1. iPEHOC Improving Patient Experience and Health Outcomes Collaborative PM Update July 17 th, 2015

2. Lung and Sarcoma: recap LUNGSARCOMA Site LeadDr. Bezjak, Radiation Oncologist Dr. Ferguson, Surgical Oncologist Patient Care Co-ordinator Iryna Tymoshyk Screening Rates (2015)78%; 84% electronic100%; 87% electronic # Unique Patients /Mo500200 Team Composition5 Medical, 7 Radiation and 5 Surgical Oncologists, 4 Nurses, Residents/Fellows, 3 PFCs, and 3 Allied Health (social worker, dietician, radiation therapist) 3 Medical, 3 Radiation and 3 Surgical Oncologists, 5 Nurses, Residents/Fellows, 3 PFCs

3. Communication Plan CLINICIANS Kick off events Presentations at MCCs Newsletter updates E-mail updates FAQs for staff Highlight the clinician role VOLUNTEERS Training Video On site education PATIENTS Posters and Pamphlets

4. Clinician Education and Engagement Plan September Global pre-launch education to be delivered at individual hospital site rounds ( SMGs, Why PROS, Simulated cases): Doris/Madeline and Site Leads October onwards Symptom PROs education modules to be tailored and delivered to each clinic site Lung – every 2 weeks after global education on Fridays Sarcoma – individual modality meetings to be scheduled for each PRO Teaching to be delivered by content lead and nursing educator Ongoing education to be delivered to clinicians Clinicians will be asked to complete feedback assessment

5. Patient Engagement Campaign Building on the Integration of DART Help us help you! DART is a short, self-assessment asking you about your physical symptoms, practical needs and emotional concerns. Patient Itinerary Intro from PFCs/ nurses/MDs DART Pamphlets PM Website Posters in clinic

6. Clinic Flow Patients will check in to clinic and be provided a DART iPad Patient Flow Co-ordinator “Please complete DART so we can provide the best possible care”

7. iPEHOC DART plus Brief Pain Inventory Cancer Fatigue Scale iPEHOC DART plus Brief Pain Inventory Cancer Fatigue Scale

8. The IPEHOC Tool has been seamlessly integrated in DART

9. IPEHOC reports are printed behind reception (dedicated printer)

10. Inter-professional Response Patient Inter-Professional Collaborative Care Patient Self- Management Team Interventions Specialist Interventions LOW DISTRESS MODERATE DISTRESS HIGH DISTRESS RN Assessment on Complex Cases Inter-Professional Case Based Group Education/ Workshops Staff Huddles/ Meetings with Audit and Feedback iPEHOC completed as part of Standard Care om IPads Person Centered Response Streamlined Clinic Assessment LUNG Focus on patients who score 3 or more ESAS symptoms >4 Represents approx. 25% of patients based on Jan-March 2015 data audit SARCOMA Focus on patients who score all 4 ESAS symptoms >4 Represents approx. 10% of patients based on Jan-March 2015 data audit

11. Reinforcing the Change iPEHOC MONTHLY PROGRESS REPORT SCREENING RATES CHART AUDITS SYMPTOM PREVALENCE QUALITY IMPROVEMENT (e.g., patient/staff satisfaction, PDSA ) Huddles and on site support in clinics One-on-one feedback Newsletter updates/ Posters/ FAQs Presenting at hospital site rounds Monthly Progress Reports Inclusive of chart audits QI

12. MARAPRMAYJUNEJULYAUGSEPTOCT iPEHOC Kick off Event (*) Baseline Survey Collection Pilot iPEHOC Tool in Select Clinics (*) Develop iPEHOC Educational Toolkit Educational Blitz – Pre Launch Launch in All Lung and Sarcoma Clinics Chart Audit/ Huddles/ Checklist Ongoing Case Based Workshops LUNG iPEHOC Key Deliverables Soft LaunchHard Launch SARCOMA