The Case of the Care Model Confusion
Kathy is a 42-year-old woman with newly diagnosed stage IIB (T2N1M0), ER–, PR–, and HER2– breast cancer. She has talked with several friends, noted the range of treatment options discussed in an online forum, and tells her oncology nurse that she really wants to move forward with any treatment option but chemotherapy because she doesn’t think she really needs it. Kathy says she understands that doctors have many treatment options they can offer and that she’d like a doctor who will support her idea that she doesn’t need chemotherapy.
How the Oncology Care Model Is Redefining Quality Care
Oncology institutions across the United States are implementing big change in the way nurses and physicians deliver care to patients with cancer. By highlighting quality care and smart spending, facilities are reimagining the way cancer is treated in America. New procedures, research, and technology have redefined the way cancer is treated, so a new system for delivery and reimbursement is vital to ensure that quality care can be delivered at a reasonable cost.
How Are We Creating a New Payment Model for Oncology Care?
Oncology care is a complex, expensive, and often-fragmented area of medicine. To understand the potential need for a new payment model in oncology care, a thorough evaluation of all the data was important. By reviewing the oncology literature associated with costs and quality, we discovered that there were wide variations in the costs associated with the treatment of advanced cancers, but little variation in the outcomes of patients. We also identified gaps in patient care that we thought could be improved.
National Roundtable Allows ONS and Nurses to Influence Quality Cancer Care
As 2016 came to a close, I participated in a two-day meeting in Washington, DC. ONS is one of more than 40 sponsors of the National Academy of Medicine’s Roundtable on Quality Care for People With Serious Illness.
How to Incorporate Exercise Into Patient care
Since the first article on exercise for patients with cancer appeared in the literature in 1986, numerous studies have confirmed its benefits on disease- and treatment-related fatigue, anxiety and depression, sleep quality, lymphedema, bone and muscle strength, and risk of recurrence.