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I Am An Administrator

Administrators in all settings of care are at the center of the whirlwind of change sweeping through healthcare and oncology— the shift to new payment models; growing requirements for data collection and reporting; EHR systems; marketplace pressures; budget constraints and staffing; and more.  ACCC is pleased to offer select curated content contributed by administrators, industry experts, and others involved in the operations and management aspects of cancer care delivery.

Featured Administrator Programs

Optimal Care Coordination for Lung Cancer Patients On Medicaid
Through quality improvement initiatives, seven ACCC Cancer Program members are now testing the care coordination model developed by ACCC.
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Let's Be Clear: Communicating to Improve the Patient Experience
Cancer treatment regimens are increasingly complex. How health literate is your healthcare organization? Use ACCC's gap assessment tool to identify areas for improvement.
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Optimizing Electronic Health Records
In ACCC's recent Trending Now in Cancer Care Survey, 68% of respondents reported that getting EHRs to "talk to each other" and integrate data continues to be a top challenge. This ACCC project explores the current oncology EHR landscape and shares solutions from ACCC member programs.
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Operations and Effective Practices in Immuno-Oncology: Practice Pearls
New Reimbursement Challenges with Cancer Immunotherapeutics

From Oncology Issues

  • Improving Care of Advanced Cancer Patients with a Dedicated Palliative Radiotherapy Team
    By Kavita Dharmarajan, MD, MSc
    Due to radiation oncology’s focus on disease, palliative radiation therapy often involves lengthier courses than necessary and extended wait times, posing financial and logistical challenges for patients. Mount Sinai Hospital’s Department of Radiation Oncology and the Tisch Cancer Institute established a specialized service model to increase the use of short-course radiation treatments, reduce the lengths of hospital stay, and improve access to palliative care services.
  •  An Inpatient and Outpatient Nursing Collaborative Improves the Patient Experience
    By Christine Shike, RN, BSN
    When SwedishAmerican Regional Cancer Center found itself unable to quantify performance in inpatient oncology, it saw an opportunity to break down barriers in communication and education between the inpatient and outpatient setting.
  •  Patient Care Connect
    By Warren Smedley, MSHA, MSHQS, and Gabrielle B. Rocque, MD
    Though the concept of patient navigation is not new, the use of lay navigation teams across the continuum of a cancer journey is a novel approach to care coordination. Integrating lay navigators into the healthcare team empowers the clinical team to work at a higher level within the scope of their training.
  •  Beyond the Classroom: Students Improve Access to Supportive Care Services
    By Bridget LeGrazie, APN; Brie Bernhardt, MSW, LSW; and Lisa Rosenberry, MS, MSW, LCSW, OSW-C
    In 2016 Virtua Cancer Program saw approximately 2,400 analytic cases across three ncampuses. Our two full-time (FTE) social workers were challenged to meet this high patient demand, and it soon became clear that improvements were needed
  •  A Perfect Fit: Mentoring Experienced RNs to Meet Oncology Clinic Demand
    By Lexine Thall, MN, RN-BC, AOCN, and Kristina Chase, BSN, RN, OCN
    The ongoing balancing act of staffing and retention is one of the most challenging issues in healthcare today. In specialty areas such as oncology, staffing presents an even more difficult challenge. Finding qualified individuals with the right experience to fill open positions can be a taxing, time-consuming task.
  •  Adverse Event Management in the Community-Based Immuno-Oncology Clinic
    With increasing approvals of new immunotherapy agents and new indications for existing agents, more cancer patients are receiving immunotherapy in the community. Coordinated management of immune-related adverse events (irAEs) for these patients remains a growing challenge.
  •  Piloting a Patient Resource Navigator System
    Jennifer Klemp, PhD, MPH; Jeff Wright; Teri Banman, BSN, RN, OCN; and Terry Tsue, MD, FACS
    The University of Kansas Cancer Center and Patient Resource, LLC, have collaborated on a navigation and patient education system, coordinating oncology patient care and providing personalized education for individuals with a new or potential primary oncology diagnosis.
  •  Compliance: Oncology Coding Update 2018
    The 2018 Medicare final regulations, code updates, and other reimbursement changes will bring significant compensation shifts for oncology providers.
  •  Growing a Patient Transportation Program
    Sherry Laniado, MSW, LCSW, OSW-C
    Transportation is not only a practical problem, but also an emotional impediment that can cause a tremendous amount of stress and anxiety to an already overwhelmed patient.
  •  The NET Program
    Linda Bily, MA
    Stony Brook Cancer Center staff and patients appreciate the bus service and what it entails: reduced travel time for patients, less fatigue for patients, a knowledgeable driver, and coordination with oncology services.
  •  Building a Comprehensive Oncology Rehabilitation Program
    Paula J. Bauer, RN, MSN, OCN
    TMMC’s commitment to relieve disability and improve the quality of life of cancer survivors includes program development of exercise, diet, relaxation techniques, and numerous other rehabilitation interventions.
  •  Oncology Disease-Site Process Mapping: Coordinating Care Across the Continuum
    Tricia Strusowski, RN, MS, and Matthew Shoemaker
    Learn how oncology disease-site process mapping can streamline your cancer program’s operations and decrease duplication of services.
  •  The Role of the Oral Oncology Nurse Navigator
    Mary K. Anderson, BSN, RN, OCN; Michael J. Reff, RPH, MBA; Rebecca S. McMahon, MHA, BSN, RN, OCN; and Deborah R. Walters, RN, OCN
    While oncology programs and practices must take into account numerous considerations when ramping up their oral chemotherapy services, this article focuses on one unique and very important role to facilitate this transition: the oral oncology nurse navigator.
  •  The Oncology Nursing Fellowship Program
    Sandy Balentine, MSN, RN, OCN, MBA, and Valerie Quigley, BSN, RN, OCN
    Productivity and staffing in an ambulatory oncology infusion center can be challenging. A shortage of skilled applicants to fill staffing needs adds further challenges. Such was the case at The Valley Hospital in northeast New Jersey.

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