Scheduling and Patient Flow in an Outpatient Chemotherapy ...

[Pages:23]Scheduling and Patient Flow in an Outpatient Chemotherapy Infusion

Center

ISERC June 2, 2014 Sarah Bach

Collaborators

? Amy Cohn, Ph.D. ? Brian Denton, Ph.D. ? Alon Weizer, MD ? Louise Salamin, MSA, BSN, RN ? Carol McMahon, BSN, RN ? Corinne Hardecki, BSN, RN

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Current Team

? Hassan Abbas ? Max Boykin ? Jeremy Castaing ? Vanessa Morales ? Matt Rouhana ? Stephanie See

3

Cancer and Cancer Treatment

? Cancer Statistics ? In 2014 there will be an estimated 1,665,540 new cancer cases ? Second leading cause of death in the United States

? Chemotherapy Infusion Center ? Facility where cancer treatment is given on an outpatient basis ? Over 50% of all cancer patients receive chemotherapy treatment

Source: American Cancer Society. (2014).

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University of Michigan Comprehensive Cancer Center

? 93,319 outpatient visits annually

? 51,884 infusion treatments annually

? 5% increase in patient volume annually

University of Michigan Cancer Center

5

Project Goals

? Improve quality of cancer care delivery in the infusion center

? Reduce patient waiting times ? Reduce total length of day of

operations ? Others:

? Promote equity in nurse workload ? Improve patient and nurse safety ? Reduce cost associated with

pharmaceutical waste

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Patient Flow

Patient Arrives

Lab Collection

1 hour Wait

Clinic Appointmen

t

Wait

Wait

1 hour

Pharmacy 1-2 hours Preparatio

n

Wait

Infusion 1-8 hours

Wait

20 minutes

Patient Discharged

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Patient Flow

Patient Arrives

Lab Collection

Lab processing time 1 hour

1 hour Wait

Clinic Appointmen ? Labs reviewed

t

Wait

Wait

Pharmacy ? Labs reviewed Preparatio

n

1 hour

1-2 hours

Wait

Infusion

Wait

20 minutes

? Labs reviewed

Patient Discharged

8

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