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Award Recipients 2014

 

Winners

Quality

Collaborative Management of Patient Care in Advanced Stage Malignancy
St. Joseph’s Healthcare Hamilton

Team members: Dr. Yaron Shargall, Dr. Jacob Gelberg, Dr. Wael Hanna, Dr. Gerard Cox, Dr. Lori Whitehead, Caroline McEachern, Jacqueline Jarusauskas, Jacqueline Barrett, Laura Wheatley, Jane Loncke, Carolyn Gosse, Anne Marie MacDonald, Anna Tran, Lorraine Martelli, Kathy Lubera, Alexandra Fritch, Peter Lauks, Andrea McGuire, Dr. Stewart Pugsley

Read video transcript - Quality Award

Background

Some patients diagnosed with advanced-stage malignancies of the lung, breast, and ovary, or lymphomas, may experience malignant pleural effusions (MPEs) – a buildup of extra fluid in the pleural space, between the lungs and the chest wall.

MPEs have very negative impacts on patients’ quality of life with symptoms such as shortness of breath, coughing, chest pain, and/or reduced exercise tolerance.

Solution

St. Joseph's Healthcare Hamilton, in collaboration with the Lung Diagnostic Assessment Program and Integrated Comprehensive Care project, developed an innovative clinic to allow for a less disruptive treatment of MPEs and related symptoms for patients who are nearing end of life. This care is accomplished though collaboration between thoracic surgery and respirology health provider teams who worked with patients to develop and coordinate a patient- and family- centred care plan to control their symptoms.

Results

A more compassionate and comfortable option for patients that addresses their comfort and improves symptom control while minimizing the time patients spend in hospital and away from home.


Innovation

Peripherally Inserted Central Catheter Resource Centre (PRC)
Juravinski Hospital, Hamilton Health Sciences

Team Members: Ari Collerman, Shairoz Kherani, Kim Alvarado, David Wormald, Kris Paton, Linda Unelli, Sandra Hughes, Angie Kovacevic, Lisa Pala, Lisa Hampel

Read video transcript - Innovation Award

Background

Many patients undergoing cancer treatment require insertion of PICC lines to infuse intravenous chemotherapy and other drugs or to provide intravenous fluid. Between 2008/09 and 2012/13, the Juravinski Hospital and Cancer Centre noted a 62% increase in the number of requests for Peripherally Inserted Central Catheters (PICCs).

Solution

A strategy was developed to address the rising cost and demand for PICCs for cancer patients and other patient populations, and also to address best practices for confirming PICC placement while minimizing medical radiation.

The result was the creation of the PICC Resource Centre, which uses ECG-based technology to assist in the insertion of PICC lines and confirm that the PICC is in the proper location.

Results

The ECG-based technology allows greater accuracy of PICC placement which reduces post-insertion complications and avoids exposure of patients to more radiation. In addition, this new model allows nurses and technologists to work to their full scope of their practice making the most efficient and effective use of health care resources.

The Juravinski Hospital and Cancer Centre is the first to use this technology in Ontario and the first in Canada to fully transition to ECG-guided PICC insertions.

An overall operating cost savings of $105,000 and a decrease of approximately $226,000 in annual physician billing to the Ministry of Health and Long-Term Care was realized.


Honourable Mentions

Quality

Multidisciplinary care in NETs tumor: A new model for a rare disease in Ontario
Odette Cancer Centre, Sunnybrook Health Sciences Centre

Team Members: Dr. Simron Singh, Dr. Julie Hallett, Dr. Calvin Law, Suzanne Gardner, Corwyn Rowsell, Dr. Laurent Milot, Tanis Watkins, Julie Diemert

Read video transcript - Quality Honourable Mention

Background

Neuroendocrine tumours (NETs) provide a unique clinical challenge to healthcare providers. It is an uncommon type of cancer, but the incidence has increased five-fold since 1973. Diagnosis of NETs is frequently delayed, with an average diagnosis time of six-and-a-half years after its first presentation. NET symptoms are non-specific and as a result, diagnosis can be difficult. Its rare nature exacerbates this problem.

Solution

The Odette Cancer Centre recognized this challenge and established a multidisciplinary referral centre (MRC) to help improve the patient experience from diagnosis through their care continuum.

Results

All patients with NETs are now directly triaged to the MRC and are scheduled to be seen by physicians from medical, radiation and surgical oncology in their first visit. They are also seen by the same nurses at each visit, so consistent information, education and support throughout their care is provided.

In addition, the MRC also coordinates a province-wide virtual NET MCC to facilitate discussion of patients with NETs across Ontario. This enables experts from across the province to discuss challenging cases in a virtual environment using videoconferencing and interactive medical imaging.


Innovation

AQUA – A Comprehensive Platform for Radiation Therapy Equipment Quality Assurance
Radiation Medicine Program, Princess Margaret Cancer Centre

Team members: Dr. Daniel Létourneau, Dr. David Jaffray, Paul Homer, Kevin Wang, Gavin Disney, Igor Svistoun, Bern Norrlinger, Dr. Mohammad Islam, Dr. Robert Heaton, Jason Smale, Jim Pearce, Dr. Stephen Breen, Matthew Bergshoeff, Phyliss Lee


Read video transcript - Innovation Honourable Mention

Background

In radiation oncology, quality and safety are of significant importance to ensure that patients receive the prescribed treatment dose. Current commercial radiation therapy quality assurance (QA) tools are fragmented and limited in scope. Managing multiple software platforms and tools, and trying to integrate them into a clinical environment is difficult and time-consuming.

Solution

In response to this challenge, a multidisciplinary team from the Princess Margaret Radiation Medicine Program developed Automated Quality Assurance (AQUA), an innovative and comprehensive software platform to centralize QA for all activities related to radiation therapy.

Results

AQUA integrates the many techniques available for imaging/treatment, and provides an “one‐stop-shop” for managing, analyzing, documenting and storing QA tests and results in real-time. AQUA streamlines activities using workflow tools, automation and reporting mechanisms, which can be tailored to the installed base of existing and new tools and protocols. Any radiation therapy clinic can modify AQUA to their specific requirements.

In addition, AQUA automates and integrates quality control tests, and all radiation therapy professionals can now run and review these tests; providing physicists more time to focus on addressing and improving critical performance or compliance issues.