Development of supportive care screening at Werribee ... - wcmics

DEVELOPMENT OF SUPPORTIVE CARESCREENING AT WERRIBEE MERCYHOSPITALColleen Pollitt – Project Officer

Project Title‘The Werribee Mercy Hospital IntegratedContinuum of Care Strategy for supportingcancer patients and their families throughouttheir journey from diagnosis through toPalliative Care’

Project Funding• Funded by WCMICS.• Covered cost of Project Manager for lengthof project.• 15 th January 2007 – 30 th September 2007.• Assisted by In Kind funding by WMH.

Project Objective• To develop processesand resources.• To undertake needsanalysis of systemsand processes.• To research evidencebased practice anddevelop sustainablesystems and tools.

Methodology• Identification.• Development and implementation.• Interim report.• Evaluation, review and refining.• Final report.• Feedback to stakeholders.

Pathways• Process mapping.• Identification ofgaps in services.• Breast Cancerpatients.

Key Stakeholder Input• Patients –32 patients surveyed – 8 returned.• Indicated need for screening tool.• Support for existing services.• Recognise need for ongoing assessment.

Staff Survey• 11 surveys returned.• All supported use of tool.• User friendly, simple and effective.• Structured information pack.• Local Resources.

Tools in Use• Supportive Care Screening – Peter Mactool.• EORTC QLQ-C30.• Distress thermometer.• Greater Southern Area Health ServiceOncology Patient Self Assessment.

Stakeholder Workshop• 18 participants.• Shown existing tools and other possibilities.• Group work.• Discussion and recommendations.• Selection of tool.

Workshop Outcomes• Recommendations.• Discussion with Peter MacCallum CancerInstitute.• Project Steering Committee.• Health Information Services.

Screening Tool• Plan for patient to complete tool at first visit.• Referral tool developed – outlines process ofreferral and provides contact numbers.• Follow-up supportive care screening – approx 6-8weeks from first visit, aims to provide a snapshot ofsituation at that time.

Implementation• Education.• Protocol development.• First time use.• Referral.

Evaluation of Tools• Staff feedback.• Very thorough.• Offers comprehensiveservice.• Insight into progressetc.

Patient Feedback• Assists with identification of needs.• More comprehensive servicesavailable.• Patient information folder.

Resources Developed• Resource folders.• Patient information.• Staff information.• Directory.• Patient folder.

Networking• Networking withother services.• WCMICS.• Membership ofSupportive CareAdvisory Group.

And Now?• New patients screened.• Reassessment as required.• Multidisciplinary team.• Auditing of outcomes.

Project Steering Committee• Andrea Ryan - WCMICS AdminCoordinator WMH.• Anne Harrison – Physiotherapy.• Paula Cooke – Occupational Therapy.• Melanie Snow & Michelle Fleming –WCMICS Project Officers.

• Bill Shepherdson - Social Work.• Dr Anthony Dowling – Medical Oncologist.• Trudy Keur – Pastoral Care.• Jean Seymour – NUM Palliative Unit.• Leanne Winder – NUM Ambulatory Care.

Thanks• To WMH• To WMH staff• Our patients• To WCMICS