ST. JOSEPH’S/CANDLER (SJCHS)
NANCY N. AND J.C. LEWIS CANCER & RESEARCH PAVILION
In 2001, St. Joseph’s/Candler (SJCHS) in Savannah was in the process of launching the new Nancy N. and J.C. Lewis Cancer & Research Pavilion and searching for metrics to track and monitor their own progress. At the same time, the Georgia Cancer Coalition had received the IOM report and was seeking to validate the use of the dashboard of metrics they developed in a clinical setting.
With a strong commitment to technology, including electronic medical records, an automated cancer registry, and a progressive decision support system, SJCHS was a good fit for The Georgia Cancer Quality Information Exchange (The Exchange)’s first demonstration project.
Vital to accomplishing the project was engaging the support of hospital leadership in administration, information technology, oncology, health information management, tumor registry, the breast center, research, quality assurance and liaison with physician offices. The next step was developing a retrospective baseline for select IOM metrics so that SJCHS could determine whether the data was already being captured or if not, how to capture it; how to retrieve it and how to calculate the indicator. The working team developed a standardized framework or “toolkit” that includes:
- data definitions
- data sources
- collection methods
- processes for analysis and reporting
The SJCHS Demonstration Project focused on 21 of the 52 indicators—those having to do with breast cancer and overall cancers.
This premier demonstration project validated the use of the metrics in a clinical care delivery setting and established the foundation for demonstration projects to follow.
Health care providers in Rome—the Harbin Clinic, Floyd Medical Center and Redmond Regional Medical Center—together became the state’s second demonstration site for The Exchange in January, 2007. They designed a plan to gather data on metrics specific to lung cancer as well as other metrics that apply to all types of cancer. Tom Fricks, Chief Information Officer for Harbin Clinic, is the Project Executive and Dr. Matthew Mumber, a radiation oncologist, is the Physician Executive. All partners made a significant investment of resources and expertise to become a demonstration site
With the ultimate goal of The Exchange being community-wide implementation, Rome provides an interesting microcosm of the state. Demonstration Partners there include a multi-specialty physician practice, a not- for-profit hospital and a for-profit hospital. The implementation of electronic medical record keeping is at various stages in the three facilities, so the gathering of data requires alternative approaches. The Exchange must also work together with many stakeholders, and the cooperative efforts, level of collaboration and joint development of initiatives in Rome could demonstrate results that other regions of Georgia can replicate, thus serving as a model for state-wide implementation.
The Rome Demonstration Partners’ role in developing methods for the design, access and retrieval of clinical information and public health data is moving The Exchange another important step closer to the vision of full-scale implementation.
For more information:
What it means to be a Demonstration Partner:
Demonstration Partner Fact Sheet