PSYCHOSOCIAL DISTRESS M C C SURV IV O RSHIP W O RKG RO UP: C O C - - PowerPoint PPT Presentation

M C C SURV IV O RSHIP W O RKG RO UP: C O C SUBC O M M ITTEE

PSYCHOSOCIAL DISTRESS

HISTORY

• I

n 2012, the Co mmissio n o n Ca nc e r (Co C) imple me nte d 3 ne w pa tie nt-c e nte re d sta nda rds. T he se inc lude :

• 3.1 Pa tie nt Na vig a tio n Pro c e ss
• 3.2 Psyc ho so c ia l Distre ss Sc re e ning
• 3.3 Survivo rship Ca re Pla n
• T

he se ne w sta nda rds a re to b e pha se d in b y 2015 fo r a ll a c c re dite d fa c ilitie s

• So me institutio ns e xpre sse d c o nc e rn re g a rding the

imple me nta tio n o f the se ne w sta nda rds

HISTORY

• MCC missio n inc lude s c o lla b o ra tio n a mo ng

me mb e r institutio ns to impro ve c a nc e r o utc o me s.

• T

wo spe c ific stra te g ie s in the c a nc e r pla n a re Survivo rship Ca re Pla ns a nd Pa tie nt Na vig a tio n initia tive s.

• As the MCC Survivo rship wo rkg ro up c o mple te d its

spe c ia l pro je c t in 2011, a ne e d to a ddre ss Co C pa tie nt-c e nte re d sta nda rds wa s ide ntifie d. T he sub - c o mmitte e wa s a ppro ve d b y c ha irpe rso n K e lly Britta in.

HISTORY

• I

n Ja nua ry 2012, re c ruitme nt sta rte d fo r the Survivo rship wo rkg ro up: Co mmissio n o n Ca nc e r sub c o mmitte e .

• F
• c use d o n c o lla b o ra tio n a mo ng Co C a c c re dite d

institutio ns re g a rding the 3 pa tie nt-c e nte re d se rvic e s.

• An e -ma il wa s se nt Ja nua ry, 2012 to MCC me mb e r re ps o f

he a lth syste ms/ c a nc e r c e nte rs. MCC me mb e rs we re invite d to sha re the ir suc c e sse s a nd/ o r to le a rn fro m the ir pe e rs.

COC SUBCOMMITTEE

• Me e ting s sta rte d in 2012 a nd ha ve inc lude d 17

he a lth syste ms, a s we ll a s, a re pre se nta tive o f the Ame ric a n Ca nc e r So c ie ty.

• T

he first sta nda rd disc usse d wa s the Psyc ho so c ia l Distre ss Sc re e ning Sta nda rd, fo r whic h a re c o mme nda tio n ha s b e e n re a c he d.

• Curre ntly, wo rk is unde rwa y to de te rmine the b e st

wa y to a ssist syste ms in imple me nting the Survivo rship Ca re Pla n Sta nda rd.

PSYCHOSOCIAL DISTRESS SCREENING

• Amo ng sub c o mmitte e me mb e r institutio ns c urre ntly

c o nduc ting psyc ho so c ia l distre ss sc re e ning two te sts we re mo st o fte n utilize d:

• NCCN Distre ss Sc re e ning T
• o l
• T

he mo st utilize d to o l

• E

dmo nto n Sympto m Asse ssme nt T

• o l (E

SAS)

ESAS

• I

ntro duc e d b y Mic hig a n Onc o lo g y Qua lity Co nso rtium (MOQC), this to o l wa s ide ntifie d in institutio ns invo lve d with MOQC initia tive .

• ESA S is a to o l tha t wa s de ve lo pe d to a ssist in the

a sse ssme nt o f nine sympto ms tha t a re c o mmo n in pa llia tive c a re pa tie nts: pa in, tire dne ss, dro wsine ss, na use a , la c k o f a ppe tite , de pre ssio n, a nxie ty, sho rtne ss o f b re a th, a nd we llb e ing .

ESAS

NCCN DISTRESS TOOL

• De ve lo pe d to a ddre ss psyc ho so c ia l distre ss:
• Pra c tic a l pro b le ms ( i.e . c hild c a re , ho using )
• E

mo tio na l pro b le ms (i.e . fe a r, lo ss o f inte re st in usua l a c tivitie s)

• F

a mily pro b le ms (i.e . de a ling with pa rtne r o r c hildre n, a b ility to ha ve c hildre n)

• Spiritua l c o nc e rns
• Physic a l Pro b le ms (i.e . a ppe a ra nc e , b re a thing , c o nstipa tio n,

e a ting , fa tig ue , g e tting a ro und, na use a , pa in, sle e p, ting ling in ha nds/ fe e t)

NCCN DISTRESS TOOL

SUBCOMMITTEE RECOMMENDATION

• T

he sub c o mmitte e is re c o mme nding the use o f the NCCN distre ss to o l.

• T

he to o l is spe c ific a lly de ve lo pe d to a ddre ss psyc ho so c ia l distre ss

• T

he to o l is mo re c o mpre he nsive in its a sse ssme nt o f po te ntia l indic a to rs o f distre ss

PURPOSE OF RECOMMENDATION

• I

t is no t the inte nt o f the sub c o mmitte e to re c o mme nd this fo r a ll MCC me mb e r institutio ns.

• E

a c h c a nc e r c e nte r sho uld de ve lo p a pro c e ss utilizing a to o l tha t me e ts the ir o wn pa tie nt po pula tio n ne e ds.

PURPOSE OF RECOMMENDATION

• T

his re c o mme nda tio n ha s b e e n de ve lo pe d a s a g uide fo r c a nc e r c e nte rs who ha ve no t ye t ide ntifie d a to o l o r the pro c e ss o f its use

• I

t no t o nly de ta ils a to o l b ut the pro c e ss fo r imple me nta tio n

• f tha t to o l.
• Se rve a s a g uide fo r the pro c e ss o f imple me nta tio n o f this

sta nda rd.