Queensland Remote Chemotherapy Supervision (QReCS ...
Transcript of Queensland Remote Chemotherapy Supervision (QReCS ...
CIRCS Central Integrated Regional Cancer Service“To champion safe and high quality care for people affected by cancer”
CIRCSCentral Integrated Regional Cancer Service
Queensland Remote Chemotherapy
Supervision (QReCS)
Maree Bransdon, Nursing Director
CIRCS Central Integrated Regional Cancer Service
Reason why?Interstate Rankings on Selected Health Indicators, Australia, 2012.
Australian Bureau of Statistics, cat. no. 4102.0, Australian Social Trends, Data Cube - Health, Table 2 Health, State Summary
Health StatusMorbidity and disability prevalence - age standardised(c)(d)
NSW Vic. Qld SA WA Tas. NT ACTCancer(e) % 2007-08 1.5 1.1 1.9 1.5 1.7 1.6 n.p. 2.1 1.5
Causes of Death ‐ Rates are per 100,000 people(a)(h)Units Years NSW Vic. Qld SA WA Tas. NT ACT Aust.
Cancer rate 2008-2010 171 173 180 175 170 196 210 158 174
The Health Statistics Unit has compiled this excel spreadsheet providing a summary of selected health indicators that the Australian Bureau of Statistics (ABS) derives from a wide range of data sourced both from the ABS and other agencies. The original data cube provided interstate rankings. Colour coding has been added by the Health Statistics Unit, Queensland Health, to show where Queensland ranks compared to other Australian states/territories on selected health
indicators.
Interstate ranking (6 states only) Qld better than Aust
Best WorstQld equal to
Aust
1st 2nd 3rd 4th 5th 6th Qld worse than Aust
CIRCS Central Integrated Regional Cancer Service
Cancer care statewide health service strategy
Service direction 1 •Cancer care services promote consistency of care across the state through the use of multidisciplinary teams, evidence-based treatment protocols, guidelines and standards and ensure people affected by cancer are well informed throughout their cancer journey. Objective 1.3 •Continue to promote consistency of care by making evidence-based referral and treatment protocols, guidelines and standards as well as supporting education that is accessible across the state for all providers
CIRCS Central Integrated Regional Cancer Service
EssentialNeed for quality
cancer care education to
be accessible
and available regardless of
where a health
professional is located
All nurses will have contact with people affected by cancer
despite the context of their work environment (Aranda, S and Yates,
P: 2009)
CIRCS Central Integrated Regional Cancer Service
TelehealthThe expansion of Telehealth infrastructure across Queensland enabled a shift in paradigm• Townsville Teleoncology 2007 – access to specialist oncology services 1
facility Mt Isa 2008 – demand to include support for treatment
supervision 2012 - Dr Sabesan presented to Queensland
Oncology Nurses Group in Cairns, concept of Teleoncology nursing
2012 - 21 facilities utilising this service 2012 - expanded scope of services to include
Teleoncology nursing at Ingham
CIRCS Central Integrated Regional Cancer Service
QReCS10 requirements1. Strategy and governance2. Financial considerations3. Workforce4. Chemotherapy medication
management5. Telehealth readiness6. Chemotherapy administration
readiness7. Information technology and
support8. Legislation and special
considerations9. Education and training10. Documentation and discharge
CIRCS Central Integrated Regional Cancer Service
Benefit
‘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
Provider and RecipientQReCS 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
Nursing skill taxonomyA prerequisite
for ADAC
Articulates nursing requirements.
Sufficient time needs to be allocated to
complete requirements
CIRCS Central Integrated Regional Cancer Service
Enabler
Integrated Oncology Information Management System
– North Queensland MOSAIQ• HHSs - Townsville, North West, Mackay, Cairns Hinterland and
Cape Torres.
CIRCS Central Integrated Regional Cancer Service
Support
• QReCS will benefit people affected by cancer by enabling confident and competent staff to deliver care closer to home.
• CIRCS is committed to providing cancer specialist resources to a variety of health professionals across all settings.
CIRCS Central Integrated Regional Cancer Service
Dr Sabe Sabesan