2. CNC Orientation Forum May 2013
Faster Cancer Treatment (FCT) - Improving quality of care across the patient cancer pathway
CNC Orientation Forum
May 2013

3. FCT - Indicators
Referred urgently with high suspicion of cancer receive first cancer treatment within 62 days
Referred urgently with high suspicion of cancer have first specialist assessment within 14 days
Confirmed diagnosis of cancer receive first cancer treatment within 31 days of decision-to-treat

4. Current focus areas: FCT Programme Regional Implementation Plans
National Tumour Streams
MDM development
Care Coordination

5. Regional FCT Implementation Plan
Review of existing IT systems / processes identified:
Difficult to connect events across the tumour stream pathway especially when these pathways span different DHBs and different services within DHBs
No single episode ID to support active patient management or data reporting
No consistent method to add a High Suspicion of Cancer flag to enable prospective patient management
The following staged process is planned for the collection and reporting of the FCT indicators for the region:

6. Regional FCT Implementation Plan
Review of existing IT systems / processes identified:
Variations in interpretation of some data elements will occur if business rules aren’t agreed across the region (?nationally)
Capture of these data elements currently is a combination of PAS and paper based due to variability in systems across the region
Most PAS systems in the region are coming to the end of their life therefore IT based solutions are not feasible in the short term.
The following staged process is planned for the collection and reporting of the FCT indicators for the region:

7. Regional FCT Implementation Plan
Period
Expected Processes
July 2012 to Dec 2012
DHB of Domicile compile FCT indicators based on information provided by the various treating DHBs
Mid Term
Regional consolidation with an emphasis on automating processes where it is viable
Longer Term (2015+)
CRISP enabled information management, national reporting framework supported by national datasets and business rules
The following staged process is planned for the collection and reporting of the FCT indicators for the region:

8. Regional FCT Implementation Plan
Data related activity:
Reporting Framework
CRISP design phase
Suspected Cancer flags
Data consolidation process
External data eg Hospice
Currently in testing/development phase, first report due Qtr3

9. Regional FCT Implementation Plan
Planned Resources:
1.0FTE Regional Project Manager (CCN)
0.3FTE Regional data analyst (TAS)
1.0FTE FCT Tracker and 0.4FTE Clinical Advisor in each of MDHB and CCDHB (major treatment centres)
Funding for the regional data consolidation process / tool
MOH confirmed funding - $335K for one year
DHB Execs approved plan
Positions being filled

10. FCT Components for CRISP

14. National Tumour Streams
Regional cancer networks contracted to host the following national tumour streams:
NCN– Sarcoma, Upper Gastrointestinal, Melanoma, Head and Neck
MCN – Breast, and continue with Lung
CCN – Haematological
SCN – Bowel, Gynaecological
Development tumour care standards and pathways by June 2013
Urological cancer tumour standards will be developed following Prostate Cancer Task Force recommendations to Government late this year.

15. MDM Development
Funding advice identified $2 million nationally for MDMs - $455K CCN region
Next phase of activity:
Implement the national Guidance for Implementing Quality MDMs
Transition to a video-conference environment
Transition to regional electronic MDM proforma to allow:
data collection as enabled by CRISP
collection and reporting MDM data to provide baseline access statistics
Implement appropriate MDM coordination functions
Develop a regional funding model
Draft project plan going to:
Regional Clinical Teams Forum
GMs / COOs for sign-off

16. MDM Development
Videoconferencing suites – install completion due end of Nov
Draft project plan going to:
Regional Clinical Teams Forum
GMs / COOs for sign-off

17. Care Coordination

18. Care Coordination CCN working with DHB Cancer Managers / DONs:
Position descriptions
Recruitment
Orientation
Networking
Communications
Workforce development
Evaluation

19. Programme Governance Regional FCT Steering Group:
Representation from relevant DHB executives, CRISP, DHB managers, clinicians and consumers
Determine what needs to be done from a regional perspective, monitoring
DHB FCT Implementation Steering Groups:
Representation similar to above but at a local level
Determine how things get done from a district perspective,

20. Programme Governance FCT Data: MDM CNCI Regional FCT Data Group
FCT Trackers and Clinical Advisors Group
MDM
Upper Regional MDM Steering Groups (TDHB, WhaDHB, MDHB, HBDHB)
Lower Regional MDM Steering Group (C&CDHB, HVDHB, WaiDHB)
CNCI
CNC Group
DHB Cancer Managers and DONs Steering Group
?Expert Advisory Group

21. 2014/15 Focus
CRISP design to support FCT reporting and patient tracking
MDM – report access, move to BAU
CNCI– support implementation and evaluation
Tumour standards – audit pathways