THE DECISION TO CREATE AN OFF-CAMPUS, HOSPITAL-BASED CHEMOTHERAPY SATELLITE.

2.50
Hdl Handle:
http://hdl.handle.net/10755/165005
Category:
Abstract
Type:
Presentation
Title:
THE DECISION TO CREATE AN OFF-CAMPUS, HOSPITAL-BASED CHEMOTHERAPY SATELLITE.
Author(s):
Gruber, Marcia; Smith, Debra; Bertran, Nancy; Therrien, Melissa
Author Details:
Marcia Gruber, RN MSN MS MS, Vice President, Therapeutic Services & Patient Acc, Roswell Park Cancer Institute, Buffalo, New York, USA, email: marcia.gruber@roswellpark.org; Debra Smith, RN, OCN; Nancy Bertran, BSN, OCN; Melissa Therrien, BS
Abstract:
As the demand for cancer care increases, hospitals must accommodate more patients who require chemotherapy. We experienced a 12% increase in patient visits, an increase in average treatment time, long wait times for treatment starts, and staff overtime costs that more than doubled. Eventually, all space and staffing options in our existing Infusion Center were exhausted. Before the growing volume compromised patient safety, administrators and clinicians alike believed it was time to look for expansion options. To maintain our quality of care and improve service delivery, a team of clinicians, administrators, decision support and facility professionals carefully examined the advantages and challenges of creating a remote chemotherapy location. The multidisciplinary team assessed the financial and operational impact, patient preferences, patient demographics and regulatory issues and recommended that an off-campus satellite office be created. A business plan and site selection criteria were developed. The nurse and physician team members determined which drugs could be safely administered off-campus. The proportion of research versus standard protocol appointments and the number of patients who required same-day labs and concurrent transfusions were determined. Nurses and doctors were asked what issues they might have about an off-campus location. Patient Focus groups were held and the literature reviewed for evidence-based best practices. The Facilities representatives educated us on regulatory and building codes. This information led the Team to recommend that an off-site chemotherapy clinic be developed. The business plan demonstrated that the project was viable and a suitable location was found that met all criteria. The Center opened to enthusiastic reviews in October 2006 and the Patient Satisfaction Survey results reveal highly satisfied patients. The nurses were integral in describing the operational processes and patient safety considerations that had to be considered throughout the development of the business and operations plans. At each potential location, one or two nurses assessed accessibility, safety, throughput potential, and the work environment. Once a location was selected, the expertise of the oncology nurse became even more important in the design of the space and operational processes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleTHE DECISION TO CREATE AN OFF-CAMPUS, HOSPITAL-BASED CHEMOTHERAPY SATELLITE.en_GB
dc.contributor.authorGruber, Marciaen_US
dc.contributor.authorSmith, Debraen_US
dc.contributor.authorBertran, Nancyen_US
dc.contributor.authorTherrien, Melissaen_US
dc.author.detailsMarcia Gruber, RN MSN MS MS, Vice President, Therapeutic Services & Patient Acc, Roswell Park Cancer Institute, Buffalo, New York, USA, email: marcia.gruber@roswellpark.org; Debra Smith, RN, OCN; Nancy Bertran, BSN, OCN; Melissa Therrien, BSen_US
dc.identifier.urihttp://hdl.handle.net/10755/165005-
dc.description.abstractAs the demand for cancer care increases, hospitals must accommodate more patients who require chemotherapy. We experienced a 12% increase in patient visits, an increase in average treatment time, long wait times for treatment starts, and staff overtime costs that more than doubled. Eventually, all space and staffing options in our existing Infusion Center were exhausted. Before the growing volume compromised patient safety, administrators and clinicians alike believed it was time to look for expansion options. To maintain our quality of care and improve service delivery, a team of clinicians, administrators, decision support and facility professionals carefully examined the advantages and challenges of creating a remote chemotherapy location. The multidisciplinary team assessed the financial and operational impact, patient preferences, patient demographics and regulatory issues and recommended that an off-campus satellite office be created. A business plan and site selection criteria were developed. The nurse and physician team members determined which drugs could be safely administered off-campus. The proportion of research versus standard protocol appointments and the number of patients who required same-day labs and concurrent transfusions were determined. Nurses and doctors were asked what issues they might have about an off-campus location. Patient Focus groups were held and the literature reviewed for evidence-based best practices. The Facilities representatives educated us on regulatory and building codes. This information led the Team to recommend that an off-site chemotherapy clinic be developed. The business plan demonstrated that the project was viable and a suitable location was found that met all criteria. The Center opened to enthusiastic reviews in October 2006 and the Patient Satisfaction Survey results reveal highly satisfied patients. The nurses were integral in describing the operational processes and patient safety considerations that had to be considered throughout the development of the business and operations plans. At each potential location, one or two nurses assessed accessibility, safety, throughput potential, and the work environment. Once a location was selected, the expertise of the oncology nurse became even more important in the design of the space and operational processes.en_GB
dc.date.available2011-10-27T12:10:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:10:51Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.