CIRCS Central Integrated Regional Cancer Service Queensland Remote - - PowerPoint PPT Presentation

CIRCS Central Integrated Regional Cancer Service

“To champion safe and high quality care for people affected by cancer”

CIRCS

Central Integrated Regional Cancer Service Queensland Remote Chemotherapy Supervision Guide (QReCS) – Chemo closer to home

Leisa Brown: CIRCS Nurse Educator

CIRCS Central Integrated Regional Cancer Service

Queensland Department of Health

• Recognises the need to explore innovative ways to bring

sustainable and equitable care to Queenslanders

CIRCS Central Integrated Regional Cancer Service

QLD Telehealth Infrastructure

• Largest managed Telehealth Network in Australia
• Over 2000 systems (hardware and software)
• More than 200 facilities

(Andrew Bryett – Director Telehealth Services: Dept. of Health – QLD: 2015)

Aim

…to support the safe and sustainable administration of chemotherapy closer to home for patients from rural and remote areas using Telehealth technologies

CIRCS Central Integrated Regional Cancer Service

10 Requirements

• 1. Strategy and governance
• 2. Financial considerations
• 3. Workforce
• 4. Chemotherapy medication management
• 5. Telehealth readiness
• 6. Chemotherapy administration readiness
• 7. Information technology and support
• 8. Legislation and special consideration
• 9. Education and training

10.Documentation and discharge

CIRCS Central Integrated Regional Cancer Service

Provider and Recipient

QReCS adopts the hierarchy of health services in accordance with the Clinical Services Capability Framework

CIRCS Central Integrated Regional Cancer Service

Workforce

CIRCS Central Integrated Regional Cancer Service

Technology

• Real time videoconferencing technology is essential
• Standard videoconferencing equipment will generally be

adequate to support chemotherapy administration

• For assessing reactions, video or web cameras used at

recipient site need to have the capacity for close ups whilst retaining good resolution

• Essential that the technology and communication systems

have the capacity to support live audio and video interactive links

CIRCS Central Integrated Regional Cancer Service

Training Delivery

Combination of delivery models are used to maintain an inclusive and interactive learning experience with technology playing a key role:

• E-learning
• Interactive workshops via videoconferencing
• Simulated skill demonstrations and practice via

videoconferencing and face-to-face

• Competency assessments via videoconferencing and face-to-

face

CIRCS Central Integrated Regional Cancer Service

CIRCS Central Integrated Regional Cancer Service

Cancer Service Implementation

• Nurses in rural and remote communities administer

chemotherapy upon completion of relevant education and a minimum of 3 days supervised clinical practice placement at provider site

– CIRCS Cancer Education Program supports staff to acquire theoretical knowledge and clinical skills to meet QReCS requirements – >1300 participants in program during 2014

CIRCS Central Integrated Regional Cancer Service

QReCS

CIRCS Central Integrated Regional Cancer Service

Cancer Care Closer to Home

• Telehealth technologies have been integral to:

– Expanding the knowledge and skills of the staff providing care in rural and remote locations – Saving patient travel expenditure and enhancing quality of life by bringing care closer to home

https://www.health.qld.gov.au/circs/html/qrecs.asp

CIRCS Central Integrated Regional Cancer Service

Acknowledgments

• Dr Sabe Sabesan – Townsville Cancer Centre and Tropical

Centre for Telehealth Practice and Research, The Townsville Hospital

• Maree Bransdon – CIRCS
• Geoffrey Bryant – CIRCS

The patients and health care staff in rural and remote communities that have supported the implementation of the QReCS model