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
Multidisciplinary Management & Pulmonary Nodule Clinic
The St. John experience
Zyad Kafri, M.D.
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
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)
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
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
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.