Transcript ctg_beacon_update_april_2014_2.pptx

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
Empowering patients, clinicians and staff, through constructive
collaboration and change, to transform UCSF into the most safe,
efficient and customer-centric cancer 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.
Impacted Areas
Adult
Gyn Onc
Neuro Onc
Heme/BMT
Medical Oncology
Urologic Onc
Breast Onc
GI Onc
Thoracic Onc
Melanoma/Head & Neck Onc
Sarcoma
Phase 1 Clinical Trials
Pediatrics
Oncology
BMT
Where We’re At
Sep – Dec 2013:
• Budget & Resources
• Areas of Impact
• Existing Workflows
• Leadership Vision
• Beacon Site Visits
Planning
Begin April 2014 :
Adult
Begin Late 2014 :
Peds
Kick-Off
Jan – Mar 2014
• Governance
• Epic Site Visits
• Workflow Validation
• Build Design
Build
Test/
Validate
Go- Live
June 2015:
Adult
November 2015:
Peds
Post
Live
ACCOMPLISHMENTS
What We’ve Accomplished
• 25 hours of workflow
validation
• MD, NP, RN, PharmD
representation from each
clinical area
Pain Point
Interviews
& Analysis
Workflow
Validation
Sessions
Disease
Groups
Project
Governance
Protocol
House
Cleaning
• 3 out of 30 workflows to be
“re-engineered”
• All 3 have action plan to
be finalized
• Practice Standardization
• Research Validation
What We’ve Accomplished
• 13 Clinical Representatives
from each impacted area
• MD, PharmD, RN
• 20% project commitment
• MD Committee Chair
Pain Point
Interviews
& Analysis
Workflow
Validation
Sessions
Disease
Groups
Project
Governance
Protocol
House
Cleaning
• Consistent meetings &
decision-making since Jan
• Every 2 weeks, 2 hours
What We’ve Accomplished
• Med Onc disease groups
validated lists of 200+
paper protocols
• Frequency of ordering
Pain Point
Interviews
& Analysis
Workflow
Validation
Sessions
Disease
Groups
Project
Governance
Protocol
House
Cleaning
• Disease group meetings
• Protocol review
• Build
• Accuracy/up-to-date
What We’ve Accomplished
Three Distinct Areas of
Process Improvement
Pain Point
Interviews
& Analysis
Workflow
Validation
Sessions
67 total issues identified related
to chemotherapy
• 16 Automatic w Beacon, i.e.
MD/PharmD communication
Disease
Groups
Project
Governance
Protocol
House
Cleaning
• 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
WHAT’S AHEAD
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
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
Other Areas of Focus
• Staging
• Survivorship
• Oral Chemotherapy
• Non-Oncology Chemotherapy
• MyChart
• POD Transition
• Research Billing
Questions?