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Beacon Implementation CTG Update

Beacon Implementation CTG Update. 04.03.14 Seth Bokser, MD Noori Dhillon, Beacon Project Manager. Meeting Agenda. Project Recap Progress & Accomplishments What’s Next & Key Milestones. Project Recap. The Big Picture. Vision

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Beacon Implementation CTG Update

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  1. Beacon ImplementationCTG Update 04.03.14 Seth Bokser, MD Noori Dhillon, Beacon Project Manager

  2. Meeting Agenda • Project Recap • Progress & Accomplishments • What’s Next & Key Milestones

  3. Project Recap

  4. The Big Picture Vision Empowering patients, clinicians and staff, through constructive collaboration and change, to transform UCSF into the most safe, efficientand customer-centriccancer treatment facility. Mission Standardize protocol content management, reporting and documentation to enhance safety and reliability. Mitigate risks of automated drug-delivery process through tailored clinical decision support. Optimize and align clinical practices surrounding chemotherapy administration across specialties.Create an environment of care that boosts the overall experience for patients and their families.

  5. Impacted Areas

  6. Where We’re At • Sep –Dec 2013: • Budget & Resources • Areas of Impact • Existing Workflows • Leadership Vision • Beacon Site Visits Begin April 2014 : Adult Begin Late 2014 : Peds • Jan – Mar 2014 • Governance • Epic Site Visits • Workflow Validation • Build Design June 2015: Adult November 2015: Peds

  7. Accomplishments

  8. What We’ve Accomplished • 25 hours of workflow validation • MD, NP, RN, PharmD representation from each clinical area • 3 out of 30 workflows to be “re-engineered” • All 3 have action plan to be finalized • Practice Standardization • Research Validation Pain Point Interviews & Analysis Workflow Validation Sessions Disease Groups Protocol House Cleaning Project Governance

  9. What We’ve Accomplished Pain Point Interviews & Analysis • 13 Clinical Representatives from each impacted area • MD, PharmD, RN • 20% project commitment • MD Committee Chair • Consistent meetings & decision-making since Jan • Every 2 weeks, 2 hours Workflow Validation Sessions Disease Groups Protocol House Cleaning Project Governance

  10. What We’ve Accomplished Pain Point Interviews & Analysis • Med Onc disease groups validated lists of 200+ paper protocols • Frequency of ordering • Disease group meetings • Protocol review • Build • Accuracy/up-to-date Workflow Validation Sessions Disease Groups Protocol House Cleaning Project Governance

  11. What We’ve Accomplished • Three Distinct Areas of Process Improvement • 67 total issues identified related to chemotherapy • 16 Automatic w Beacon, i.e. MD/PharmD communication • 25 Re-engineering (Plus), i.e. management of dose changes for patients on long term chemo protocols • 26 Mt. Zion Infusion Center Lean Initiative, i.e. patient throughput, staff efficiencies Pain Point Interviews & Analysis Workflow Validation Sessions Disease Groups Protocol House Cleaning Project Governance

  12. What’s Ahead

  13. Build & Validation Protocols • Adult • SOC ~350 paper protocols  many more Beacon protocols • Research TBD • Pediatrics • ~65 paper protocols  ~600 Beacon protocols Core Build • Navigators • Security • Documentation

  14. Reporting Scope • Data Analyst Hiring: • Data Mapping/Assessment • Analysis & Recommendations • Build Requirements • Areas of Assessment: • Cancer Registry • Adult BMT Transplant Database • Ped BMT Database • Pediatric Oncology Database (POD) • Athena

  15. Other Areas of Focus • Staging • Survivorship • Oral Chemotherapy • Non-Oncology Chemotherapy • MyChart • POD Transition • Research Billing

  16. Questions?

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