1. BEACON IMPLEMENTATION CTG UPDATE 04.03.14 Seth Bokser, MD Noori Dhillon, Beacon Project Manager

2. Meeting Agenda Project Recap Progress & Accomplishments What’s Next & Key Milestones

3. PROJECT RECAP

4. The Big Picture Vision Empowering patients, clinicians and staff, through constructive collaboration and change, to transform UCSF into the most safe, efficient and customer-centric cancer treatment facility. Mission Standardize protocol content management, reporting and documentation to enhance safety and reliability. Mitigate risks of automated drug-delivery process through tailored clinical decision support. Optimize and align clinical practices surrounding chemotherapy administration across specialties. Create an environment of care that boosts the overall experience for patients and their families.

5. Impacted Areas Adult Gyn Onc Neuro Onc Heme/BMT Medical Oncology Urologic Onc Breast Onc GI Onc Thoracic Onc Melanoma/Head & Neck Onc Sarcoma Phase 1 Clinical Trials Pediatrics Oncology BMT

6. Where We’re At Planning Kick-OffBuild Test/ Validate Go- Live Post - Live June 2015: Adult November 2015: Peds Jan – Mar 2014 Governance Epic Site Visits Workflow Validation Build Design Sep – Dec 2013: Budget & Resources Areas of Impact Existing Workflows Leadership Vision Beacon Site Visits Begin April 2014 : Adult Begin Late 2014 : Peds

7. ACCOMPLISHMENTS

8. What We’ve Accomplished Pain Point Interviews & Analysis Project Governance Protocol House Cleaning Disease Groups Workflow Validation Sessions 25 hours of workflow validation MD, NP, RN, PharmD representation from each clinical area 3 out of 30 workflows to be “re-engineered” All 3 have action plan to be finalized Practice Standardization Research Validation

9. What We’ve Accomplished Pain Point Interviews & Analysis Protocol House Cleaning Disease Groups Workflow Validation Sessions 13 Clinical Representatives from each impacted area MD, PharmD, RN 20% project commitment MD Committee Chair Consistent meetings & decision-making since Jan Every 2 weeks, 2 hours Project Governance

10. What We’ve Accomplished Pain Point Interviews & Analysis Workflow Validation Sessions Med Onc disease groups validated lists of 200+ paper protocols Frequency of ordering Disease group meetings Protocol review Build Accuracy/up-to-date Project Governance Disease Groups Protocol House Cleaning

11. What We’ve Accomplished Workflow Validation Sessions Three Distinct Areas of Process Improvement 67 total issues identified related to chemotherapy 16 Automatic w Beacon, i.e. MD/PharmD communication 25 Re-engineering (Plus), i.e. management of dose changes for patients on long term chemo protocols 26 Mt. Zion Infusion Center Lean Initiative, i.e. patient throughput, staff efficiencies Project Governance Disease Groups Protocol House Cleaning Pain Point Interviews & Analysis

12. WHAT’S AHEAD

13. Build & Validation Protocols Adult - SOC ~350 paper protocols  many more Beacon protocols - Research TBD Pediatrics - ~65 paper protocols  ~600 Beacon protocols Core Build - Navigators - Security - Documentation

14. Reporting Scope Data Analyst Hiring: Data Mapping/Assessment Analysis & Recommendations Build Requirements Areas of Assessment: Cancer Registry Adult BMT Transplant Database Ped BMT Database Pediatric Oncology Database (POD) Athena

15. Other Areas of Focus Staging Survivorship Oral Chemotherapy Non-Oncology Chemotherapy MyChart POD Transition Research Billing

16. Questions?