Oncology multidisciplinary clinic development.

Abstract

62 Background: In 2014 it was decided that a multidisciplinary approach would be beneficial for our breast cancer patients. A pre-conference for a multidisciplinary discussion on the treatment plan for the patients and their ability to see medical oncology, surgical oncology, and radiation oncology in one visit was the goal. Methods: A multidisciplinary planning committee was established to discuss operational issues. Location of the pre-conference and exam rooms were assigned along with the development of the MDC schedule templates for the physicians. The staffing resources were identified along with any additional equipment or supplies. Key staff were engaged to determine a new scheduling workflow including how patient referrals would be handled between departments, phone numbers the patient/family or physician would call for an appointment, and scripted messages to educate all on this model of care. Physicians developed triage questions to direct the caller to appropriate clinic and schedule an MDC appointment. A single phone number was created to ensure adequate access. Physician leadership and the managers of the affected areas worked with marketing on developing a variety of communication strategies to introduce the multidisciplinary initiative to providers, staff, referral networks, and patients. Results: Since the pilot in 2014, additional breast, thyroid/endocrine, thoracic, genitourinary, and gastrointestinal/colorectal MDC clinics have been launched as the outcomes have been very positive. Total MDC’s visits have increased by 200% from 132 in 2017 to 399 projected in 2019. Market share in the MDC programs has increased an average of 3.6 points. There has been a 44% increase in diagnosis at an earlier stage and both patient and provider satisfaction have trended upwards. Conclusions: The MDC’s have been a positive addition to our cancer program. The comprehensive approach to care has resulted in quality experience for all touched by cancer.