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Breast Cancer Treatment Summary: Pilot Project

Breast Cancer Treatment Summary: Pilot Project. St. Francis Cancer Center Stormont Vail Cancer Center January 2010. Background. Increasing numbers of men and women are long-term breast cancer survivors Survivorship is a phenomenon attracting professional and lay attention

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Breast Cancer Treatment Summary: Pilot Project

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  1. Breast Cancer Treatment Summary: Pilot Project St. Francis Cancer Center Stormont Vail Cancer Center January 2010

  2. Background • Increasing numbers of men and women are long-term breast cancer survivors • Survivorship is a phenomenon attracting professional and lay attention • Communication between Oncologists and PCPs is essential for continuity of care • Survivors need information about their treatment, follow up, signs of recurrence and potential late adverse effects of treatment(s) • ASCO (2008) developed treatment plan and summary templates

  3. Preliminary Comments • Survivorship Committee gathered initial professional responses re: ASCO’s treatment summary initiative via conference calls, small group meetings • Responses mixed • Most oncology providers agree that communication between PCPs, survivors and oncologists is important and support the summaries in theory • Reluctant to use forms related to: • Staff time to complete • Perceived as another form that intrudes into practice time/day • Duplication of information that is already contained in oncologists’ progress notes that are forwarded to PCPs

  4. Project Purpose • To determine the amount of time needed to complete the breast cancer treatment summary following neoadjuvant or adjuvant treatment • To determine which staff is most likely to complete the treatment summary • To determine PCPs’ and survivors’ perceived usefulness of summaries • To report findings to Survivorship Committee

  5. Project Design • Utilize ASCO’s Breast Cancer Treatment Summary • Target Population: Individuals completing neoadjuvant or adjuvant treatment (chemotherapy, radiation therapy, hormonal therapy) for breast cancer • Clinic RNs at SFCCC & Nurse Navigators at SVCCC were designated to complete summaries

  6. Methodology • Tracking Excel Spreadsheet including • Patient Name • Type of treatment (neo vs adjuvant) • Completion of treatment date • Amount of time to complete treatment summary • Date that summary and letter of explanation mailed or faxed to PCP • PCP comments re: usefulness of summary • SFCCC utilized email as means of obtaining PCP comments • SVCCC • Date that patient received summary in person or when mailed • Patient comments re: usefulness of summary

  7. Project Results • # treatment summaries completed • 37 treatment summaries completed • Time to complete summaries • 35 to 60 minutes • Type of staff completing summary • Clinic RNs / Nurse Navigators • PCP responses • None • Patient responses • One response reported as “pleasantly ambivalent” • Staff responses • “A lot of work for time spent with no perceived real benefit.”

  8. Project Summary • ASCO template design geared for professionals vs lay • Need more user friendly summaries for survivors with specific reportable s/s and methods of surveillance • Usefulness to PCPs unknown • Treatment summary duplicates information in progress notes

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