Multidisciplinary management pulmonary nodule clinic
This presentation is the property of its rightful owner.
Sponsored Links
1 / 16

Multidisciplinary Management & Pulmonary Nodule Clinic PowerPoint PPT Presentation


  • 142 Views
  • Uploaded on
  • Presentation posted in: General

Multidisciplinary Management & Pulmonary Nodule Clinic. The St. John experience. St. John Hospital and Medical Center is more than 400-bed teaching hospital in Detroit Part of the St. John Providence health system and Ascension health

Download Presentation

Multidisciplinary Management & Pulmonary Nodule Clinic

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Multidisciplinary management pulmonary nodule clinic

Multidisciplinary Management & Pulmonary Nodule Clinic

The St. John experience

Presented By:

Zyad Kafri, M.D.


Multidisciplinary management pulmonary nodule clinic

St. John Hospital and Medical Center is more than 400-bed teaching hospital in Detroit

Part of the St. John Providence health system and Ascension health

We offer excellence in cancer treatment at multiple system wide cancer centers

We are committed to improve the quality and timeliness of cancer care

Develop system wide strategies to emphasize early detection and improve early stage lung cancer care

St John Hospital and medical canter


Problem statement

Many cases presenting to the hospital (ER) are found accidently to have abnormal chest imaging

Many patients in our community are considered at high risk of developing lung cancer without access to routine screening test

Patient presenting with symptomatic lung cancer usually have advanced non-curable disease

Accidently discovered lung nodules are often managed by different specialists and their care is fragmented and often delayed (missed opportunity)

Lung nodules that discovered in high risk population are good investment for early detection and often cure of suspected early stage lung cancer

Need standardization of evaluation and follow up process (quality) and make the process more predictable (timeliness)

Problem Statement


Constraints

No routine follow up done on abnormal chest imaging at the ER

Patients with lung nodules are managed individually on case by case basis

No standardization of care or referrals

Evaluation is usually delayed and fragmented

Referring staff awareness

Patient satisfaction

Constraints


Aim statements

Develop a mechanism to capture all missed opportunities

Improve the quality of care by developing and organizing a predictable lung nodule evaluation and management process

The process has to be self sustained and system based

Consistent with the standard practice guidelines

Increase staff awareness of the process

Patient centered to improve patients’ satisfaction

Aim Statements


Action plan

W have met with the multidisciplinary thoracic team and decided to proceed with the stated aims.

We formed a core committee that meets often on weekly basis.

Flow chart, value stream map and process map, were all developed.

Action Plan


Data results charts

Data/Results/Charts


Improvement measures

Improvement Measures


Change improve the system

Change-Improve the system

  • Designate a multidisciplinary core team with pulmonology champion

  • Hiring Thoracic Oncology Program coordinator and establish a lung nodule database

  • Standardizing lung CT-scan reporting

  • Develop new lung nodule pathway with pulmonology, diagnostic radiology and thoracic surgery

  • Flagg accidentally discovered cases then forwarded the list to the thoracic oncology program coordinator for further action

  • Lung nodule case conference

  • Establish a process of communication and data exchange with primary care referring network

  • Establish and consolidate the Low dose screening chest CT scan and reporting mechanism


Sustain

Sustain

  • Hire a full time thoracic program navigator

  • Maintain lung nodule case database

  • Maintain weekly lung nodule board meetings (case conference)

  • Monthly review of the data tool/registry

  • Quarterly reports to cancer committee and the administration

  • Develop partnership with other health network sites

  • Develop partnership with referring network


Multidisciplinary management pulmonary nodule clinic

Thank You


  • Login