A digital solution to enable improved implementation and ... · FFFFFFFFF RESULTS Chaohui Guo,...
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A digital solution to enable improved implementation and usability of NCCN Clinical Practice Guidelines In Oncology (NCCN Guidelines ® ) Mean + SD Proportion BACKGROUND METHODS REFERENCES 1. https://www.nccn.org/professionals/physician_gls/default.aspx 2. Bach et al, 2015. NCCN Roundtable: Value-Based Decision-Making at the Bedside. J Natl Compr. Canc .Netw. • NCCN Guidelines® are the most commonly accepted guidelines in the US and globally (Downloaded in180+ countries in 2018) 1 . • They document evidence-based, consensus- driven management to support decision- making along cancer prevention, diagnosis, treatment, and supportive services. Since their inception, however, the number, scope, length and detail has increased significantly 2 . • The increased complexity and regular updates have created challenges for clinicians to be up to date. • Solutions are needed to improve usability. FFFFFFFFF RESULTS Chaohui Guo, Vishakha Sharma, Marc Mailman, Matthew Prime Roche Diagnostics, Basel, Switzerland • Developed by Roche in collaboration with GE Healthcare. • Semi-structured interviews with clinicians (regular users of the guidelines) were used to identify key needs for clinical users. • Expert representatives from the National Comprehensive Cancer Network ® (NCCN ® ) provided further input. • A set of key product requirements were established and used to develop the NAVIFY ® Guidelines application. • An initial usability evaluation was performed, by semi-structured interview with an experienced community-based oncologist, to compare current approach, versus using NAVIFY ® Guidelines application. CONCLUSION CLINICAL RELEVANCE The NAVIFY® Guidelines application provides a tree and step view of the current guidelines • The NAVIFY® Guidelines application has been developed to enable clinicians to apply the latest recommendation, improve the documentation of decisions and ultimately to facilitate better communication between specialists and with patients. • Preliminary evaluation showed that NAVIFY® Guidelines application vs. legacy approach: • Reduced steps (67% drop) • Decrease of users involved & switches between them (50% drop) • Reduced time to communication- ready (24+ hours to a few minutes). • Evidence generation efforts are ongoing. Interview with an experienced community-based oncologist showed • The legacy approach required 9 key steps, the involvement of 2+ users (oncologist, assistant), 2 switches between users, and an estimated up to 24 hours of time-to-communication ready • Conversely, using the NAVIFY® Guidelines application, it required 3 key steps, 1 user, no switches between users Legacy approach NAVIFY® Guidelines approach Clinicians log-in NCCN® guideline account (incl., spending time to recall account name & password) Clinicians navigate to the right pages Clinicians highlight the relevant parts Clinicians label the printouts and place in outbox, awaiting for assistant to pick up. Typically printouts can stay there overnight for as long as 24 hours Clinicians walk to the printer (may be distracted by other needs on the way) and fetch the printouts (paper jam can happen) Clinicians print out the highlighted part Assistant empties outbox and routes the document to the human document scanner Scanner opens the correct patient’s file and scans the document into the proper EMR section Clinicians verify again and becomes available for reference 1 2 3 6 5 4 7 8 9 • It has been designed to facilitate navigation, real-time capture of clinical discussions, incl., reasons for deviations • The output can be recorded in the application, sent to EMR or saved as pdf files to facilitate communication with patients &payers Digitalized NCCN Guidelines® could: • Increase operational efficiency and free-up the precious time/resources of clinicians • Reduce accumulated risk and support patient safety • Support tracking adherence to NCCN guidelines and linking to patient outcome • Provide insights on reasons for deviations from guidelines For questions, please contact: [email protected] Clinicians log-in to NAVIFY® Guidelines app Clinicians navigate through NAVIFY® Guideline step-by- step Clinicians pin the relevant part and save, which can be printed or submitted to payers 1 2 3
Transcript of A digital solution to enable improved implementation and ... · FFFFFFFFF RESULTS Chaohui Guo,...
A digital solution to enable improved implementation and usability of NCCN Clinical Practice Guidelines In Oncology (NCCN Guidelines®)
Mean + SD (Range) or Proportion
BACKGROUND
METHODS
REFERENCES1. https://www.nccn.org/professionals/physician_gls/default.aspx2. Bach et al, 2015. NCCN Roundtable: Value-Based Decision-Making at the Bedside. J Natl
Compr. Canc .Netw.
• NCCN Guidelines® are the most commonlyaccepted guidelines in the US and globally(Downloaded in180+ countries in 2018)1.
• They document evidence-based, consensus-driven management to support decision-making along cancer prevention, diagnosis,treatment, and supportive services. Sincetheir inception, however, the number, scope,length and detail has increased significantly2.
• The increased complexity and regularupdates have created challenges forclinicians to be up to date.
• Solutions are needed to improve usability.
FFFFFFFFF
RESULTS
Chaohui Guo, Vishakha Sharma, Marc Mailman, Matthew Prime Roche Diagnostics, Basel, Switzerland
• Developed by Roche in collaboration with GEHealthcare.
• Semi-structured interviews with clinicians(regular users of the guidelines) were used toidentify key needs for clinical users.
• Expert representatives from the NationalComprehensive Cancer Network® (NCCN®) provided further input.
• A set of key product requirements wereestablished and used to develop the NAVIFY® Guidelines application.
• An initial usability evaluation wasperformed, by semi-structured interview withan experienced community-based oncologist,to compare current approach, versus usingNAVIFY® Guidelines application.
CONCLUSION
CLINICAL RELEVANCE
The NAVIFY® Guidelines application provides a tree and step view of the current guidelines
• The NAVIFY® Guidelines application has beendeveloped to enable clinicians to apply thelatest recommendation, improve thedocumentation of decisions and ultimately tofacilitate better communication betweenspecialists and with patients.
• Preliminary evaluation showed that NAVIFY®Guidelines application vs. legacy approach:
• Reduced steps (67% drop)• Decrease of users involved &
switches between them (50% drop)• Reduced time to communication-
ready (24+ hours to a few minutes).• Evidence generation efforts are ongoing.Interview with an experienced community-based oncologist showed
• The legacy approach required 9 key steps, the involvement of 2+users (oncologist, assistant), 2 switches between users, and an estimated up to 24 hours of time-to-communication ready
• Conversely, using the NAVIFY® Guidelines application, it required 3key steps, 1 user, no switches between users
Legacy approach
NAVIFY® Guidelines approach
Clinicians log-in NCCN® guideline account (incl., spending time to recall account name & password)
Clinicians navigate to the right pages
Clinicians highlight the relevant parts
Clinicians label the printouts and place in outbox, awaiting for assistant to pick up. Typically printouts can stay there overnight for as long as 24 hours
Clinicians walk to the printer (may be distracted by other needs on the way) and fetch the printouts (paper jam can happen)
Clinicians print out the highlighted part
Assistant empties outbox and routes the document to the human document scanner
Scanner opens the correct patient’s file and scans the document into the proper EMR section
Clinicians verify again and becomes available for reference
1 2 3
6 5 4
7 8 9
• It has been designed to facilitate navigation, real-time capture ofclinical discussions, incl., reasons for deviations
• The output can be recorded in the application, sent to EMR orsaved as pdf files to facilitate communication with patients &payers
Digitalized NCCN Guidelines® could:• Increase operational efficiency and free-up
the precious time/resources of clinicians• Reduce accumulated risk and support
patient safety• Support tracking adherence to NCCN
guidelines and linking to patient outcome• Provide insights on reasons for deviations
from guidelines
For questions, please contact: [email protected]
Clinicians log-in to NAVIFY® Guidelines app
Clinicians navigatethrough NAVIFY®Guideline step-by-step
Clinicians pin the relevant part and save, which can be printed or submitted to payers
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