Jefferson Medical Oncology Associates implemented new processes and tools to deliver a proactive, multidisciplinary team approach for patients on cancer immunotherapies via continuous symptom monitoring and effective management of immune-related adverse events. They have transformed their practice and quality of patient care by including banners in their EHR that immediately identify patients on immunotherapy; clinical algorithms for on-call physicians to provide 24/7 real-time access and for nursing staff to triage patients; and immunotherapy orientation for new nurses and ongoing staff education.
In late 2016, decreased reimbursement and the decision to participate in the Center for Medicare and Medicaid Innovation’s Oncology Care Model (OCM) meant our Sidney Kimmel Cancer Center, Philadelphia, Pa., had to improve and streamline its triage processes. Patient safety had also become an issue. Incoming calls were recorded in an antiquated system, notes were often lost in the shuffl e, or messages were not returned until late in the day.
