The Health Roundtable Limited (ACN 071 387 436) 40 Port Jackson Road Terrigal NSW 2260 Tel: 02 4385 5894 Fax: 02 4384 7078 Email: david.dean@healthroundtable.org David J. H. Dean, Ph.D. General Manager 26 July 2013 TO: EXECUTIVE SPONSORS, LIAISON REPRESENTATIVES, MEDICAL DIRECTORS, DIRECTORS OF CANCER SERVICES SUBJECT: Improving Management of Patients Living with Cancer [HRT1311] Thursday 5 and Friday 6 Sept 2013, Melbourne How well are you managing patients living with cancer? Over 140,000 people are newly diagnosed with cancer every year in Australia and New Zealand. It is estimated that over 1 million people are living who have had a previous diagnosis of cancer. Of these cancer patients, 40% had prostate cancer and 20% had breast cancer.1 As patients transition from the acute treatment phase, most service models continue to provide follow-up care in the same acute setting. It is time to review whether this is the right approach for the future! This Roundtable meeting will focus on long term management solutions for patients follow up with a focus on prostate and breast cancer. The goal is to share practical ways to improve patient transition from acute treatment settings into follow-up. We encourage each participant to share initiatives and issues regarding the follow-up process. The aims are: To increase the efficacy and productivity of the oncology workforce in acute facilities. Increase new patient access to oncology services. Reduce variation in follow-up protocols to improve patient outcomes. Identify and evaluate alternative models, including Wellness Centres. There are two components to the fee structure for this Roundtable: 1. The organisational fee for the Roundtable meeting is $5,000 (plus GST) per organisation, which includes the cost of analysing your inpatient data, the attached survey and facilitating the meeting. A reduced rate of $3,000 plus GST is available for additional facilities within your health service that want to complete the survey and participate in the meeting. 2. The delegate fee of $230 plus GST per person covers the cost of the hotel meeting facilities and refreshments for the two days. Please review the attached materials and let me or Kate Tynan know by 5 August if your organisation is interested in participating in this important Roundtable meeting on 5-6 September at the Novotel on Collins in Melbourne. Best regards, David Dean 1 AIHW estimate for Australia, extrapolated to include New Zealand. AGENDA ROUNDTABLE: IMPROVING MANAGEMENT OF PATIENTS LIVING WITH CANCER [HRT1311] THE NOVOTEL ON COLLINS, 270 COLLINS STREET, MELBOURNE WEDNESDAY 4 SEPTEMBER 2013 1.30 – 2.00pm Welcome and Introductions 2.00 – 4.30pm Optional Tour of Olivia Newton John Centre - Austin Health, Heidelberg THURSDAY 5 SEPTEMBER 2013 8.30 – 9.00am Registration and arrival tea/coffee 9.00 – 10.30am Welcome & Overview Thought-Starter Presentation: Professor Bob Thomas Chief Clinical Advisor for Cancer and Chair of the Advisory Council of the Victorian Cancer Agency “Imperatives for change” Recap Olivia Newton John Centre Tour - Key Points Review of Pre-meeting Survey and Data on Current Practices 10.30 – 11.00am Morning Tea 11.00 – 12.30pm Small Group Discussion: What will be “good practice” in 2020? 12.30 – 1.30pm Lunch 1.30 – 4.00pm Poster Presentations and Discussion: Innovations in management of patients living with cancer (including afternoon tea break) 4.00 – 4.30pm Health Service team discussions: What “bright spots” have we found? What Hot Issues to resolve? 4.30pm Meeting Closes 6.30pm Group Dinner: Bluestone Restaurant, Flinders Lane FRIDAY 6 SEPTEMBER 2013 9.00 – 9.30am Review of Bright Spots and Hot Issues 9.30 – 10.30am Hot Issue Forum: Sharing insights and ideas with each other to resolve specific issues 10.30 – 11.00am Morning Tea 11.00 – 12.00 noon Recap of Hot Issue solutions 12.00 – 1.00pm Health Service Action Planning: Developing specific improvement projects to improve management of patients living with cancer Next Steps 1.00 – 2.00pm Lunch 2.00 – 3.30pm Optional Workshop: Using LEAN techniques to improve the cancer journey 3.30pm Meeting Closes Copyright 2013 The Health Roundtable Ltd Page 2 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Prof Bob Thomas Acting Chief Executive Officer Peter Mac Callum Cancer Centre Aug 2013 Chief Clinical Advisor for Cancer and Chair of the Advisory Council of the Victorian Cancer Agency Professor Bob Thomas graduated from Medicine from the University of Melbourne and trained in surgery at the Royal Melbourne Hospital. He was Professor and Director of Surgical Oncology at the Peter Mac Callum Cancer Centre and in 2009 was appointed the Victorian government’s Chief Clinical Advisor for Cancer and Chair of the Advisory Council of the Victorian Cancer Agency. Professor Thomas has been heavily involved in the development of cancer reforms within Australia. He is passionate about cancer reform, working to provide all Victorians with the benefits of multidisciplinary care, appropriate psychosocial support for cancer patients and carers and access to the best translational research Copyright 2013 The Health Roundtable Ltd Page 3 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer SUBSCRIPTION THE HEALTH ROUNDTABLE Improving Management of Patients Living with Cancer [2013R1] Please return by email or fax to +61 (0)2 4384 7078 david.dean@healthroundtable.org Note delegate fees are billed separately. TO: David Dean, General Manager, The Health Roundtable Limited My organisation would like to subscribe to the following event: Activity Improving Acute Cancer Services: Alternative follow-up care and wellness R1 Health Service Name My organisation agrees to subscribe to this Health Roundtable activity. I understand that the information provided is subject to The Health Roundtable Honour Code, which requires that participants will not use the information to the detriment of another member, and that no disclosure of the survey or results of the meeting will be provided to non-members (unless required by law) without the consent of all participants. Organisational Participation Fee $5,000 plus GST Main facility Additional facilities within the same network $3,000 plus GST (AUD$3,300) Facility $3,000 plus GST (AUD$3,300) Facility $3,000 plus GST (AUD$3,300) Facility $3,000 plus GST (AUD$3,300) Facility $3,000 plus GST (AUD$3,300) Facility Name: Name: Name: Name: Name: Contact email and phone Executive Sponsor Name Email: Phone: Signature: ................................................... Date:.......................................... Lead Delegate Name Copyright 2013 The Health Roundtable Ltd Email: Phone: Page 4 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 DELEGATE REGISTRATION DETAILS ROUNDTABLE: IMPROVING MANAGEMENT OF PATIENTS LIVING WITH CANCER [2013R1] THURSDAY 5 & FRIDAY 6 SEPTEMBER 2013 MELBOURNE PLEASE USE OUR WEBSITE TO REGISTER, AT WWW.HEALTHROUNDTABLE.ORG CLICK ON “ATTEND EVENT – MEETING REGISTRATION” – THEN FIND MEETING CODE HRT1311 Use this form only if you are unable to register online. ORGANISATION NAME Chief Delegate #1 Name Position Phone Email Please tick if you will be attending OLIVIA NEWTON JOHN CENTRE Tour 4 September Please tick if you will be attending the Dinner on 5 September 2013 Delegate #2 Name Position Phone Email Please tick if you will be attending OLIVIA NEWTON JOHN CENTRE Tour 4 September Please tick if you will be attending the Dinner on 5 September 2013 Delegate #3 Name Position Phone Email Please tick if you will be attending OLIVIA NEWTON JOHN CENTRE Tour 4 September Please tick if you will be attending the Dinner on 5 September 2013 Delegate #4 Name Position Phone Email Please tick if you will be attending OLIVIA NEWTON JOHN CENTRE Tour 4 September Please tick if you will be attending the Dinner on 5 September 2013 2-Day Conference Package includes all Conference Facilities, refreshments and lunches. 4/9/2013 Tour: OLIVIA NEWTON JOHN CENTRE No. of Delegates attending AUD$ 0.00 2 Day Conference Package No. of Delegates attending @ AUD$230.00 + GST (A$253) per person = AUD$ Dinner - 5 September No. of Delegates attending @ AUD$70.00 + GST (A$77) per person = AUD$ TOTAL TO PAY BY 20 August 2013 – AUD$ PLEASE NOTE: This is not a Tax Invoice – if you are unable to register on the website please complete and fax to The Health Roundtable (02 4384 7078) or email to: kate.tynan@healthroundtable.org by 20 August 2013. When we receive this form a Tax Invoice will be emailed to you. Delegate Registrations may be cancelled up to 29 August 2013, with a full credit of monies paid. After that date, no credits are possible. However, you may substitute a different person for those registered at any time. Hotel and airfare arrangements are separate, and may have different policies regarding cancellations and name changes. Please contact them directly. Copyright 2013 The Health Roundtable Ltd Page 5 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Accommodation and Travel Arrangements Delegates are responsible for making their own accommodation and travel/flight arrangements. The Novotel Melbourne on Collins has set aside rooms for the nights of 4 & 5 September 2013 for The Health Roundtable as follows: Room Type Room rate breakfast x 1 Standard Room (Single) $227 Premier Room (includes complimentary internet, local phone calls and bottled water) $257 Executive Suite $297 The above rates are inclusive of GST and based on single occupancy per room per night and include a full buffet breakfast in Michel’s Restaurant. (A $20 surcharge applies for twin share). Please note that all quoted Room & Breakfast Package rates must be pre-booked and confirmed through reservation at the time of booking and are not available upon check-in to the hotel directly. Buffet breakfast is $29 per person per day, if required once guest is checked in. Delegates may contact the hotel direct on +61 3 9667 5800 and speak to Reservations, or email H1587@accor.com and quote THE HEALTH ROUNDTABLE BLOCK ID: 156451 to receive the conference rate. Alternatively, delegates can book online – click here to make your reservation and access the special Health Roundtable rates. To reserve one of these rooms please book before 4 August 2013 Any additional room nights required after this date will be subject to hotel availability at the time of booking. Cancellation policy: No cancellation charge applies prior to 18:00 (local time), up to 1 day prior to arrival. Beyond that time, the first night will be charged. 270 Collins St, Melbourne VIC 3000 Copyright 2013 The Health Roundtable Ltd Page 6 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer IMPROVING MANAGEMENT OF PATIENTS LIVING WITH CANCER 5 & 6 SEPTEMBER 2013 [HRT1311] Optional Tour of Olivia Newton John Centre on 4 September 2013 PRE-MEETING SURVEY INSTRUCTIONS The survey must be completed electronically. Please enter your responses in the shaded boxes in each section. Space for responses will automatically expand to handle all of the text you enter – ignore how this impacts on the pagination or other layout. If you have additional attachments to support your survey responses, please send them as email attachments and cross-reference their file names on the survey. Please involve the delegates attending the meeting in the completion of this self-assessment survey and a review of the responses. If you are unsure of the answer to a question, please make a “guesstimate” rather than leave a blank. The survey information will be used only within the Roundtable and will not be released externally without the unanimous consent of the participating organisations. Please complete the Survey and email it to the address below no later than 15 August 2013. PLEASE RETURN A WORD VERSION --- DO NOT SAVE AS A PDF Return the survey to: survey@hrt.org.au ORGANISATION NAME: NAME OF NETWORK/DISTRICT: PLEASE NOMINATE SOMEONE FOR US TO CONTACT IN CASE WE HAVE ANY QUERIES WITH THIS RETURNED COMPLETED SURVEY: NAME: POSITION: PHONE: EMAIL: Copyright 2013 The Health Roundtable Ltd Page 7 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 SECTION 1: YOUR CANCER SERVICE Your Cancer Service 1.1 Does your health service have a comprehensive cancer service providing sub-specialised medical & radiation oncology, allied health and supportive care - treating the majority of cancer types? If YES, name: OR Yes No If NO, is your health service affiliated or networked with a comprehensive cancer service? If YES, name: Yes No 1.2 How are patients receiving chemotherapy treatments typically counted in your health service? Inpatient Public Outpatient Private non-inpatient 1.3 Does your health service provide radiation oncology services? If YES, are medical and radiation oncology services collocated? Yes No Yes No Yes No Yes No 1.4 What year did your medical oncology service commence? 1.5 What year did your radiation oncology service commence? 1.6 Does the cancer service have formal partnerships with private providers of oncology services e.g. Genesis Cancer Care? If YES, please describe: If YES, are there arrangements in place with these providers to participate in and refer patients to multidisciplinary care meetings? 1.7 What was the total volume of new and follow-up patients with at least one treatment or visit between 1 July 2012 and 30 June 2013? New Patients* Follow-up Patients** New: Follow up Ratio*** Radiation Oncology Service Medical Oncology Service (excluding Haematology patients) Haematology Service (Malignancy) *New patient consultation – first visit with an oncologist. **Follow-up patients are those with appointments at prescribed intervals for the purpose of managing the short and long term side effects (psychosocial and/or physical) of treatment and should it occur, early detection of recurrence. *** If you cannot determine from a data source -please estimate. Copyright 2013 The Health Roundtable Ltd Page 8 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 SECTION 2. GOOD PRACTICE INDICATORS 2013 Good Practice Indicators Cancer Service Standards Yes No Yes No Yes No Yes No Yes No Yes No 2.6 Do MDTs meet at least fortnightly to discuss Breast, Urology (Prostate), Lung and Colorectal Cancer patients? Yes No 2.7 Do all patients have a documented individual care plan developed with the input of the MDT prior to treatment commencing? Yes No Yes No Yes No Yes No 2.1 Has your government published current minimum Cancer Services Standards? Service Standards comments: Leadership 2.2 There is an overall Director of Cancer Services: Leadership comments: Access 2.3 Do you measure New Patient waiting time from booking/referral date to the appointment? If YES, what is your target maximum waiting time to first appointment? 2.4 Do you measure Time from patient ‘ready to treat’ to ‘treatment start’ ? If YES, what is your target maximum waiting time to treatment start? Access comments: Care Co-ordinator Services 2.5 Do you provide care coordinators to help patients navigate the service? If YES, are all patients screened to determine requirements for care co-ordinator services? Care Co-ordinator comments: Multi-disciplinary Team Care Multi-disciplinary Team Care comments: Psychosocial/supportive care 2.8 Are all patients screened for psychosocial distress/supportive care needs? Psychosocial/supportive care comments: Information Management 2.9 Does the cancer service have an integrated electronic information management system including the patient's medical record? Information Management comments: Consumer Engagement 2.10 Are consumers represented on committees for cancer service planning, delivery and evaluation? Copyright 2013 The Health Roundtable Ltd Page 9 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 2.11 Does the cancer service routinely collect patient feedback on their experience of care? If yes, please describe approach and collection frequency: Yes No Yes No Consumer Engagement comments: Clinical trials 2.12 Are rates of participation in clinical trials regularly evaluated and reported for each tumour program? Clinical Trials comments: Copyright 2013 The Health Roundtable Ltd Page 10 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 SECTION 3: UROLOGY (PROSTATE CANCER) PROGRAM Radiation Oncology Service July 2012-Jun 2013: Localised Prostate Cancer Patients 3.1 How many new patients during the year? 3.2 How many follow-up patients were seen at least once during the year? 3.3 What is the ratio of new to follow-up patients? 3.4 How many years, on average, do you aim to follow up localised prostate cancer patients? years 3.5 What % of patients would be considered by your service to be lost to follow-up at 3 years? (Approximate) 3.6 Does the service actively seek to contact ‘lost to follow up’ patients? % Yes No RADIATION ONCOLOGY Prostate Cancer Patients attending in the week 3-7 June 2013 3.7 For New Patients: what was the average waiting time from request to the first appointment? days 3.8 What was the average waiting time from’ ready to treat’ to treatment commencement’? days 3.9 Is waiting time for new patient appointments a cause of complaint in your organisation? Yes No 3.10 Is time spent waiting for appointments in the waiting room a cause of complaint in your organisation (i.e. clinicians running late)? Yes No Case Study: Jack aged 60 had localised prostate cancer and was treated with radiation therapy for cure. He remains well with PSA undetectable on his first post-treatment visit. What is usual for further follow-up visits? 3.11 Is there an agreed follow-up protocol? If YES please attach: File name of Attachment: Yes No 3.12 Would Jack have a written follow-up plan? Yes No 3.13 Would the radiation oncologist consult at the majority of follow-up visits? Yes No 3.14 Will Jack be formally discharged from the cancer service for follow-up with his GP? Yes No If YES when? If NO why not? Comments: 3.15 How often would Jack receive a follow-up appointment in your service? In the first 12 months: In year 2: In year 5: In year 10: Do all radiation oncologists in your service adhere to the same follow-up schedules? Yes No Does the patient also follow-up with the referring urologist? If YES please comment: Yes No Copyright 2013 The Health Roundtable Ltd Page 11 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 Other comments: 3.16 EXPERT OPINION- Please offer your opinion on optimal care for patients like Jack a. Follow-up care should be protocol driven according to risk b. Follow-up of cancer patients in the cancer centre setting is the most appropriate setting c. The specialist oncologist should always consult patients for follow-up at every visit d. The specialist oncologist should retain responsibility for follow-up patients – but delegate this to a registrar e. The specialist oncologist should retain responsibility for follow-up patients - but delegate this to a nurse f. Follow-up care could be fully devolved to specially trained nurses g. Follow-up care could be devolved to other staff in a separate facility other than the cancer centre h. Follow-up care could be devolved to the patient’s GP at the completion of the final treatment review i. GPs must be formally trained/credentialed to undertake follow-up j. The GP’s Practice Nurse must be formally trained/credentialed to undertake follow-up k. Devolving follow-up care to other organisations would compromise data capture of long term clinical outcomes l. Devolving follow-up care to other organisations would impact on our monitoring of clinical trials and outcomes m. Devolving follow-up care would increase patients lost to follow-up n. Devolving follow-up care would have a negative impact on registrar training o. Devolving follow-up care would improve access for new patients? (reduce waiting times for new appointments) p. Devolving follow-up care would free oncologists maximise their expertise for new patients? q. Devolving follow-up care would create capacity in the acute cancer facility Agree No opinion Disagree Comments: 3.17 Do you know of any major innovations for improving management of patients like Jack, living with cancer that has been implemented in the last two years, anywhere in the world? Please share with your colleagues: Yes No 3.18 Have you implemented innovations for follow-up care for prostate cancer in the past 2 years? If YES, please describe briefly: Also, please prepare a short PowerPoint presentation for the workshop using the template provided. Copyright 2013 The Health Roundtable Ltd Page 12 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 SECTION 4: BREAST CANCER PROGRAM Medical and Radiation Oncology Service July 2012-Jun 2013: Localised Breast Cancer Patients 4.1 How many new radiation oncology patients during the year? 4.2 How many follow-up radiation oncology patients were seen at least once during the year? 4.3 What is the ratio of new to follow-up radiation oncology patients? 4.4 How many years, on average, do you aim to follow up radiation oncology breast cancer patients? years 4.5 How many new medical oncology patients during the year? 4.6 How many follow-up medical oncology patients were seen at least once during the year? 4.7 What is the ratio of new to follow-up medical oncology patients? 4.8 How many years, on average, do you aim to follow up medical oncology breast cancer patients? 4.9 What % of patients would be considered by your service to be lost to follow-up at 3 years? Approximate 4.10 Does the service actively seek to contact ‘lost to follow up’ patients? years % Yes No MEDICAL ONCOLOGY Breast Cancer Patients attending in the week 3-7 June 2013 4.11 For New Patients: What was the average waiting time from request to the first appointment? days 4.12 What was the average waiting time from 'ready to treat’ to treatment commencement’? days 4.13 Is waiting time for new patient appointments a cause of complaint in your organisation? Yes No 4.14 Is time spent waiting for appointments in the waiting room a cause of complaint in your organisation i.e. clinicians running late? Yes No Case Study: Mary aged 54 completed surgery, radiation & chemotherapy treatment for localised breast cancer and remains well. What is usual for follow-up visits? 4.15 Is there an agreed follow-up protocol? If yes please attach Yes No 4.16 Would Mary have a written follow-up plan? Yes No 4.17 Would an oncologist consult at the majority of follow-up visits? Yes No Yes No Would Mary follow-up with the Radiation or Medical Oncologist? Please comment: 4.18 Will Mary be formally discharged from the cancer service for follow-up with her GP? If YES when? If NO why not? Comments: 4.19 How often would Mary receive a follow-up appointment in your service? In the first 12 months: Copyright 2013 The Health Roundtable Ltd Page 13 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 In year 2: In year 5: In year 10: Do all oncologists in your service adhere to the same follow-up schedules? Yes No Does the patient also follow-up with the referring surgeon? If yes please comment: Yes No Other comments: 4.20 EXPERT OPINION- Please offer your opinion on optimal care for patients like Mary a. Follow-up care should be protocol driven according to risk b. Follow-up of cancer patients in the cancer centre setting is the most appropriate setting c. The specialist oncologist should always consult patients for follow-up at every visit d. The specialist oncologist should retain responsibility for follow-up patients – but delegate this to a registrar e. The specialist oncologist should retain responsibility for follow-up patients - but delegate this to a nurse f. Follow-up care could be fully devolved to specially trained nurses g. Follow-up care could be devolved to other staff in a separate facility other than the cancer centre h. Follow-up care could be devolved to the patient’s GP at the completion of the final treatment review i. GPs must be formally trained/credentialed to undertake follow-up j. The GP’s Practice Nurse must be formally trained/credentialed to undertake follow-up k. Devolving follow-up care to other organisations would compromise data capture of long term clinical outcomes l. Devolving follow-up care to other organisations would impact on our monitoring of clinical trials and outcomes m. Devolving follow-up care would increase patients lost to follow-up n. Devolving follow-up care would have a negative impact on registrar training o. Devolving follow-up care would improve access for new patients? (reduce waiting times for new appointments) p. Devolving follow-up care would free oncologists maximise their expertise for new patients? q. Devolving follow-up care would create capacity in the acute cancer facility Agree Disagree No opinion Comments: 4.21 Do you know of any major innovations for improving management of patients Copyright 2013 The Health Roundtable Ltd Page 14 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 like Mary, living with cancer that has been implemented in the last two years, anywhere in the world? Please share with your colleagues: 4.22 Have you implemented innovations for breast cancer follow-up care in the past 2 years? If yes, please describe briefly: Also, please prepare a short PowerPoint presentation for the workshop using the template provided Copyright 2013 The Health Roundtable Ltd Page 15 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 SECTION 5: WELLNESS DURING & AFTER CANCER TREATMENT 5.1 Are Wellness Centres desirable for a patient centred cancer service? Yes No 5.2 Does your organisation have a Wellness Centre? Yes No 5.3 Is your service planning to establish a Wellness Centre? If so when? Yes No 5.4 Should a Wellness Centres be co-located with the acute cancer service? Yes No 5.5 Should patients ever be discharged from the Wellness Centre? Yes No 5.6 If you have a Wellness Centre or are planning one, how is it funded (or planning to be funded?) a. Is there (or would there be) a charitable foundation associated with the centre? b. CAPITAL Sources - select approximate percentage: Philanthropy Please select: Government Grant Please select: Health Service Please select: Other: Please select: c. Total budget build approx. d. Total budget fitout approx. e. OPERATING COSTS select approximate percentage Philanthropy Please select: Government grant Please select: Health Service Please select: Medicare Billing Please select: Patient/User contribution Please select: Other: Please select: f. Total operating budget 12/13 approx. g. STAFFING select approximate percentage Health Service Staff Please select: Other salaried staff Please select: Fee for service care providers Please select: Volunteers Please select: Other: Please select: 5.7 What services are provided by your cancer service ? a. Yes No Are any of these delivered through the Wellness Centre? CLINICAL SERVICES Patient transition programs post acute care Yes No Yes Rehabilitation programs Yes No Yes Routine follow up clinics Yes No Yes Special clinics - lymphedema, continence Yes No Yes Copyright 2013 The Health Roundtable Ltd Page 16 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 Psychosocial support and counselling Yes No Yes Palliative and supportive care services Yes No Yes Other: b. Yes PRACTICAL PLANNING Advance Directives Yes No Yes Estate planning Yes No Yes Other: c. Yes COMPLEMENTRY THERAPIES Massage Yes No Yes Yoga Yes No Yes Pilates Yes No Yes Reiki Yes No Yes Reflexology Yes No Yes Aromatherapy Yes No Yes Other: Yes Comments: Copyright 2013 The Health Roundtable Ltd Page 17 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013 SECTION 6: HOT TOPICS List up to three key cancer issues you would like to discuss with your colleagues at the meeting? Ideally these should relate to practical ways to improve your service or deal with a specific issue. 1. How to: 2. How to: 3. How to: Copyright 2013 The Health Roundtable Ltd Page 18 HRT1311 – 5 & 6 September 2013, Melbourne Improving Management of Patients Living with Cancer Please return to: survey@hrt.org.au by 15 August 2013