Transcript Slide 1
Cancer Nurse Coordinator Initiative (CNCI) CNCI - objectives The objective of this service is to appoint nurses in cancer nurse coordinator roles that will: • improve the experience for patients, including their family and whānau, with cancer or suspected cancer • improve overall access and timeliness of access to diagnostic and treatment services for patients with cancer 9.4FTE across the region – minimum of 1FTE per DHB CNCI - distribution DHB Capital & Coast Hutt Valley Wairarapa MidCentral Whanganui Hawke’s Bay Taranaki Cancer Nurse Coordinator Katie Whytock CNS FCT Care Coordination - Sarcoma Specialty area Sarcoma Rowena Price (Interim) CNS FCT Care Coordination - Colorectal Colorectal Ginny Youmans – CNS FCT Care Coordination - Lung Monica O’Reilly CNS Cancer Care Coordinator Hours of work 0.7 FTE 0.6FTE 0.8FTE Lung General 0.9 FTE Lisa Simmons CNS Cancer Care Coordinator Jacinta Buchanan Cancer Care Coordinator/CNS Lynley Gulasekharam CNC - CNS Lung Cancer General 0.9 FTE General fulltime Lung Fulltime Gillian Forsyth CNC - CNS Gynae Cancer Andrea Dempsey-Thornton Gynae 0.8 General 0.8FTE General, Lung & Skin 0.9FTE General &Lymphoma General 0.6FTE fulltime Dianne Keip CNS – Cancer Coordination Anita Wootton CNS – Cancer Coordination Monique Bastin Cancer Nurse Coordinator CNCI - developments to date • DHB Cancer Manager / DONs Steering Group • Positions appointed / orientated • Regional orientation forum – May • National CNC Forum – June • Learning needs matrix • Patient tracking tools Hawkes Bay • Population of 156,500 • 890 cancer registrations per year Cancer registrations 1000 Number of registrations 900 800 700 600 500 400 300 200 100 0 1 2 3 4 5 6 7 8 Year 9 10 11 12 13 14 15 Activities We are heavily involved with: • Data entry • Data analysis But we’re also fast becoming experts in: • Tracking • Liaising • Supporting Challenges • 1.5 FTE – 10 tumour streams • Data • What do we do with complaints? What about if the patient isn’t around to complain? • How do we maintain visibility to the organisation / sector? e.g. Consumer Council, Clinical Council, hospital staff, primary care, kaitakawaenga, ED, other CNS’s Strengths • Finding people • Having the data prove that the gaps are where we thought they were • Connecting people • Allied team members CCDHB Current Activities • 2.2 FTE : split into tumour streams : lung, colorectal, sarcoma • Attending MDM’s, establishment of a clinical lead • Patient pathway mapping 10 patients in each tumour stream retrospectively • Report on gaps in service and how patients are travelling through what services, illustrated from mapping and in alignment with draft tumour standards • Developing relationships with key stakeholders • Regional and National involvement to support collaboration, consistency and using tools •Visibility, relationship building with CNC’s from other DHB • Developing clear clinical pathways where they don’t currently exist •Psychosocial needs assessment tool for early involvement it referring patient to appropriate services • Working on IT solutions for a patient tracking tool to anticipate and respond to impending delays • Introduction of service to concerned parties • Establishing service vision to fit with CCDHB service improvement directives and MoH patient involvement expectations Key issues • Fitting FTE to capacity – equity, complexity (including co-morbidities) • Active patient tracking • Service improvement • Whole of system change 2013/14 Activities • DHB’s ensure development plans in place for all CNCs • On-going fortnightly meetings to share information about service improvement activities and education opportunities • National CNC forum in June 2014 • Regional CNC forum as appropriate to progress service development • CCN to work with CNCs t identify service access criteria and tools • CNCs provided with access to cultural supervision and support for Maori and other ethnic groups