2016 ACCC Trends in Cancer Programs Survey for Nurses

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* Name:

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* Title:

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* Organization:

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* Phone:

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* Email:

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* Which of the selections below best describe your cancer program? (Select only one)

Hospital-based outpatient cancer center

Freestanding cancer center

Physician-owned oncology practice

Hospital-employed physician oncology practice

University-affiliated cancer program or teaching hospital

University-based cancer program

Shared operation (an arrangement where resources are shared between two entities, such as private practice and hospital)

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* What resources and benchmarks do you use to develop your staffing model? How does your cancer program plan for and fund non-reimbursable staff positions (e.g. dietitians, financial advocates, patient navigators)?

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* How do you educate staff about new treatments and technology, such as immunotherapy, (in-house training, huddles/meetings, education provided by outside organizations)? What resources do you use for staff education? Please provide specific examples.

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* Are patients coming to you with questions about new treatments and technology? If so, what patient education do you offer or what resources do you use? Please be specific.

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* How does your cancer program define and measure patient-centered care? Has your program expanded and/or added staff and/or services to meet increased demand for patient-centered care?

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* Does your cancer program currently have quality improvement initiatives in place to address disparities and/or access to care issues? Please provide specific examples.

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* What are the innovative strategies your cancer program uses to ensure patient access to clinical trials?

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* What strategies does your cancer program use to mitigate financial burdens for patients and families? What metrics do you collect, if any, to measure the value and/or impact of these strategies?

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* Describe your protocol for starting patients on oral oncolytics, including challenges you face and solutions to address these challenges. What is your current process for educating patients about oral agents?

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* How is your cancer program currently employing technology to remove barriers to care (e.g., telemedicine, virtual tumor boards, patient portals)? What are the biggest IT challenges your cancer program faces, and what resources and/or innovative strategies are you employing to address these challenges?

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* If you had the opportunity to speak with your Congressional representative tomorrow, what are the challenges and concerns you would express specific to your cancer program?

This year, ACCC is rolling out four separate survey instruments geared towards: cancer program administrators, oncology nurses, pharmacists, and medical directors/physician leaders. Please help us by identifying who at your cancer program would be the best staff to receive and respond to these specialty-specific surveys by providing their names and contact information.

For each discipline, please provide names, emails, and telephone numbers. You may provide more than one name for each category:

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* Pharmacist:

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* Medical Director/Physician Leader: