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Faster Cancer Treatment (FCT) - Improving quality of care across the patient cancer pathway Update Aug 2012 FCT - Indicators Indicator two (best practise – 14 days) Urgent referral with highsuspicion of cancer First specialist assessment Indicator three (best practise – 31 days) Decision-to-treat First cancer treatment Indicator one (best practise – 62 days) Referred urgently with high suspicion of cancer receive first cancer treatment within 62 days Referred urgently with high suspicion of cancer have first specialist assessment within 14 days Confirmed diagnosis of cancer receive first cancer treatment within 31 days of decision-to-treat Implementation of the FCT Indicators • Current focus areas: • • • • National Tumour Streams Regional Implementation Plans MDM development Care Coordination National Tumour Streams • Regional cancer networks contracted to host the following national tumour streams: • • • • NCN– Sarcoma, Upper Gastrointestinal, Melanoma, Head and Neck MCN – Breast, and continue with Lung CCN – Haematological SCN – Bowel, Gynaecological • Development tumour care standards and pathways by June 2013 • Urological cancer tumour standards will be developed following Prostate Cancer Task Force recommendations to Government late this year. Regional FCT Implementation Plan Period Expected Processes July 2012 to Dec 2012 DHB of Domicile compile FCT indicators based on information provided by the various treating DHBs Mid Term Regional consolidation with an emphasis on automating processes where it is viable Longer Term (2015+) CRISP enabled information management, national reporting framework supported by national datasets and business rules Process Reporting Approach 1 July to 31 December 2012 CCN DHBs Report details of patient treated for the month To all 20 DHBs regardless of cancer region Service Information sourced from other cancer regions CCN DHB of Domicile Matches treatment outside of DHB with local information DHB of Domicile Local Patient Information DHB of Domicile Prepare Base Line Data for FCT reporting DHB of services advise delay Reasons DHB Of Domicile reports to MOH Regional FCT Implementation Plan • Planned Resources: – 0.8FTE Regional Project Manager – 0.5FTE Regional data manager – Approx 1FTE clinical analyst resource in each of MDHB and CCDHB (major treatment centres) – Funding for the regional data consolidation process / tool Awaiting MOH confirmation of funding Care Coordination • Regional stocktakes of care coordination resources completed June 2012 • Budget announcement re investment in new nursing coordination roles • Expert Advisory Group established to develop model – Aug 12 • MOH contracting with DHBs in Oct 12 MDM Development Funding advice identified $2 million nationally for MDMs - $455K CCN region Next phase of activity: • Implement the national Guidance for Implementing Quality MDMs • Transition to a video-conferenced environment • Transition to regional electronic MDM proforma to allow: – data collection as enabled by CRISP – collection and reporting MDM data to provide baseline access statistics • Implement appropriate MDM coordination functions • Develop a regional funding model Programme Governance • Regional FCT Steering Group: – representation from relevant DHB executives, CRISP, DHB managers, clinicians and consumers – Determine what needs to be done from a regional perspective, monitoring • DHB FCT Implementation Steering Groups: – Representation similar to above but at a local level – Determine how things get done from a district perspective, FCT Key messages • clinically driven with a patient and whānau focus • significant change from specific cancer treatment modalities to a view across the cancer pathway • change to current process that will lead to better quality and cost effective care • quality care across the pathway not just timeliness • requires significant improvements to inter service and provider integration • innovations supporting care coordination will be critical • first phase: aligning systems to achieve accountability against indicators Contacts FCT Implementation Plan / MDM Development: – Project Lead – Phyllis Meier – [email protected] National Tumour Streams: – Project Lead – Eleanor Whitehead – [email protected]