Download Section 1 - Central Cancer Network

Regional Cancer Services Plan
2013/14
Integrated Plan
Informed by:
• Cancer Control Strategy and He Korowai Oranga: Maori Health
Strategy
• National Cancer Plan 2013/14 requirements for District Health
Boards (DHBs) and Regional Cancer Networks (RCNs)
• Regional Service Plan cancer services requirements
• DHB annual plans e.g. tobacco, screening, cancer services
developments
• Central Cancer Network’s (CCN) work as an enabler of the above
requirements and additional wider regional aspects
Integrated Plan - layout
Section 1: activities to progress national cancer
control priorities identified in the National
Cancer Work Plan 2013/14 and Central Regional
Service Plan (RSP) 2013/14
Section 2: additional DHB specific cancer control
related annual plan activities not already
identified in section 1
Section 3: additional CCN activities not already
identified in section 1
Integrated Plan – Equity
Policies and interventions are likely to be more
appropriate to the task of reducing inequalities in
health if they are underpinned by the following
principles:
• an explicit commitment to implementing Treaty of
Waitangi principles – participation, partnership and
active protection
• a recognition that all New Zealanders should have
timely and equitable access to an affordable range of
health and disability services
• a focus on early intervention and ensuring that all
groups have access to effective treatment services.
Funding
Activity area
Central Cancer Network – base funding
Amount
$550K
Faster Cancer Treatment Regional Implementation Plan:
$155 remaining
 Current plan funded from Nov 2012 for a 12 month period ($335K)
 2013/14 resources for DHBs to improve FCT indicator reporting (currently under
$559K requested
negotiation – decision expected by the end of Aug 13)
Multi-disciplinary Meeting Development funding:
The following figures have been calculated on the 2012/13 PBF split and may be updated
$454,768
C&CDHB $117,490
HBDHB $78,556
HVDHB $63,909
MDHB $82,892
TDHB $54,829
WaiDHB $12,714
WhaDHB $35,335
National Endoscopy Quality Improvement Programme (NEQIP)
 Global Rating Scale implementation
?
Contracting
MidCentral DHB (MDHB) as lead DHB
CCN (via MDHB as lead DHB)
?individual DHBs or via CCN
Individual DHBs
Individual DHBs
Medical Oncology Models of Care – to implement Phase 1 activities in the Chemotherapy E– $50K
Prescribing Project
CCN (via MDHB as lead DHB)
Cancer Consumer Representation - CCN national lead role
CCN (via MDHB as lead DHB)
$45K
Health Workforce NZ (HWNZ) pilot funding for a 2 year pilot of a managed palliative care ?
network across Capital & Coast DHB (C&CDHB), Hutt Valley DHB (HVDHB) and Wairarapa DHB
(WaiDHB) (currently under negotiation – decision expected by September 13)
C&CDHB, HVDHB and WaiDHB
Governance
IT as an enabler: FCT Requirements
FCT Data
Multi-disciplinary Meetings (MDMs) Care Coordination
Concerto forms – capture of FCT
Videoconferencing Solution – Gen-i
related information at a patient level implemented
Investigate CONCERTO, CANMAP, iFlags in system:
scheduler. Mindmerge and iCIMS as
 High suspicion cancer flag –
potential meeting management
activated when secondary
tools to support:
clinician triages patients
 Scheduling patients to an MDM
 Diagnosis flag – activated when
- ? web based to enable visibility
confirmed diagnosis comes thru
outside of host DHB
Sharepoint / National FTP site for
 Data – capturing and reporting
matching data across networks
of agreed datasets
 Communications – letters to GPs
Lab data – copy of lab report which
patients, referrals
is sent automatically to NCR
Episodes of care identification
Data audit processes
Active patient tracking
including alerts when
breach imminent – tools
include SharePoint, WebPAS and Concerto
E-referrals:
 High Suspicion of
cancer field - see
Midland Cancer
Network work
 Referral criteria for
direct access to OP
colonoscopy
Recording patient
interactions - CNCs
Map of Medicine – patient
pathways – see MDHB work
Non-surgical cancer
treatment IS
MOSAIQ E-prescribing
for chemotherapy
project:
 RCTS
Implementation
 WBCC feasibility
study
Other
METRIQ – potential for
a regional data
repository – see
Southern Cancer
Network work
National Endoscopy
Quality Improvement
(NEQIP) Programme –
Global Rating Scale and
IT system support eg
Provation
Roll out of e-pharmacy
and MEDCHART– link
with MOSAIQ eprescribing project
National Patient Flow
Project
IT as an enabler: CRISP
Faster Cancer Treatment Requirements and CRISP Projected Developments
Previous to July 2013
Mar 13
July 2013 to Jan 2014
July 13
Aug 13
Sept 13
webPAS
CRISP
3 DHB
MDHB
WaiDHB
WhaDHB
Workshops
Regional look, feel, business practice, etc.
Clinical Portal touch points defined
Oct 13
Nov 13
Negotiate
Contract with
Computer
Science Corp
(CSC)
Contracts
Signed
Dec 13
Jan 13
Feb 2014 to Aug 2014
Feb 14
Mar 14
April 14
May 14
June 14
July 14
First Legacy
DHB
Go Live
Implementation
Project Commences
Scoping, Infrastructure, Apps, Integration, Testing, User Acceptance Testing, etc...
Foot Print 2
DHBs
C&CDHB
HBDHB
HVDHB
Clinical Portal 1.5
Regional Platform
Contracts
Signed
Feb 13
Clinical Portal 2.0
Core
Clinical Portal 2.5
Enhanced
+MDHB
+HBDHB
Regional Platform
Clinical Portal
+WhaDHB
+3DHB
Onboard with CP
2.0
MDHB Upgrade
FCT Requirements
Data Collection Requirements
Developed for webPAS (Workshops,
Flagging design for triage and
diagnosis confirmation, Episode of
Care Identification)
FCT Data Audit
Processes
Data elements that
are not collectable in
webPAS are defined
for Clinical Portal
* eReferrals (phase 1)
* Emergency Dept Solution
* Ward Whiteboard
* Clinical Audit
* Notifications
*Additional Templates
*Additional Transcription
* Results Sign Off
* Problem List
* PACs Integration
* Medical reconciliation
* Document Registry
* NHI Medical Warnings
Clinical Portal 3.0
Final
* Orders: Lab & Allied Health
* eReferrals (full)
* Additional Notifications
* Additional Transcription
* Problem list (Multisource integration)
* Care Planning
* Community Pharmacy Repository
Project
Ends
Aug 2015
Data Collection Requirements
Defined for Clinical Portal
Determine FCT Data elements for audit
Requirements investigation
(Breach alerts, Pt interaction
documentation)
Tool development for
Regional Demonstrations
Regional agreement
for Tool development
and implementation
FCT Data Audit Process Defined, Developed, and Agreed
Development of Policies and
Procedures for Lab Reporting
Roles and Responsibilities (CNC
Tracking Tool?)
FCT Data Audit Process
Tested
FCT Data Audit Process
Commences
CNC Tracking Tool
implementation
CNC Tracking Tool Project Commences
Define and develop e-Referral FCT requirements (HSC
flagging, Criteria for direct access to OP colonoscopy
Development of Lab
reporting requirements
Automated FCT Data
Collection
webPAS and Clinical Portal Testing to ensure Automated Data Collection
Implementation
Regional FCT SMT
E-Referrals
Laboratory
3 DHB
Remaining DHBs
Implementation
* Clinical Portal 8
* Results Viewing
* Medical Templates
* Medical Transcription (1 Template)
* Orders (Radiology only)
* Rhapsody Hub & Spoke
MDHB
Implementation
Clinical Portal 7.4
CNC Tracking Tool
Sept 14 to Aug 15
Foot Print 2 DHBs
Implementation
Clinical Portal 1.0
Local
FCT Data Collection
Aug 2015
Aug 14
HSC flagging
incorporated
Laboratory
Reporting Capture
IT as an enabler: External to CRISP
Note: All timeframes are subject to change
National Patient Flow Project
Primary objective of the NPF project is to
create a solution that has the ability to
monitor the publicly funded patient
journey to measure the efficiency of
health interventions and to consequently
ensure optimal use of the significant
public investment in this area.
3-5 year project
National Patient Flow Project
What the NPF is:
• A national view across all regions that will allow
comprehensive monitoring of DHB performance
in delivering secondary and tertiary healthcare
• A solution that will have the ability to supply a
retrospective and analytical reporting
environment both at a summary and detail
patient and event level
• A source of data that can be used to measure
and monitor performance against key indicators
National Patient Flow Project
What the NPF is:
• A data collection that is focused on events and
timeframes that occur during a patients
journey through specialist services
• A system that can aggregate those events
within the context of a patients episode of care
• A reporting system that can be used for
strategic decision making
• A reporting system that will be used to inform
operational policy.
National Patient Flow Project
What the NPF is not:
• A local or regional system that will
support frontline health care delivery.
E.g. Patient Management Systems (PMS)
• A real time data collection
• A collection of summary level data
• A clinical data repository
• An operational application
• A shared care patient record