scholarly journals Improving Access to Bone Marrow Transplant Care by Building a Shared Care Model: Memorial Sloan Kettering and Hartford Health Care

2018 ◽  
Vol 24 (3) ◽  
pp. S458
Author(s):  
Barbara Morcerf ◽  
Silvia Willumsen ◽  
Elizabeth S. Rodriguez
Keyword(s):  
Health Care ◽  
Bone Marrow ◽  
Bone Marrow Transplant ◽  
Marrow Transplant ◽  
Shared Care ◽  
Care Model ◽  
Shared Care Model

Health care utilization among long-term cancer survivors.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 22-22 ◽  
Author(s):  
Emily Jo Rajotte ◽  
Leslie Heron ◽  
Karen Leslie Syrjala ◽  
Kevin Scott Baker
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Population ◽  
Cancer Survivors ◽  
Care Physician ◽  
Shared Care ◽  
Care Utilization ◽  
Care Model ◽  
Clinic Appointment ◽  
Shared Care Model

22 Background: Survivors of adult cancer face lifetime health risks that are dependent on their cancer, cancer treatment exposures, comorbid health conditions, and lifestyle behaviors. A shared care model, including planned and formal transition of the cancer survivor from the oncologist to the primary care physician needs to be established to ensure appropriate care. Methods: As a LIVESTRONG Survivorship Center of Excellence Network member, the Survivorship Program at the Fred Hutchinson Cancer Research Center has established an outpatient clinic at the Seattle Cancer Care Alliance to meet the clinical needs of cancer survivors. Before their survivorship-focused clinic appointment, adult cancer survivors are asked to complete a comprehensive survey that includes questions on health care utilization. Results: Between August 2013 to December 2014, 142 clinic patients completed the survey. They were 70.4% female, mean age 48 years (SD 16.3, range 22-83) and 21.1% breast cancer, 30.2% leukemia/lymphoma, and 17.6% reproductive cancer survivors. Patients were a mean of 7.8 years (SD 9.5, range 0-43) from their cancer diagnosis at the time of clinic appointment. 70.4% reported receiving oncology care and 87.3% primary care within the 12 months before their survivorship visit. Forty percent reported more than 12 clinic visits in the past year in which they saw a physician, nurse practitioner or physician assistant compared with 6.5 clinic visits in the general population based on CDC, National Health Care Survey reference data. 41.5% had one or more visits to a hospital emergency or urgent care facility within the last year, compared with 39.4% in the CDC NHCS survey. Conclusions: Cancer survivors seen in a Survivorship Clinic utilize healthcare at a much higher rate than the general population. A shared-care model for cancer survivors, including a delineation of roles and specific points of communication, between the oncologist and the primary care physician may help address issues surrounding over-utilization. A cancer treatment summary and a survivorship care plan may be valuable tools to facilitate this shared care approach.

Quality of Life in Adult Recipients of Bone Marrow Transplantation

1994 ◽  
Vol 75 (1) ◽  
pp. 323-328 ◽  
Author(s):  
Nola M. Litwins ◽  
James R. Rodrigue ◽  
Roy S. Weiner
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Bone Marrow ◽  
Bone Marrow Transplant ◽  
Coping Styles ◽  
Marrow Transplant ◽  
Transplant Recipients ◽  
Conventional Chemotherapy ◽  
Passive Coping

Quality of life, coping styles, and satisfaction with health care were assessed in 32 bone marrow transplant recipients and 22 conventional chemotherapy recipients. Subjects reported having generally good quality of life with no significant differences in quality of life or coping styles between the two groups. Quality of life was not significantly associated with age, socioeconomic status, time since diagnosis, or time since last treatment, although lower scores were associated with a passive coping style. Interestingly, bone marrow transplant recipients reported greater over-all satisfaction with health care and more contentment with the cost and convenience of health-care delivery than did conventional chemotherapy recipients.

QIM19-134: Improving Access to Bone Marrow Transplant in the Community: The Memorial Sloan Kettering Cancer Alliance Shared Care Program

2019 ◽  
Vol 17 (3.5) ◽  
pp. QIM19-134
Author(s):  
Craig Sauter ◽  
W. Jeffrey Baker ◽  
Elizabeth Rodriguez ◽  
Silvia Willumsen ◽  
Barbara Morcerf ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Bone Marrow Transplant ◽  
Care Program ◽  
Marrow Transplant ◽  
Shared Care ◽  
Cancer Center ◽  
Post Transplant ◽  
Management Of Complications ◽  
Tumor Boards ◽  
Definitive Therapy

Background: Memorial Sloan Kettering Cancer Center (MSK) created the MSK Cancer Alliance in 2014, a dynamic and bidirectional collaboration with high-quality community providers to enhance access to state-of-the-art cancer care close to home. Hartford HealthCare Cancer Institute (HHC), joined the MSK Cancer Alliance as the first member in 2014. Research suggests that bone marrow transplant (BMT) is an underutilized definitive therapy (Yao et al, Biol Blood Bone Marrow Transplant 2013) for patients with hematologic malignancies and the timing of a referral for transplant has significant impact on patient outcomes (National Marrow Donor Program, available at: https://bethematchclinical.org/transplant-indications-and-outcomes/additional-outcomes/timing-impact-on-outcomes/). MSK and HHC developed the BMT Shared Care program to improve access to transplant, ensure BMT specialist consults for appropriate candidates occur during initial treatment planning, reduce burdensome travel for patients by facilitating care locally, and enhance seamless coordination between local oncologists and BMT providers from initial consult through post-transplant care. Methods: To achieve these goals, MSK and HHC physicians, nurses, and staff created a program that includes: HHC hiring a BMT nurse, who trained for 4 weeks at MSK, and works with MSK counterparts to create a streamlined referral process, pretransplant care at HHC, and travel logistics to MSK; MSK and HHC physicians hold virtual tumor boards to jointly evaluate patients and provide BMT consults at the optimal time; onsite lectures and observer-ships focused on advances in BMT, supportive care, and management of complications like graft versus host disease, leading to the integration of additional clinical services like infectious disease and dermatology; and research, including an MSK clinical trial open at HHC to identify and understand barriers to transplant in the community for patients with newly diagnosed or relapsed acute leukemia. Results: Since November 2015, HHC has referred 86 patients for BMT consult through this Shared Care program, with 35 patients transplanted or receiving immune effector cells (IEC) to date. Conclusions: The BMT Shared Care program effectively facilitates the referral and transplant of appropriate patients while allowing them to receive much of their pre- and post-transplant care in their local communities. Collaboration between BMT nurse coordinators and robust physician engagement are essential to this program. Future opportunities include expanding the use of telemedicine, enhancing electronic data sharing, quantifying and analyzing patient satisfaction, and expanding BMT research at HHC.

scholarly journals The development of a successful satellite bone marrow transplant (BMT) unit as a model for health care outreach

2006 ◽  
Vol 12 (2) ◽  
pp. 145
Author(s):  
J. Schriber ◽  
J. Alvarnas ◽  
S. Kendrick ◽  
S. Dimpfel ◽  
C. Sarkodee-Adoo ◽  
...  
Keyword(s):  
Health Care ◽  
Bone Marrow ◽  
Bone Marrow Transplant ◽  
Marrow Transplant
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