Integrated Cancer Services Plan HNHB LHIN Dr. Bill Evans, Regional Vice-President, CCO Carol Rand, Director, Systemic, Supportive, Regional Cancer Programs
Organizational Structures for Regional Cancer Services Regional Cancer Program Hospital Administration Cancer Administration Governance & Committee Structure President & CEO HHS CEO, Cancer Care Ontario M. Sherar M. Martin Executive V. P. Clinical Operations Vice President, Regional Cancer Programs Judy Burns B. Flaherty President JHCC Regional Vice President, B. Evans Director, Regional Cancer Program Carol Rand Regional Cancer Program Priorities & Planning Committee * Development of Disease Site Specific Regional Programs and Networks Hospital Cancer Systemic, Radiation, Surgical Oncology, Cancer Committees Councils Integrated Cancer Screening, Palliative Care, Aboriginal, Primary Care, Patient Education, Diagnostic Imaging, Pathology * Membership includes Designated Cancer Leads from each hospital in the LHIN
Development of the Integrated Services Plan (ICSP) guided by: • Hamilton Niagara Haldimand Brant LHIN Vision o A health care system that helps keep people healthy, gets them good care when they are sick, and will be there for our children and grandchildren. • Cancer Care Ontario Vision and Mission o Working together to create the best cancer system in the world. o We will improve the performance of the cancer system by driving quality, accountability and innovation in all cancer-related services • HNHB Regional Cancer Program Vision o Equal access to coordinated system of high quality cancer services across the continuum of care, from prevention and early detection through to palliative care, across the region
Development of the ICSP Leadership from: • Regional Vice-President • Deputy RVP • Regional Cancer Program Director • Regional Planning and Priorities Committee • Medical Discipline Heads and Network Leaders • Directors of Cancer Programs and Networks
RCP Priorities and Planning Committee Purpose: The Regional Cancer Program (RCP) Priorities & Planning Committee will provide strategic oversight and direction for the development and implementation of all cancer services, as defined through a Memorandum of Agreement (MFA ), across HNHB LHIN. The membership is committed to the development of a strong and innovative RCP in the LHIN. Objectives: 1. To support the RCP RVP to lead cancer services planning within the LHIN as part of the province-wide cancer planning. 2. To identify strategies to meet regional needs for service, integration, co-ordination and quality improvement. 3. To facilitate patient and consumer involvement in planning and evaluating activities. To implement provincial standards and report on the LHIN’s performance relative to 4. these standards. 5. To monitor and report on the LHINs programs and services. 6. To respond to performance results for the LHIN, which may require assessment and re-alignment of where and how services are provided.
Development of Cancer Priorities for ICSP • Cancer Incidence and Prevalence Data by Disease Site within the LHIN • Regional Modifiable Risk Factor Profile • Understanding of Current Capacity Issues and Challenges • Direction of Ontario Cancer Plan (2005, 2008, 2011) • Regional Priorities Established in Consultation with CCO and in Alignment with OCP • Cancer System Quality Index Data
Development of Cancer Priorities for ICSP o RCPPC Review of Data, OCP III, Challenges, Opportunities o Alignment with LHIN Clinical Services Plan o Agreement on Regional Priorities o Agreement on Template & Domains o MRPs for each Priority o Interactive Process o Milestones established over 4 years of the plan
Key Strategic Priorities 1. Development of the Walker Family Cancer Centre as an integrated partnership with JCC 2. Implementation of common Oncology-specific Information System across HNHB LHIN 3. Strengthen and Integrate Regional Programs 1. Radiation Therapy 2. Systemic Therapy 3. Cancer Surgery Consolidate complex cancer surgery (Gyne, HPB, Thoracic, Sarcoma) 4. Palliative care 5. Integrated Screening Program 4. Strengthen Regional Networks
Strategic Priority 1 Development of Cancer Program at Walker Family Cancer Centre • MOU to create an integrated partnership • Establish medical and administrative leadership • Establish Clinical Department of Oncology at NHS • Build one radiation oncology program on 2 sites • Expand screening services, systemic therapy • Develop supportive and palliative care services • Develop disease site subspecialization amongst oncologists, MCCs • Implement common cancer information systems
Strategic Priority 2 Implement Regional Cancer Informatics Strategy Regional cancer informatics plan developed Director, Integrated Cancer Informatics recruited Agreement on common oncology-specific information system obtained Implement Meditech registration/ADT interface to OPIS 2005, MOSAIQ Focus on integration of JCC/HHS and WFCC/NHS but strategy to be extended to JBMH and BCHS Utilize Clinical Connect to link oncology specific information across system Utilize the Dir to facilitate access to cancer images
Strategic Priority 3: Strengthen and Integrate Regional Cancer Programs Radiation Therapy Program • Develop integrated administration and HR for single program model • Increase regional radiation therapy utilization: radiation oncologists in more community-based clinics, • Engage radiation oncologists in more community-based multidisciplinary case conferences (MCCs) Systemic Therapy Program: • Implement Regional Systemic Therapy Plan • Establish a Regional Systemic Therapy Committee; enhance regional MO resources (AFP positions) to bring systemic therapy closer to home where possible (Brantford, St Catharines)
Model for the Full Integration of Systemic & Radiation Therapy Services Through the JCC, Walker Family Cancer Centre, Brantford General Hospital and Joseph Brant Memorial Hospital Affiliate Clinics* ◊ Juravinski Cancer Centre Level 1 Facility Education & Research (Clinical Trials) Systemic Therapy (complex, tertiary cases) Radiation Therapy Treatment Brachytherapy IMRT Cyberknife Brantford General Hospital Joseph Brant Memorial Hospital Satellite Satellite Level 3 Facility • Evolving to DST model Level 3 Facility Regional Systemic & Radiation Evolving to DST • Increase Systemic Therapy Therapy Program Systemic Therapy clinics to 5 days per week Radiation Oncology Follow up Clinics • Increase Radiation Oncology Follow up Clinics Walker Family Cancer Centre Level 2 Facility (2013) Education and Research (Clinical Trials) Systemic Therapy Radiation Therapy Treatment Haldimand Norfolk Referrals to Brantford General Hospital & JCC Community Oncology Clinic as appropriate – for Systemic Therapy Welland Niagara Falls Affiliate Affiliate Systemic Therapy Systemic Therapy Follow-up Clinics Follow-up Clinics * Includes the implementation of the Disease Site Team (DST) Model across the LHIN, multidisciplinary case conferencing, plus a regional cancer informatics system to support care across the continuum. ◊ Definitions of Level 1, 2, 3 according to CCO definitions for Level of Care.
Strategic Priority 3: Surgical Oncology: • Regional cancer surgery lead and representatives of 6 hospitals doing the majority of cancer surgery make up SON • Enhance the interaction between surgeons doing cancer surgery across the LHIN • Implement provincial guideline and standards developed through CCO • Consolidate tertiary activity; disperse common cancer surgeries predominately to community • Local surgical leads to encourage colleagues to engage in MCCs and other quality initiatives • Quarterly review of performance/quality metrics • Regional Workshops: breast, colorectal, prostate
Strategic Priority 3: Consolidation of Complex Surgical Oncology • Implementation of CCO Standards for high complexity surgery: o Thoracic • Consolidated to St. Joseph’s Hospital; NHS and JBMH have both agreed to stop thoracic oncology • Lung DAP established at St. Joe’s and St. Catharines General o Hepatobiliary • HPB from MUMC and St. Joe’s consolidated to Juravinski Hospital as part of HHS Access to Best Care
Model for the Delivery of Cancer Surgery* Brantford General Joseph Brant Hospital Memorial Hospital Norfolk General Hospital St. Catharines Hamilton Health Sciences General Hospital Gyne-Juravinski CNS-General HPB Juravinski Sarcoma West Haldimand HPB General Hospital Regional Cancer Niagara Health Greater Niagara System Surgery Model General Hospital Haldimand War Memorial Hospital St. Joseph’s Hospital • Thoracic Thoracic Prostate Welland General Head & Neck Hospital Endocrine West Lincoln Sarcoma Memorial Hospital Ophthalmology * Consolidation of specific sites to HHS and St. Joseph’s Hospital, with general surgery for breast, colorectal and GU delive red across the LHIN at all hospitals
Strategic Priority 3: Palliative Care • Develop a regional palliative care network • Implement 9 CCO recommendations within region • Establish a TAPCU at JHCC • Implement standard symptom management assessment tools (ESAS) across LHIN • Collaborate with HNHB Hospice Palliative Care Network to increase use of standardized assessment tools across LHIN (ESAS, PPS)
17
Recommend
More recommend
