CvSSS

LE CENTRE VIRTUEL DE SANTÉ ET DE
SERVICES SOCIAUX (CvSSS)
LA TÉLÉSANTÉ SIMPLIFIÉE!
Setting up Teleoncology in the McGill RUIS: The
Valleyfield experience
Tarek Hijal, MD
Associate director, Division of Radiation Oncology, MUHC
29 mai 2012
Background: Oncology at Suroit
Hôpital du Suroit did not have a dedicated oncology
service
― Service has been provided over the years by:
Oncologists from Hopital Charles Lemoyne (HCLM)
Patients seen and treated in Valleyfield
Radiation Oncology at the MUHC
Patients seen and treated in Montreal
www.cvsss.ca
2
Background: Oncology at Suroit
Quality of service was not optimal:
― Rotations between medical oncologists
―
Patients seen by a rotating group of oncologists
Travel time to Montreal for radiation services
Consultations
CT planning
Treatment
Follow-up
www.cvsss.ca
3
Background: Oncology at Suroit
2011: Oncology crisis at Hôpital du Suroit
―
Opening of HCLM radiation oncology department
Decision by HCLM medical oncologists to decrease service
at Hôpital du Suroit
New consultations seen at HCLM
Medical oncology treatment given at HCLM
Follow-up of new patients done at HCLM
Follow-ups of known patients continues at Hôpital du Suroit
www.cvsss.ca
4
Background: Oncology at Suroit
2011: Oncology crisis at Hôpital du Suroit
―
MUHC takes a leading role to provide oncology
coverage at Suroit
Weekly medical oncology clinics
Bi-weekly radiation oncology clinics
Chemotherapy treatments delivered at Valleyfield
Emergency coverage done by Suroit physicians
www.cvsss.ca
5
Further improvements requested
Weekly consultation visits at Suroit Hospital
― Pros
―
Quicker access to radiation oncology services
Easy travel arrangements for patients
Cons
Travel time for physicians is important
2 to 3 hours per day
Disrupts day that is centered around the radiation oncology
department
Treatment planning
Patient care
www.cvsss.ca
6
Solution: Teleoncolgy consultations
More complicated than it sounds…
More than just buying equipment and showing up to a videoconference consultation
www.cvsss.ca
7
Initial questions and initial setup
Who?
― Which pathologies?
― Emergencies or straighforward cases?
― Palliative or curative cases?
What?
― Follow-up or new patients?
Where?
― Space and equipment at both sites
― Chart and radiology remote access
www.cvsss.ca
8
Sites and departments involved
Process that involves a minimum of three different
units that need to be coordinated:
― Site demandeur
―
―
Hopital du Suroit
Oncology clinic
Medical records department
CECoT
Site fournisseur
Montreal General Hospital
Radiation oncology clinic
Medical records department
www.cvsss.ca
9
The people involved
Process that involves a minimum of 8 people over 2
sties:
― Hopital du Suroit
―
Secretary
Patient attendant
Nurse
Medical archivist
Montreal General Hospital
Radiation oncology secretary
Admitting department
IT support person
Physician
www.cvsss.ca
10
The process: Preconsultation setup
www.cvsss.ca
11
The process: Final confirmation
www.cvsss.ca
12
The process: Actual consultation
www.cvsss.ca
13
The process: Post-consultation
www.cvsss.ca
14
Our experience
Pilot project involving selected patients
― New consultations of breast cancer patients
― One session has taken place
Female with breast cancer
Seen in consultation via videoconference
Seen and examined at CT simulation
Very successful
Patient and physician highly satisfied by the process
No issues encountered at either site
www.cvsss.ca
15
Future directions
Bi-monthly consultations as of next month
Increase the number of cancer sites treated
Develop a tumour board with physicians at Hopital du
Suroit
Develop tele-oncology with the Abitibi region
www.cvsss.ca
16
The end
Any Questions?
Remerciements:
― Antoinette Ghanem, Chantal Bastien, and the
CECoT team
― Carole Rodier and the CSSS du Suroit team
― Mary Vescio and the MUHC Radiation Oncology
team
www.cvsss.ca
17