Cancer is perhaps the most highly personal, complex disease in our world today. Researchers surveyed 4,620 patients with lung or colorectal cancer and their physicians. A tumor board consists of a group of experts who discuss the condition and finding of the individual patient. Documentation intellispace precision medicine oncology. A summary discussion of our approach is found at justoncology and summarized below a centerpiece of the american college of surgeons commission on cancer coc standards to accredit hospital based cancer programs is a multidisciplinary conference aka tumor board of doctors and other cancer specialists, who meet on a regular basis to collaborate in the. Pdf a clinicians perspective on codeveloping and co. A new software platform to improve multidisciplinary tumor. The first was established 50 years ago as a lymphoma tumor board and a tumor clinic. Software platform, task analysis, tumor board preparation, user satisfaction address for correspondence. Ideal specialties per multidisciplinary evaluation based on cancer type specialties required attends all houston. Because of this, a multidisciplinary approach is often required, with a healthcare team assembled from across the hospital. Impact of a structured report template on the quality of. Tumor boards bring together a medical team to discuss and manage difficult or complex cancer cases.
The expertise and experience of physicians meet the knowledge and skills of scientists. They concentrate the professional competence of an oncologic center of excellence. Tumor board structure houston vamc virtual tumor board. A recent survey by the american society of clinical oncology revealed that physicians cited a need need for improving the infrastructure of tumor boards, including the use of advanced systems to aid in documentation. A breast cancer tumor board is specific to specialists in the field of breast cancer management. Oncolens is a tumor board software solution that replaces the manual and labor intensive process of collecting, presenting and reporting of cases for cancer. The tumor boards recommendations are recorded in syapse alongside the physicians decisions, and the patients clinical course will be continuously tracked, with the resulting information, including clinical notes and summaries, displayed to the physician in an easytounderstand graphical format in the emr. Frederick meyers, associate dean for precision medicine and professor of internal medicinehematologyoncology at uc davis school of medicine, with major funding from blue shield of california foundation and support from the uc davis cancer care network sites.
About virtual tumor boards uc davis cancer care network. Oncologist participation in tumor board meetings may be. Data distributed across multiple systems that cannot be aggregated or integrated easily makes tumor. New software platform bridges gap in precision medicine. To assess whether the reports documentation of each quality measure improved, chisquare analysis was used for categoric variables e. A tumor board is a multidisciplinary meeting in which physcians from various backgrounds including medical oncology, radiation oncology, surgical oncology, radiology and pathology meet to discuss casespatients and make a plan of care for that patient. However, users are able to visualize previously entered information in these areas, provided data has been previously entered, when they click open these sections in the template e.
Oncology information systems ois, also called oncology information management. Each positive case at torrance memorial goes to tumor board, a weekly meeting that involves oncologists, radiologists, surgeons and more. We log notes in our secure electronic medical records system to keep communication flowing between the specialists. Roche and ge healthcare launch navify tumor board with. Tumor boards are internal forums in which we evaluate each cancer patients case individually. How a tumor board gets you the right cancer treatment. With oncolens, a care provider can enter a case within minutes utilizing prebuilt templates for various cancer types. Tumor boards arent new, but theyre still not used as much as they should be, especially in community settings, says richard hoppe, md, a radiation oncologist at the stanford cancer institute. Improved workflow efficiency with shorter tumor board preparation time for oncologists 53%, radiologists 12% and surgeons 8%.
The boards goal is to determine the best possible cancer. The nccn clinical practice guidelines in oncology nccn guidelines are a set of stepby step evidencebased, consensusdriven recommendations to ensure that patients receive preventive, diagnostic, treatment, and supportive services that are most likely to lead to optimal outcomes. We discuss the best treatment options including clinical trials, if appropriate based on your cancer type and specific medical needs. The location of the primary tumor and the mmr status of the tumor are new factors that must be considered when making treatment decisions. The navify portfolio is continuously evolving to include additional solutions that support more personalized, confident treatment decisions for the benefit of each. Each positive oncology case goes to an interdisciplinary tumor board, a weekly meeting that involves oncologists, radiologists, surgeons and more. Tumor boards often consist of an oncologist, pathologist, radiologist, surgeon. First us implementation of tumor board software that. Access system documentation, meeting materials, and event information for the seer dms community.
Pictured are, from left, comoderator barbara parker, md, deputy director for clinical affairs. Molecular tumor board, personalized cancer therapy. Variable definitions and other documentation related to reporting and using seer data. Pdf improved breast cancer care quality metrics after. Occasionally, tumor board meetings may serve only as teaching sessions for attendees. Capturing the documentation and conversations about each case. All statistical analyses were performed using commercially. Navify tumor board, a cloudbased software solution, streamlines and standardizes preparation, facilitation and documentation of treatment decisions by oncology care teams. A new software platform to improve multidisciplinary tumor board workflows and user satisfaction.
Visit the portal the seer data management system seer dms provides support for all core cancer registry functions importing data. Practice and impact of multidisciplinary tumor boards on. Through tumor board conferences, also known as cancer care conferences, physicians who specialize in diagnosing and treating cancer come together with one goal in mind to share their expertise and recommend the optimal treatment plan for each patient. Although tumor boards are common, until this study, there had been little research on how tumor boards are structured in various healthcare delivery settings. Electronic tumor board presentations as the basis for the. Goals and objectives oto 1, 2 and 5 head and neck oncology rotation, dept. Oncolens is an application built to save time and money in conducting tumor board discussions and maintaining cancer program accreditation. It is essential to establish the cancer care conference as a foundation to achieve more complex activities and projects.
Organizational structure vtb coordinator consulting site attending each tb. This serves to remind all mdt members of the specific cases and alert them if there are any last. A pilot study elizabeth a krupinski 1, merce comas 2, leia garrote gallego 3, on behalf of the gismar group 4 1 department of radiology and imaging sciences, emory university, atlanta, ga, usa 2 department of epidemiology and evolution, hospital del mar. The 360 oncology software connects team members, consolidates information from multiple data sources, and incorporates decision support at the point of careso you can make better, more informed decisions. Philips s solution transforms and enhances the tumor board process.
The weekly consolidated head and neck tumor board list can be downloaded and mailed to mdt members the weekend prior to the meeting and on the morning of the meeting figure figure1. Too much time and effort goes into gathering patient data and other information, and then the meeting itself has to be organized and coordinated as well. With use of navify tumor board a cloudbased software solution for tumor boards. Pdf a new software platform to improve multidisciplinary tumor.
Navify tumor board, a cloudbased software solution, streamlines and standardises preparation, facilitation and documentation of treatment decisions by oncology care teams. Improved breast cancer care quality metrics after implementation of a standardized tumor board documentation template article pdf available in. Here are some insights from the physicians at torrance memorial hospital and medical center, in torrance, california. Tumor board meetings are an integral part of the nct concept. Multidisciplinary tumor board chair presenters referring physician via videoconference at referral site tb members based on specific disease site e. This is because the preparation process and workflow for tumor boards is often onerous and timeconsuming. The board s goal is to determine the best possible cancer treatment and care plan for an individual patient. The platform accepts images from any whole slide scanner so you can include scanned slide images sent from other facilities into your presentation as well. The navify decision support portfolio is continuously evolving to include additional solutions that support more personalised, confident treatment decisions for the benefit. The use, attendance, and function of mtbs need continued assessment and improvement. But the administrative burdens of data collection, care coordination and proper documentation can be overwhelming for many centers. A tumor board is a group of doctors and other health care providers with different specialties that meets regularly at the hospital to discuss cancer cases and share knowledge. While the various types of cancer are wellestablished, no two cases are ever the same. Oncology information systems need to integrate imaging.
A clinicians perspective on codeveloping and coimplementing a digital tumor board solution. The nccn recommendations are applicable to about 95% of patients. Roches new software solution to streamline and standardize the management of tumor boards, or multidisciplinary meetings oncology care teams hold to make clinical treatment decisions for cancer patients. A new software platform to improve multidisciplinary tumor board. Collaborative tumor board meetings can increase survivorship rates for certain types of cancer patients. Roche launches navify guidelines app in collaboration with. The information in this database is effective for cancer diagnoses made on january 1, 2005 and after. Professional behavior, including honesty, compassion, levelheadedness, decorum, and respect for others. Tumor board presentations wringing the waste out of the.
Ideal specialties per multidisciplinary evaluation based on cancer type specialties required attends all houston tumor board. The genomic revolution in cancer has led to the identification and pursuit of numerous genetic drivers of malignancy the cancer genome atlas research network et al. Instead, they dictate a tumor board note to summarize the course of treatment and final pathological diagnosis. Methods we prospectively recorded and assessed all cases presented at mtbs between october 20 and december 2014. Some physicians are uncomfortable making addendums to the discharge summary to include the pathological findings e. Tumor boards cancer henry ford health system detroit, mi. Roche roche and ge healthcare launch navify tumor board. This can lead to higher quality of care and provide a teaching tool for newer caregivers. Target audience this educational program is designed to meet the educational needs of oncologists, pathologists, nurses, pharmacists, case managers, and other health care professionals who manage patients. Tumor boards may not improve the quality of oncology care, according to the results of a new study published december 28 in the journal of the national cancer institute and that is a problem.
Roche announced the result of a collaboration with the university of missouri school of medicine mu school of medicine to implementfor the first time in the u. Software platform, task analysis, tumor board preparation, user. Purpose multidisciplinary tumor boards mtbs have become commonplace. When the diagnosis is cancer, patients want the best possible treatment options. Software platform, task analysis, tumor board preparation. However, the tumor board note is usually dated a few days after the patient is discharged. Seerrx was developed as a onestep lookup for coding oncology drug and regimen treatment categories in cancer registries. Discover the navify tumor board solution, a comprehensive dashboard for multidisciplinary oncology care teams. The value of decision support software for cancer patients. Additional data requests are routed automatically for upload to pathology, radiology or. The value of decision support software for cancer patients ge.
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