Abstract
47 Background: Many organizations have recognized the importance of longitudinal care for Breast Cancer Survivors (BCS) as they remained at risk for treatment related side effects (TRSE) that can greatly impact their health and quality of life. Various models of Breast Cancer Survivorship Program (BCSP) have been proposed. In October 2016, we implemented a BCSP using a consultative model with the goals to create a systematic approach to capture patients’ concerns, coordinate on-going care, standardize survivorship recommendations, and track care plan delivery compliance. Methods: Our Survivorship Nurse Practitioner (SNP) meets with patients in a one-on- one consultative visit after receiving electronic referral. Patients are given a comprehensive survey to assess symptoms and concerns following their treatment. Based on survey, SNP provides personalized education about their concerns. SNP also makes appropriate interventions and arranges referrals for supportive care services. After the visit, SNP generates a care plan and a consultative letter detailing the patient’s concerns and provides further recommendations for interventions and follow up care. SNP leads a quarterly Multidisciplinary Conference to educate treating providers and supporting staff regarding TRSE management according to standard guidelines and evidenced based approaches. Results: From Oct 2016-Oct 2017, 252 BCS were seen at our BCSP. BCS reported high satisfaction with better understanding and coping with their symptoms after being seen. 100% of oncology providers reported better understanding about BCS's concerns and felt more confident about TRSE management. Primary providers also reported higher satisfaction with communication across specialty. The ability to identify BCS and to track care plan delivery compliance was also more streamlined. Conclusions: We elected for a consultative approach because it allowed for a dedicate time to review all components of survivorship. It also created a formalized way to better understand the needs of our survivors. In addition, this approach empowered the patients to discuss TRSE with their providers and enabled the care team to integrate survivorship care throughout their subsequent visits.
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