Sponsored Content | Case Study | Radiation Oncology | November 06, 2017

Missouri’s SoutheastHEALTH Cancer Center Implements New OIS to Improve Total Patient Experience

Sam Hancock, Ph.D.

Sam Hancock, Ph.D.

Southeast Cancer Center

Southeast Cancer Center

In establishing the new Southeast Cancer Center (Cape Girardeau, Mo.), clinic officials not only had the opportunity to offer the latest care technology and evidence-based therapies, they were also able to create a seamless, positive patient experience that supports patient healing. Essential to implementing this vision was a single, unified and universal care management system (Mosaiq OIS by Elekta) that provides all members of the multidisciplinary team the information they need, at the moment they need it, to care for every patient.

According to Southeast Cancer Center’s Chief Physicist Sam Hancock, Ph.D., a multiple database solution was not an option. “We knew we couldn’t provide the patient with a positive experience with two different databases for medical oncology and radiation oncology,” he said. “We chose Mosaiq for both radiation and medical oncology, to provide an integrated care management solution.”

 

Intensive Planning

Planning for the new center involved the hiring of an industrial engineer who performed value-stream mapping from the patient perspective. From that, staff created detailed maps for all patient services — not only from the perspective of touch points, which are internal, but also from the customer experience.

“We then scrutinized our processes to eliminate or minimize non-value-added time, such as the time a patient waits in an exam room,” Hancock added. “A multidisciplinary ‘Every Minute Counts’ committee meets monthly to continually drive process improvement. The optimized flows that result are implemented in Mosaiq and guided by queuing scripts and quality checklists [QCLs], the latter being an automated task set for a department or individual.”

The OIS rapidly became among the most widely used sytems at Southeast Cancer Center. From the physician to the valet attendant, virtually everyone in the care chain touches Mosaiq, according to Jennifer Ewert, cancer center director and director of operations. “Patients can move anywhere in the facility and feel as though it is one team taking care of them,” she observed.

 

QCLs Keep the Workflow Flowing

The automated QCLs keep all members of the care chain accountable for their part in the workflow, instituting a timely order to treatment tasks. At Southeast Cancer Center, QCLs are widely used.

“After the physician approves a radiation treatment plan, I am prompted for final physics review,” Hancock explained. “When that is accomplished, the physicist appends a list of QCLs, and handoffs are broadcast simultaneously to all the services that need to be initiated when the patient is ready to start treatment, including the radiation therapist, dietitian and social worker. As a comprehensive oncology EMR, Mosaiq is an essential tool for coordinating the entire patient journey with us.”

 

OIS Integration of Radiation and Chemo Care Streams is Critical

Mosaiq also helps with processes that relate to patients receiving both chemotherapy and radiation therapy in the same day, according to Lori Bronenkant, experience manager.

“As multimodality cancer treatment becomes more common, we need to become as efficient and compassionate as possible, because patients have multiple appointments and are here for extended periods of time,” she observed. “However, we recognized that patients weren’t always making it to their next appointments on time. We developed a standardized queuing process for radiation and medical oncology, which eliminated inconsistencies that caused delays.”

With a standardized process in place, staff were able to analyze the queue data to pinpoint bottlenecks, she added. Consequently, combination therapy patients are now given priority status in Mosaiq. Staff in both departments can see on the daily patient master list which patients have multiple appointments, so they can keep them on track and communicate progress or delays in a timely manner with other departments.

 

Harnessing Mosaiq to Improve Care Quality

Southeast Cancer Center is continually looking for new ways to improve patient flow and care, and has discovered that Mosaiq data reporting is an invaluable tool for that.

“As we identify processes to better serve our patients, we quantify and measure them monthly to ensure that we are sustaining that improvement,” Ewert said. “Custom monthly reports generated from OIS data help our specialists identify and address the patient needs and meet specific goals. The dietitian wanted to ensure she sees patients who have nutrition issues. A custom monthly report generated from Mosaiq shows how often nurses are assessing the patients’ nutrition on the day of doctor visits. After implementing the report, nutrition assessments of patients increased to 100 percent consistently.”

Mosaiq custom reports are also used to enhance the quality of care, according to Paula Johnston, cancer center IT specialist, who notes that Southeast Cancer Center has created about 250 custom reports and customized many standard Mosaiq reports. 

“For example, a customized report identifies QCLs that are not completed within the target timeframe,” he explained. “A QCL that doesn’t meet the established parameter is marked as ‘defect.’ A summary report totals the number of defect QCLs and displays the defect rate, which can be tracked for trends over time.”

 

OIS Also Helps Track Cancer Center Services

Ewert said she relies on Mosaiq reports for an operational perspective on the patient experience. “The ability to mine data from Mosaiq to get a monthly picture of volumes, no-show appointments and referral patterns is important,” she said. “Our Mosaiq reports provide easy access to this timely information.”

Johnston added that she can write virtually any report type that the director or the other managers want from Mosaiq. “Specialized reports like these are easy to generate with the OIS because all the data reside in a single, comprehensive oncology EMR,” she said.

 

Continuity of Care Maintained

While Southeast Cancer Center is standardized and unified with Mosaiq, what happens if patients are seen in other SoutheastHEALTH facilities, such as an ER or hospital? “That’s not an issue for continuity of care,” Johnston observed. “The history and physical reports, lab results and discharge notes and summary are interfaced directly into Mosaiq. Our nurses and physicians don’t have to go outside of our Mosaiq EMR to monitor patient progress.

“Mosaiq enables us to meet or exceed our patients’ expectations,” Hancock added. “The overall level of care patients receive is greatly enhanced by all of the initiatives and monitoring that we do on a regular basis,” Johnson concluded.

 

Case study supplied by Elekta.

Related Content

Gamma Knife radiosurgery has become the preferred radiation therapy option for patients with brain tumors at facilities like the Northwestern Medicine Cancer Center, pictured here

Gamma Knife radiosurgery has become the preferred radiation therapy option for patients with brain tumors at facilities like the Northwestern Medicine Cancer Center, pictured here. The technology is favored largely for its ability to precisely target tumors while sparing healthy tissue.

Feature | Radiation Oncology | April 11, 2019 | By Jeff Zagoudis
Brain tumors are some of the most complicated forms of cancer to treat due to their extremely sensitive location.
Four of the top pieces of content in March included news on proton therapy, including a 360 image and videos from ITN's recent visit to the Northwestern Medicine Proton Center in the Chicago suburbs. This image shows the main proton treatment room gantry at the proton center in Warrenville, Ill. Interview with Mark Pankuch, Ph.D.

Four of the top pieces of content in March included news on proton therapy, including a 360 image and videos from ITN's recent visit to the Northwestern Medicine Proton Center in the Chicago suburbs. This image shows the main proton treatment room gantry at the proton center in Warrenville, Ill.
 

Feature | April 02, 2019 | Dave Fornell, Editor and A.J. Connell
April 2, 2019 — Here is the list of the most popular content on the Imaging Technology News (ITN) magazine w
Mississippi Cancer Center Combines RayStation and TomoTherapy for Prostate Cancer Case
News | Treatment Planning | March 08, 2019
Anderson Regional Cancer Center in Meridian, Miss., has treated its first patient using the combination of RaySearch's...
Videos | Proton Therapy | February 28, 2019
ITN Associate Editor Jeff Zagoudis speaks with ...
360_NW_Proton_Center_Inclined_Room_THUMBNAIL
360 Photos | 360 View Photos | February 28, 2019
This is a 360 view of Treatment Room 3 (of 4) at the N...
While surgery is still the gold standard for lung cancer treatment, radiation therapy can offer a less invasive approach with quicker recovery times

While surgery is still the gold standard for lung cancer treatment, radiation therapy can offer a less invasive approach with quicker recovery times.

Feature | Lung Cancer | February 27, 2019 | By Jeff Zagoudis
Lung cancer is the second most common cancer for both men and women in the United States,...
Gadolinium contrast agents (GBCAs) are partly retained in the brain, raising safety concerns, as seen in this MRI.

Gadolinium contrast agents (GBCAs) are partly retained in the brain, raising safety concerns, as seen in this MRI.

News | Radiology Business | February 22, 2019
Imaging Technology News has been recognized with three award nominations from the Jesse H.
The top article from January was about researchers in Sweden using computed tomography (CT) to image the soft tissue of an ancient Egyptian mummy’s hand down to a microscopic level. Non-destructive imaging of human and animal mummies with X-rays and CT has been a boon to the fields of archaeology and paleopathology. Most popular radiology articles and news in January 2019.

The top article from January was about researchers in Sweden using computed tomography (CT) to image the soft tissue of an ancient Egyptian mummy’s hand down to a microscopic level. Non-destructive imaging of human and animal mummies with X-rays and CT has been a boon to the fields of archaeology and paleopathology.

Feature | February 01, 2019 | A.J. Connell and Dave Fornell
February 1, 2019 — Here is the list of the most popular content on the Imaging Technology News (ITN) magazine website
Laurent Levy, CEO of Nanobiotix, explains the use of his company’s nanoparticles to enhance the radiation sensitivity of tumor tissue to improve patient outcomes

Laurent Levy, CEO of Nanobiotix, explains the use of his company’s nanoparticles to enhance the radiation sensitivity of tumor tissue to improve patient outcomes. The metallic-based nanoparticles show up on CT scans so it can be used as a permanent fiduciary marker to track tumor response. The images show the initial tumor and enhancement areas due to the nanoparticles and the resulting outcomes following treatment. Photo by Dave Fornell

Feature | Radiation Oncology | January 30, 2019 | By Dave Fornell
Artificial intelligence (AI) has been the hot topic discussed at all trade shows, and the...