2018 Initiatives

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Measuring and Reporting

We publicly report on measures that matter to patients and ensure that data are shared with healthcare professionals in the partner hospitals.

  • 28 quality indicators in active measurement (see p. 8) defined in collaboration with the RCN Disease Site Teams and Quality Council to target areas of improvement and develop quality improvement initiatives.
  • 10 publicly reported indicators on the RCN Public Scorecard. Two public updates of data on mcgill.ca/rcr-rcn/scorecard in December 2017 and September 2018, including:
  • 1 Special Report on the Patient Experience based on five years of data and over 3000 responses to the standardized Ambulatory Oncology Patient Satisfaction Survey (AOPSS).

Quality Improvement Initiatives

We give healthcare teams the data and project support to make lasting improvements to patient services.

3 High Impact projects

  • Provide lung cancer patients with an integrated trajectory of care: Reducing system inefficiencies to streamline care across the partner hospitals. Focus areas include screening & prevention, diagnosis, treatment, survivorship & surveillance, and integrated informatics.

7 Patient trajectory improvements

  • Preparing caregivers to talk to kids about cancer. Giving healthcare professionals and individuals with cancer the tools to properly address the topic with children and teens through online modules at Startthetalk.ca.
  • Hepatitis B screening and monitoring prior to Rituximab therapy. Standardizing optimal screening for patients with a hematologic malignancy to eliminate potentially fatal complications from Hepatitis B reactivation.
  • Improving communication and reducing PEG complications for Head and Neck cancer patients. Developing new patient teaching tools for patients undergoing chemoradiation as well as a care card to alert emergency department teams or GPsof the patient’s treatment status and care team.
  • Optimizing tumour board (CDTC) management. Creating an administrative tool and an automated CDTC Report Card for all tumour sites. *Project aligned with la Direction gènèrale de cancérologie.
  • Fertility planning for female patients. Improved access to fertility preservation options by means of patient education resources, information sessions for health care professionals and a more effective referral process.
  • Enhanced Recovery After Surgery (ERAS) protocols for cystectomy patients. Shown to decrease complications and shorten length of stay.
  • Early palliative care for stage IV lung cancer patients. Developing a process to discuss goals of care and patient treatment preferences within two months of diagnosis, to better control symptoms and improve quality of life.
    • Urgent Care Center (UCC) tailored to cancer patients: Reducing complications and emergency department visits through oncology symptom-management telephone triage.
    • Patient reported outcome measures (PROMs) for distress screening: Expansion of an RCN-led initiative to a greater number of cancer types to improve symptom management with routine screening and patient-clinician discussions and interventions.

3 Feasibility projects

  • Optimizing access to patient nurse navigators (IPO: infirmière pivot en oncologie) Evaluating the current state of each RCN partner hospital’s utilization of nurse navigators including the number of patients they see across the different disease site groups.
  • Medical cannabis as a complementary treatment. Offering eligible patients specialized medical oversight and regular monitoring to help manage symptoms
  • Pre-screening breast cancer patients for clinical trials. Enhancing accrual to interventional clinical trials for breast cancer patients through pre-screening.

Connecting Healthcare Professionals 

  • 8 Disease Site Groups (DSGs): Collaborate across hospitals on 19 measurements and 11 quality improvement efforts; 4 residents involved in indicator measurements and 2 accepted posters for international conferences. New Sarcoma Disease Site Group led by Dr. Robert Turcotte. 
  • RCN Governance Group: Approves overall RCN direction and operational budget. Previously chaired by the Dean of Medicine, the committee will now be chaired by the CEOs of the partner hospitals on a rotating basis.
  • RCN Executive Committee: Approves all new projects; new members this year include the clinico-administrative (nursing) leads from the three partner hospitals.
  • RCN Quality Council (QC): Reviews and approves new indicators, public reporting, and other RCN initiatives. The QC is composed of clinician, quality improvement and patient representatives from the 3 RCN partner hospitals.

Research and Education

We support research aimed at improving the quality of cancer care. We enhance skills and participate in training the next generation of healthcare professionals.

  • Over $700,000 invested in the last year
  • 4 CQI Research Grants awarded
  • 3 Quality Improvement Initiatives (QI2) Grants awarded
  • 135 nurses trained by the RCN’s Skills Enhancement Program to complete oncology or palliative care specific certification or specialized training. The RCN received an Honourable mention from the Canadian Nurses Association for their Employer Recognition Award.
  • 2 Kuok Scholarships supporting a PhD in Epidemiology and a Master’s in Counseling Psychology.

 

 

 

 

 

 

 

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