Franciscan Health Cancer Center



Franciscan Health Cancer Center Indianapolis
Indianapolis, Indiana

A Nurse Navigator-Led Community-Based Cardio-Oncology Clinic

Hear how this program grew from manual chart mining to identify at-risk patients into a program sustained by robust referrals from providers looking for the specialized expertise of cardio-oncologists. Today Franciscan Health Cancer Center Indianapolis manages the cardio-toxic side effects of more than 1,000 cancer patients. Working in collaboration with medical oncologists and other members of the multidisciplinary team, the cardio-oncology team helps keep oncology patients in treatment and works to improve patient quality of life. Gain additional perspective from an educational video that chronicles a patient’s journey through the clinic.

To hear this ACCC Innovator Award session on-demand, please visit the ACCC eLearning portal.

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Creating a Community-Based Cardio-Oncology Clinic

innovatorAwards-2020-sealSingular-80x80In 2016, Franciscan Health in Indianapolis, Indiana, created the Franciscan Health Cardio-Oncology Clinic to help cancer patients navigate potentially cardiac-toxic therapies. The clinic educates patients about the risks to heart health posed by some oncology treatments and provides support and surveillance should any cardiotoxicities occur. Since the clinic’s inception, it has grown from a virtual patient service into a bi-weekly in-person clinic.
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v36n3-A-Nurse-Navigator-Led-Community-Based-Cardio-Oncology-Clinic-223x300A Nurse Navigator Led Community-Based Cardio-Oncology Clinic

How can hospital administration be convinced to hire a new navigator when there is no budget for the position? The answer is simple: Following oncologic guidelines for monitoring patients for cardiovascular toxicity via echocardiography increased the number of echocardiograms performed at the hospital. Despite the potential for additional revenue, the new position was a leap of faith for the hospital because stakeholders did not know whether the volumes predicted would come to fruition because there were no other cardio-oncology programs to model ours after. In the end, the belief that a significant improvement could be made in patient care largely drove the decision to hire.
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