Leann Ban1, Frances Tonolete1, Meghan Dennis2, April McAllister3, Edwin H Chan4, Shaziya Malam5, Lynn Brown6, Arjun Sahgal7, Donna Lewis1, Lee Cl Chin8. 1. Department of Radiation Therapy, Odette Cancer Centre, Toronto, Ontario, Canada. 2. Regional Cancer Care Northwest, Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ontario, Canada. 3. Health Science North, Northeast Cancer Centre, Sudbury, Ontario, Canada. 4. Southlake Regional Health Centre, Newmarket, Ontario, Canada. 5. Southlake Regional Health Centre, Newmarket, Ontario, Canada; Athabasca University, Athabasca, Alberta, Canada. 6. Windsor Regional Cancer Centre, Windsor, Ontario, Canada. 7. Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada. 8. Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Department of Medical Physics, Odette Cancer Centre, Toronto, Ontario, Canada. Electronic address: lee.chin@sunnybrook.ca.
Abstract
BACKGROUND: IQ script enabled radiation oncology (RO) Care Plans are a unique functionality of the MOSAIQ oncology information system and enables standardization of clinical workflow via predefined order sets, strategic launching of assessment forms, and automated forwarding of clinical tasks. However, the development of RO Care Plans is center-specific and must be adapted to each center's clinical workflow. To our knowledge, little to no guidelines exist for RO Care Plan implementation. This article is a collaborative article from 5 different centers of varying sizes and adoption stage that provides consensus strategies for RO Care Plan development. METHODS: In 2016, 5 different centers of varying sizes and adoption stages met to develop strategies for RO Care Plan development. Before the meeting, an initial draft was circulated to all participating centers for feedback and incorporated into a refined document. The refined recommendations underwent a formal, 3-stage consensus process mediated by a radiation therapist to arrive at the final document. RESULTS: Overall, 17 recommendations were provided that focused on 7 areas of Care Plan development: (1) predevelopment planning, (2) current-state RO workflow evaluation, (3) future-state RO integration planning, (4) Care Plan authoring, (5) pre-implementation, (6) implementation, and (7) post-implementation evaluation and review. CONCLUSIONS: Care Plan development is a center-specific process, and the resulting recommendations provide a blueprint for a broad range of cancer centers for implementing Care Plans, or similar oncology information system modules, into their clinical processes.
BACKGROUND: IQ script enabled radiation oncology (RO) Care Plans are a unique functionality of the MOSAIQ oncology information system and enables standardization of clinical workflow via predefined order sets, strategic launching of assessment forms, and automated forwarding of clinical tasks. However, the development of RO Care Plans is center-specific and must be adapted to each center's clinical workflow. To our knowledge, little to no guidelines exist for RO Care Plan implementation. This article is a collaborative article from 5 different centers of varying sizes and adoption stage that provides consensus strategies for RO Care Plan development. METHODS: In 2016, 5 different centers of varying sizes and adoption stages met to develop strategies for RO Care Plan development. Before the meeting, an initial draft was circulated to all participating centers for feedback and incorporated into a refined document. The refined recommendations underwent a formal, 3-stage consensus process mediated by a radiation therapist to arrive at the final document. RESULTS: Overall, 17 recommendations were provided that focused on 7 areas of Care Plan development: (1) predevelopment planning, (2) current-state RO workflow evaluation, (3) future-state RO integration planning, (4) Care Plan authoring, (5) pre-implementation, (6) implementation, and (7) post-implementation evaluation and review. CONCLUSIONS: Care Plan development is a center-specific process, and the resulting recommendations provide a blueprint for a broad range of cancer centers for implementing Care Plans, or similar oncology information system modules, into their clinical processes.