OCM: Where Are We Now? Amanda Hodges BSN, RN, OCN

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Presentation transcript:

OCM: Where Are We Now? Amanda Hodges BSN, RN, OCN Director of Clinical Programs & Support Services The Center for Cancer and Blood Disorders Fort Worth, Texas

Team Meeting & Education Consists of 8 members Meets weekly Participates in CCMI calls Data Registry and Data analysis Detailed analysis of Quality measures Education: Physicians and Advanced Practitioners Staff Patients Outside Providers Ongoing, Everyday!!!

Navigators – Case Managers Nurse Navigator team Starts the patient education Enters history Advanced Directives Patient Handbook Case Manager team Continues the patient education Reinforces Advanced Directives Completes Risk Stratification to identify how closely we should follow patient

Triage – Support Services Triage team: Continues and reinforces patient education Standardizes the process for evaluation of the patient Support Services: Engage and involve your resources!! Dietician Psychotherapist Social Worker Chaplain Integrative Medicine Genetics Palliative Care Pain Management

New process still being monitored and tweaked for efficiency. Care Plan visits We modified our chemotherapy teaching process. Transitioned to the APP team to meet with each patient to review the following: Chemotherapy Patient Goals Review of Intent of Treatment Advanced Directives Obtain signed Treatment Plans and Informed Consent Infusion Nursing then can reinforce teaching completed at the chairside. New process still being monitored and tweaked for efficiency.

Distress and Depression Screening We have been performing Distress Thermometer screening for several years as part of QOPI initiative. Depression screening was done in the past with a tool but was cumbersome and inefficient. Now utilizing the PHQ-9 tool online with one of our software partners. Psychotherapy and Social Work teams will be reviewing all PHQ-9 testing for further intervention. This is still a work in progress to define our best practice for flow!

Palliative Care & End of Life Engaged a Palliative Care physician to see patients onsite once a week. Hospice partners: Developed a relationship with our core group of hospices For patients on service, the hospice submits a status report on patients with any major status change – such as: admit, dc for any reason, and admits to inpatient hospice This is still very much a work in progress!!!!!

Data Registry Registry is clunky Pulling as much data electronically as possible but still very manual data entry required for quality measures Looking to vendor partners for solutions/support Hired a tumor registrar to assist with data abstraction Working with providers and staff to make sure data is entered into discreet fields This is still very much a work in progress for our group and most all providers.

Thank You!