Download Treatment Plan and Summary - Kansas Cancer Partnership

ASCO Presentation Summary:
Chemotherapy Treatment Plan and
Summary Templates as a Component of
Comprehensive Cancer Care
Kansas Cancer Partnership
University of Kansas Medical Center
Nursing School Building
Kansas City, KS
July 29, 2009
www.asco.org/treatmentsummary
Modifiable Templates Include:
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Cancer Treatment Plan and Summary

Breast Cancer Treatment Plan and Summary

Colon Cancer Treatment Plan and Summary

Non Small Cell Lung Cancer Treatment Plan and
Summary

Small Cell Lung Cancer Treatment Plan and
Summary
Purpose and Use of Templates

improve documentation and coordination of
cancer treatment and survivorship care

facilitate provider-to-provider and provider-topatient communication

may be distributed to patients or providers as
records of care planned and received

NOT intended to replace detailed chart
documentation, including complete patient
histories or chemotherapy flow sheets
Treatment Plan and Summary

Concise documentation to improve
communication and coordination
Provider to provider
 Provider to patient

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Treatment plan: prepared at the
initiation of a course of cancer
chemotherapy
Treatment summary: prepared at
the end of a chemotherapy
treatment course
Treatment Plan Definition

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Diagnosis, including the cancer site,
histology and stage
Goals of therapy
Patient health status and comorbid
conditions
Surgical history and notable pathology
findings
Chemotherapy regimen and starting
dosages
Duration of treatment and number of
planned cycles
Major side effects of chemotherapy
Treatment Summary Definition



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Chemotherapy treatment
delivered, including number of
cycles administered, duration, and
extent of dose reduction
Reason treatment was stopped
Major toxicities and/or
hospitalizations
Treatment response
Follow up care plan and
determination of responsibility
among relevant providers
ASCO “Lost in Transition”
Report


Increase in survivors (10 million)
PCPs, other providers not always
familiar with late effects of cancer


Don’t get explicit guidance from
oncologists
Lack of evidence for best
practices in caring for cancer
survivors
ASCO “Lost in Transition”
Main Recommendation

Each cancer patient receive a
survivorship care plan

information critical to long-term care




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cancer diagnosis, treatment, and
potential consequences
timing and content of follow-up visits
wellness/prevention recommendations
legal rights affecting employment and
insurance
psychological and support services
Additional Recommendations
and Considerations

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Institutions consider adoption/develop
systems to promote communication and
comprehensive cancer care coordination
Integrating into Electronic Health
Records
Provide tools to patients and clinicians
Barriers:


time and payment system that doesn’t
recognize these crucial services
change in physician/staff office routine