Im proving outcom es for m en with prostate cancer Prostate Cancer - - PowerPoint PPT Presentation

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Im proving outcom es for m en with prostate cancer

Prostate Cancer Awareness and Quality Im provem ent Program m e

Awareness and Quality Improvement Programme

• Published by the Ministry May 2013
• Based on the recommendations of the Prostate Cancer Taskforce
• Four year programme that will:
• increase awareness
• improve the quality of care across the cancer pathway
• reduce harms caused by over treatment
• enable better outcomes
• Accountability is held by the Ministry, support and oversight for

programme implementation provided by the working group.

Programme structure

Greater access to information – informed decisions, consistent support, appropriate

formats

Care along the cancer pathway – consistent and appropriate referral to specialist care,

accurate diagnosis and staging, shorter wait times, consistent treatment and higher quality care

Monitoring, research and evaluation – continuous improvement

2013/4 2014/5 2015/6 June 2017

Working Group Membership

Professor John Nacey – Chair Professor Brett Delahunt – Pathology Professor Ross Lawrenson – Public Health/primary care Rosemary Minto – Primary care nursing Trevor Lloyd – DHB (planning and funding) Dr Stephen Mark – Urology Mark von Dadelszen – Consumer/NGO Jacob Te Kurapa – Māori practitioner Dr Tim Malloy – General Practice.

Greater access to information

• Make information on the early diagnosis and treatment of cancer available:
• suitable formats
• languages
• distribute from a range of locations
• Decision support tool to assist men and GPs in shared decision making about

early detection and treatment

• Develop information on the benefits and risks of prostate cancer tests and

treatment options

• Implement a prompt in GP patient management systems - identify men who

should be offered information & track against agreed care plans

• Provide consistent information for national telephone advice services
• Include content on prostate cancer in training and education for GP and health

care providers.

Care along the cancer pathway

• Referral guidelines & guidance for managing advanced cancer
• Incorporate prostate cancer referral guidelines into e-referral process
• Standards, indicators & guidelines for staging investigations
• Support pathologists’ professional development through education and audit

programmes

• National standards and key indicators
• Monitor diagnosis and treatment times
• Guidelines active surveillance and treatment
• Improve access to multidisciplinary advice.

Monitoring, evaluation and research

• Monitor and evaluate the progress and impact of changes
• Develop systems for improved data collection, reporting and

analysis

• Implement structured reporting for prostate cancer biopsies and

prostatectomy specimens

• Implement indicators to enable monitoring across the pathway
• Undertake research to support continuous improvement.

AQIP priorities

Priority activities for the first two years are to:

• Establish and support the Prostate Cancer Working Group
• Develop and distribute information
• Develop a decision support tool
• Develop national standards and key indicators
• Develop guidelines – active surveillance, advanced and metastatic &

appropriate referral to specialist care

• Establish a monitoring and evaluation programme
• Implement monitoring of diagnosis and treatment times
• Examine areas to support continuous service improvement.