Cancer services may be provided in a variety of care settings, including in a single facility, co-located at one site, or available across multiple sites and locations. In the words of one cancer program administrator,"Having cancer services does not mean you have a cancer program." Coordination of care and communication across the multidisciplinary care team, interdisciplinary services, and settings of care is paramount for delivery of quality patient-centered care from diagnosis, to treatment planning and delivery, and into survivorship care.
With advances in the understanding of the biology of many cancer types and subtypes, diagnosing, staging, treatment planning, care coordination, and post-treatment follow-up continues to evolve and the multidisciplinary team involved in delivery of cancer care continues to expand. These changes are underway in a healthcare environment that is also undergoing transformation. This section of the Cancer Program Fundamentals outlines the following basic components of a cancer program:
1. National Comprehensive Cancer Network (2014) NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®): Distress Management. (Version 2.2014).
2. Institute of Medicine. Cancer Care for the Whole Patient: Meeting psychosocial health needs. In Adler NE, Page AEK Page (Eds.). 2008. Washington, DC: Institution of Medicine.
3. American College of Surgeons, Commission on Cancer. Cancer Program Standards: Ensuring Patient-Centered Care. 2016 Edition:53-58. https://www.facs.org/quality-programs/cancer/coc/standards.