The Cancer Supportive Care Model

A Patient-Partnered Paradigm Shift in Health Care Delivery

Elias Anaissie, MD; Tara Mink, RN

Disclosures

J Participat Med. 2011;3 

In This Article

Barriers to Implementation

Identified barriers to implementation of the Cancer Supportive Care Model were limited to initial physician/patient reluctance, logistical (including space limitation and geographical contiguity of patient care areas) and technical (EMR). The latter two barriers interfered with the continuity of care during patient transition between various MIRT patient care areas.

The initial physician and patient reluctance were overcome through education based on actual MIRT outcome data including improved survival with similarly treated patients[9 12 13] and through patient networking. Indeed, patients are now more reluctant to be hospitalized even when their condition is deemed to require hospitalization on the basis of MIRT's research and standards of care. The completion of the Winthrop P. Rockefeller Cancer Institute in 2010 allowed relocation of all MIRT outpatient treatment areas into one state-of-the-art facility, hence eliminating the logistical barrier. Adapting the outpatient EMR to the inpatient unit improved communication during patient transition between various MIRT areas of care and hence the continuity of care. This project was developed through a collaborative effort with the UAMS Information Technology EMR team including weekly meetings to build documentation forms, flow sheets of medication administration and laboratory results, quick-texts (automatically populated standardized but editable texts), toxicity grading forms, patient education material, and others.

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