Using 4R care sequences for lung cancer care: 4R is "Right Information and Right Care for the Right Patient at the Right time."
Johns Hopkins Bayview Medical Center
The project will use the 4R Oncology model as a quality improvement for lung cancer patients who initiate treatment at our care sites.At the Center for Excellence in Thoracic Oncology at the Sidney Kimmel Cancer Center, we see approximately 800 new patients with lung cancer each year. Many patients require multidisciplinary care with surgeons, pulmonologists, medical oncologists, and radiation oncologists. This care may be occurring across more than one campus, such as the Johns Hopkins East Baltimore Campus and the Johns Hopkins Bayview medical campus. Timely and coordinated care is absolutely crucial to the management and outcomes of these patients. According to the 4R conceptual Model (Figure 1): Each patient receives a personalized “care project plan” called 4R Sequence of Care4R Sequence outlines care for the patient, including definitive and supportive care, from diagnosis through treatment into transition to survivorship or hospice
Patient Inclusion Criteria•Patient with lung Cancer •Stage I, II, III or IV disease•ECOG Performance Status of 0,1, 2 or 3; •Above the age of 18•Receive cancer care at Johns Hopkins University3.2Provider Inclusion Criteria•Provide care or support for lung cancer patients•Above the age of 18•Work at Johns Hopkins University
To evaluate the impact of the 4R procedures along the three Objectives, we will conduct baseline data collection and post-pilot data collection, and compare data according to pilot metrics
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