Psychosocial distress screening and the survivorship care plan in the community oncology setting.

Abstract

206 Background: Alta Bates Summit Medical Center (ABSMC) is a Commission on Cancer (CoC) accredited comprehensive community oncology program in the San Francisco Bay Area with an annual adult cancer program of approximately 1700 patients. To satisfy CoC accreditation standards 3.2 (Psychosocial Distress Screening) and 3.3 (Survivorship) the cancer survivorship program has a collaborative nurse-led and primary oncologist-led model utilizing Journey Forward software for survivorship care plans (SCP) and the Distress Tool (DT). National standards include distress screening as an important assessment in cancer care, in order to provide interventions Methods: The self reporting DT was sent to adult cancer patients prior to a survivorship visit. Oncology nurse navigator and oncologist reviewed the DT and discussed concerns with the patient. Patients scoring 5 or greater on DT were referred to psychosocial services. Interventions based on patients’ needs include the Cancer Transitions Program(CTP), support groups and classes. Results: 100 patient charts were reviewed for DT and SCP. 95% of patients were female; 5% were male. Patients ranged in age from 22 to 92 years. 36 patients were enrolled in the 2015 CTP and 63% of those participants had completed SCP. Conclusions: The prevalence of psychosocial distress in our community oncology practice was lower than expected, in part due to the robust supportive care environment that patients actively partake in at the Cancer Center. Implementing the DT also improved patient and clinician communication resulting in more timely intervention. [Table: see text]