Stowers was awarded with a certificate of appreciation recognising the
substantial contribution made to the Cancer Nurses Society of Australia and
thanking her for her commitment and dedication to cancer nursing.
BSWRICS provided advice and consultation on the development of a Cancer
Care Coordination Role for Tasmania to the Department of Health and Human
Services, Tasmania.
POLO RALPH LAUREN PINK PONY CAMPAIGN
WEBCAM COMMUNICATION PROJECT
“ Big Thanks to Maggie Stowers and team at BSWRICS for all your support,
inspiration and help with databases, and everything else.”
National Breast and Ovarian Cancer Centre (NBOCC) and Breast Cancer
Network Australia (BCNA) have been awarded funding of $2.7 million by
the Australian Government to undertake a joint program of work to provide
information and supportive care to women in rural areas diagnosed with
breast cancer.
Renae Grundy with
the Tasmanian Care
Coordination poster
presented at Cancer
Nurses Society of Australia
Winter Congress 2009.
As part of this program, NBOCC will be undertaking a project to link rural
families through online video communication when women travel away from
home for long periods of time to undergo breast cancer treatment.
“NBOCC is grateful to the team at Barwon South Western Regional Integrated
Cancer Service for sharing the successes and learnings of their pilot program,
‘G’Day Mum’, to assist in the development of this project,” said Associate
Professor Christine Giles, General Manager and Director Policy and Government
Relations, NBOCC.
ELECTRONIC REGIONAL ONCOLOGY SYSTEM
Linda Batson and Marilyn Wendt presented a poster outlining EROS at the
Clinical Oncology Society of Australia Annual Scientific Meeting, Sydney in
November 2008.
INTERNATIONAL SUPPORTIVE CARE CONFERENCE
Melinda Williams attended the International Psycho-Oncology Society 11th
World Congress of Psycho-Oncology, Vienna, Austria – June 2009.
This conference provided Melinda with the opportunity to:
• G
ain an international perspective on the challenges health clinicians
from other cancer centres face when providing psychosocial support for
cancer patients.
• L earn from others about the challenges and strategies utilised
in implementing a psychosocial screening tool for routine use in
cancer centres.
• B
roaden her knowledge of psychosocial screening tools for use with people
dealing with cancer.
16
COMMUNITY FORUM, APOLLO BAY
Shayne Ryan presented at the Apollo Bay Community Forum organised by
Otway Health and Community Services in June 2009 on the supportive care
services available at Barwon Health’s Andrew Love Cancer Centre.
INTERNATIONAL RECOGNITION OF BSWRICS
MULTIDISCIPLINARY CARE MEETINGS.
BSWRICS was invited to participate as one of thirteen organisations worldwide,
and one of two from Australia, to be included in a global assessment scan
of technologies being used to support the organisation and running of
multidisciplinary meetings, to archive content from the meetings, and to track
data from the multidisciplinary meetings centrally.
EVALUATION OF CANCER OUTCOMES TRIAL PUBLISHED IN A
REFEREED JOURNAL
Hopgood, N. A World First in Cancer Data Collection Trial, Health Information
Management Journal, vol 38 No 2, 2009.
CANCER NURSES SOCIETY OF AUSTRALIA WINTER CONGRESS
09
Maggie Stowers presented “Cancer Link Nurses: Cornerstones for Regional
and Rural Cancer Care”, outlining the pilot Link Nurse project.
BSWRICS Annual Report 08/09
future directions
ELECTRONIC REGIONAL ONCOLOGY SYSTEM
The Electronic Regional Oncology System (Charm) has been used successfully at
Barwon Health, Geelong since April 2007, and Western District Health Service,
Hamilton since November 2008, providing oncology treatment pathways
that are consistent and evidence based to the residents of the Barwon South
Western Region of Victoria.
In 2009, oral chemotherapy protocols were loaded into Charm. Clinicians can
now provide the patient with a Charm order to take to the pharmacy with their
handwritten prescription, this will provide legible information for the pharmacist
to check doses, as well as provide the patient with complete information about
their oral chemotherapy treatment.
Work is in progress to install Charm at South West Healthcare in Warrnambool,
enabling SWH to join EROS ensuring patients across the region receive
consistent treatment. It is anticipated that this work will be completed early
in 2010.
Marilyn Wendt, Charm Project Officer
CANCER LINK NURSE PROJECT
Following the successful pilot of a Regional Cancer Link Nurse at Colac Area
Health, further Cancer Link Nurse roles are in development for South West
Healthcare, Western District Health Service and Portland District Health.
SUPPORTIVE CARE MULTIDISCIPLINARY MEETINGS
After attending the International Psycho-Oncology Society 11th World
Congress of Psycho-Oncology, Vienna, Austria – June 2009 Melinda Williams is
working towards establishing a supportive care team multidisciplinary meeting.
The meeting has been modelled on the tumour stream multidisciplinary care
meetings with the assistance of the MDM Coordinator Shayne Ryan.
CANCER PATIENT INFORMATION TRACKING AND ANALYSIS
LIBRARY (CAPITAL)
An online library database has been developed to accurately track the provision
of information to cancer patients, their families and the community across the
region. The database will be used by cancer patient information centres in
Colac, Portland and Warrnambool. CaPITAL is expected to be operational in
the second half of 2009.
HEALTH PROFESSIONAL DIRECTORY UPDATE
The Barwon South Western Regional Cancer and Palliative Care Directory for
Health Professionals is to be updated during the next year.
BSWRICS WEBSITE
BSWRICS are working towards establishing a user friendly website. It is
anticipated that the website will contain an online version of the Health
Professionals and Community Directories. The website will also contain
information about current BSWRICS projects, staff, strategic directions inline
with VCAP and general cancer care information for the region.
QUALITY FRAMEWORK
Once the BSWRICS Strategic plan 2009-2011 is completed a quality framework
will be developed for the Barwon South West region. The Department of
Health’s Clinical excellence in care: A model for safety and quality in Victorian
cancer services will also inform the BSWRICS Quality Framework. The framework
will be integrated with the current quality processes within each health service.
Source: www.lighthouse.net.au. The Griffiths Island Lighthouse, Port Fairy.
17
Financial STATEMENT
2009 STATEMENT OF INCOME, GRANTS AND EXPENDITURE
Income
Leadership & ICS Management
Quality Improvement and Tumour Stream Activities
Multidisciplinary Care Coordination & Development
Care Coordination Support
Quality Monitoring and Support
Psychosocial Care Development
Victorian Cancer Agency Grant and other Funds
Total Income
Expenditure
Salaries
Motor Vehicles
Computers, software and IT services
Telephone/Postal Services
Repairs and Maintenance
Travel and Accommodation
Printing and Stationery
Catering
Conferences/Professional Development
Membership expenses
CHARM Installation, training & implementation South West
Rental. Rates and costs for South West Office
Cancer Education Network
Capital Expenditure
Barwon Health Administration and other expenses
Total Expenditure
Net Surplus
2008
268,000
643,000
107,000
80,967
1,098,967
561,592
7,235
30,051
7,111
44,994
12,340
19,259
2,943
23,377
1,743
287,046
4,729
32,004
1,054,424
44,543
2009
281,623
168,972
168,072
247,822
90,121
112,650
5,000
1,075,160
710,662
17,193
59,868
12,008
5,651
12,187
22,032
2,772
38,958
9,030
8,023
36,361
16,703
23,219
974,667
100,493
Surplus in 2008-09 due to Program Managers position being vacant for the majority of the year.
BARWON HEALTH DECLARATION
As host agency and fund holding body of the Barwon South Western Regional Integrated Cancer Service we certify that the following
statement of income, grants and expenditure for the 2008/2009 financial year is a true and correct record. The following statement has not
been independently audited. Supporting documentation for this statement may be requested from Barwon Health.
Brandon Howard
Finance Manager - Barwon Health
18
BSWRICS Annual Report 08/09
BSWRICS Team
CO DIRECTORS
Associate Professor Richard Bell
Dr Lucy Cuddihy
CANCER COORDINATION MANAGER
Maggie Stowers
BARWON CANCER COORDINATOR
Melinda Williams
MULTIDISCIPLINARY CARE /QUALITY
MANAGER
Jacqui Hennock
MULTIDISCIPLINARY CARE/ CANCER
INFORMATION OFFICER
Shayne Ryan
HEALTH INFORMATION MANAGER
VCON team leader
Nicole Hopgood
HEALTH INFORMATION MANAGER
Leigh Matheson
DATA ANALYST
Lilian Falero
HEALTH INFORMATION OFFICER
Rachael Clemson
ADMINISTRATION/ PUBLICATIONS
OFFICER
Carmel Winstanley
PHARMACY CONSULTANT
Marilyn Wendt
SOUTH WEST PROJECT OFFICER
SUPPORTIVE CARE
Sharon Petering
We would like to acknowledge the achievements and contributions to the BSWRICS Project by Linda Batson, Shane Timms, Kathryn Wooles and
Mary Harvey who left the BSWRICS team in 2008/2009.
19
Southern Grampians
Lake Elizabeth
Otway National Park
Dartmoor
Camperdown
BSWRICS
Barwon South Western Regional
Integrated Cancer Service
Bellarine Peninsula
Warrnambool
Andrew Love Cancer Centre 70 Swanston Street, Geelong 3220
Phone (03) 5260 3051 Fax (03) 9012 4493 Email: [email protected]