Jane Taggart Mark Harris Melvin Chin Winston Liauw David Tighe John Lewis 2 Acknowledgements Steering Committee Millica Rigby Consumer David Goldstein TCRN Brendon McDougall ID: 1041357
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1. e-Innovation in Cancer Follow-up CareJane TaggartMark Harris Melvin Chin Winston LiauwDavid Tighe
2. John Lewis2
3. AcknowledgementsSteering CommitteeMillica Rigby – ConsumerDavid Goldstein – TCRNBrendon McDougall – Integrated Care, SESLHDEd Kemp – ICT, SESLHDLeshae Johnston – iHUB, SESLHDAlex Dolezal – CESPHNTeng Liaw – CPHCE & WHO Collaborating Centre on eHealth, UNSWAndrew Knight – APICU, UNSW
4. In the beginning
5. At diagnosis of cancer
6. The attachment
7. A growing relationship
8. Upon successful treatment
9. Source: AIHW. Australian Cancer Incidence and Mortality (ACIM) books: Breast cancer. Canberra: AIHW. Fig 1: Incidence and mortality 1968-2012An increasing demand for services
10. Is shared care acceptable?RequirementsOptionsPilotPatients want support & shared care GPs willing but disempowered and de-skilledInformation Needs, Functional Specifications & GovernanceDevelopment Process
11. Pilot study – Colorectal cancer follow-up eShared careEvaluate the feasibility and acceptabilitySpecialist-GP interactionsPatient and clinician satisfaction with quality of careUsefulness / satisfaction with electronic care planMethods 10 patients, their GPs and oncologistInterviews at baseline, 6 months and 12 monthsObservations
12. An interactive care plan to support follow-up cancer careCancer Shared Care PlanIntegrated with General Practice systems:Medical DirectorBest Practice ….Cancer ServicesLogin to IncaPatientLogin to Inca
13. Care plan pathway
14. Treatment Summary sent to GP
15. Follow-up care plan for colorectal cancer
16. https://demo.precedencehealth.org/inca/signin/SignInPage?0 Inca Care Plan
17. Overview page of a patient’s care plan
18. Defining Care Team
19. Care Plan: Goals, tasks, responsibilities and timeframes
20.
21. Reporting and monitoring
22. Technical issuesComputer literacy GPs may only have one patientPatient confusion about careWhat about patients who do not have a usual GP?What happens when a GP retires?Early implementation issues
23. What’s next for this project?Complete pilot study TCRN follow-up study – evaluate patient suitability, communication and coordination and follow-up care Interest from other SESLHD services – Drug and Alcohol and Mental Health ServiceControlled Trial
24. eShared Care Planning ChallengesSharing clinical information between LHD services and external health providerseShared Care Planning that meets requirements and is scalableIntegrated clinical information systemsWho funds it?Governance