R25 2017 Participant Goals
| Institution | Location | Participants | Goal 1 | Goal 2 | Goal 3 |
|---|---|---|---|---|---|
| Augusta Health | Fishersville, VA | Amanda Bennington (abennington@augustahealth.com) Samantha Lipscomb (slipscomb@augustahealth.com) Greg Smith (gsmith@augustahealth.com) | We will provide education to PT/OT disciplines on importance of creating plans of care for inpatients receiving chemotherapy within 3 months. They will have care plans in place within 6 months. | We will begin a "Geriatric Corner" in the monthly nursing newsletter within 3 months to educate all nurses on different topics within geriatric nursing. | Evaluate current ICU-CAM tool and implement CAM tool on all med/surg floors. Obtain CAM assessments on admission and PRN for acute events. This should be implemented within 12 months. |
| Aurora Health Care | Oshkosh, WI | Leslie Prusik (leslie.prusik@aurora.org) Sandy Jameson (Sandy.jameson@aurora.org) Karen Garwood (Karen.garwood@aurora.org) | Develop and implement an E‑Learning education course on geriatric patient vulnerabilities for our inpatient and outpatient nurses for our hospital system in 6 months. (via our learning connection) | Develop a plan to implement a geriatric functional assessment on oncology patients 70 and older in our outpatient clinic by October 1, 2017. | Create a support group model for caregivers of the older adult for our patient population at our site by March 1, 2018. |
| City of Hope | South Pasadena, CA | Natalie Jo Tuazon (njtuazon@gmail.com) Dora Guardado (dguardado@coh.org) | *Within 6 months* Educate team physiological changes and comorbidities associated with aging with relations to risk of chemotherapy toxicity, which will allow the team to recognize these signs and advocate for patients 65+ years old. ‑ Implementing Chemotherapy Toxicity Prediction Tool | *Within 6 months* Develop new strategies to enforce compliance with home medication. (Ex: Oral chemo, anti‑nausea medication) - Print med list and review on 1st day of chemotherapy with patient. | *Within 12 months* Learn more about risk prediction and tools for identifying who should receive supportive care. -Have the patient complete geriatric assessment questionnaire; depending on outcome of questionnaire -> referral to LCSW or other supportive care programs. |
| City of Hope APNs | Duarte, CA | Leana Chien (lchien@coh.org) Jeanine Moreno (jmoreno@coh.org) Carolina Uranga (curanga@coh.org) Nimian Bauder - Student (nimianreyes@gmail.com, nimian.bauder@va.gov) | Provide a one-day workshop on geriatric oncology using the quality of life model by 2nd quarter 2018. | Assess needs of nurses regarding geriatric resources to improve patient outcomes in the older adult by 1st quarter 2018. | Initiate an APRN resource team to assist staff members caring for older adults to better utilize an interdisciplinary approach to improve patient outcomes in the older adult by 3rd quarter 2018. |
| City of Hope: BMT | Duarte, CA | Melody Tan (metan@coh.org) Jennifer Peterson (JPeterson@coh.org) Monica Munaretto (mmunaretto@coh.org) | Identify and incorporate an assessment tool on admission for patients greater than 65 years old admitted to Helford 6 in order to determine patient functional age and use data as a potential prompt for geriatric NP consult/assessment. Time Frame: Within 1 year. | Present Fever in Older Adults retrospective data to Hematologists in order to gain support for potential of lowering blood culture threshold for Hem/HCT patients greater than 65 years old to 38 degrees. Time Frame: 12 months. | Reformat HCT patient education materials with larger font (14). Time Frame: 9 months. |
| City of Hope GRNs | Duarte, CA | Meghan Kelly (mekelly@coh.org) Christina Byrne (cbyrne@coh.org) Mary Colasuanno (MColasuonno@coh.org) Mischelle Cruz (micruz@coh.org) | Establish workflow for outpatient coordinators to perform functional status assessment.
| Develop an education plan and materials to address knowledge gaps by 1st quarter 2018. | Initiate implementation of education plan by 2nd quarter 2018. |
| City of Hope: Outpatient | Duarte, CA | Kathy Burns (kaburns@coh.org) Ellen Blackstock (eblackstock@coh.org) Lois Williams (Loiwilliams@coh.org) | Do a needs assessment of the Solid Tumor Nurses with regards to Geriatric pain management. This will be done by 9/5/17 via a survey monkey. The survey monkey will be sent out to all of the RN's on Oct 1st. We will give the nurses 3 weeks to answer the survey. | Based on the information obtained from the survey monkey we will develop a educational offering for the Solid Tumor nurses. This will be done by Jan 15, 2018. We will administer a pretest based on the educational program goals, and then administer a post test. The program will be offered at two separate staff meetings. This will be done by 3/15/18. | Create a one page, age appropriate handout for the Gerontology patient regarding safe pain management. This will be done by identified RN champions, patients and NP's to create an easy to read educational handout for the clinic nurses to give patients. This will be done by 9/1/18. |
| City of Hope - WC | Duarte, CA | Carolina Arias (carias@coh.org) Nicole Gee (nigee@coh.org) Dawn Neuhauser (dneuhauser@coh.org) | By September 30, 2017 our team will evaluate COH women's center clinic staff understanding of geriatric screening tools and use through survey to determine a knowledge deficit and develop a strategic plan. Explore underutilized and unknown COH resources. | By December 31, 2017 our team will explore available data from patient screening. Devise a way to distribute the data in a sustainable and meaningful way for multidisciplinary clinic team to trend data and prioritize needs of our geriatric (65+) population in the COH women's center. | By May 30, 2018 our multidisciplinary clinic team will integrate identified intervention from goals 1 and 2 into clinic workflow emphasizing care team model strategies. |
| Community Medical Center | Tomsriver, NJ | Jonathan Gapilango (jonathan.gapilango@rwjbh.org) Heather Zebrowski (heather.zebrowksi@rwjbh.org) Brittany Montalbano (brittany.montalbano@rwjbh.org) | Inpatient Goal: Implement a sleep protocol for patients 65 years or older who trigger an alert on the admission assessment by 1/2018. #1. Review current sleep questions on admission assessment. | Outpatient goal: A home based exercise program for breast cancer survivors 65 years or older by 1/2018 | Education goal: Implement educational online CBIS focusing on NICHE functional assessments and polypharmacy by 1/2018. |
| Cotton O'Neil Cancer Center | Topeka, KS | Vicky McGrath (vmcgrath@stormontvail.org) Heather Eisenbarth (heisenba@stormontvail.org) Sam LoBurgio (SLoBurgi@stormontvail.org) | Develop process for referral to oncology certified pharmacist for patients > 65 years to identify potentially inappropriate medications over next 3-6 months. | Create an evidence based resource tool kit for oncology patients > 65 years to encourage patients to lead a healthy lifestyle over the next 12 months. | Implement a functional assessment tool to identify oncology patients > 65 years that would benefit from a rehabilitation referral over the next 6 months. |
| El Camino Hospital | Mountain View, CA | Ann Aquino (anna_aquino@elcaminohospital.org) Hannah Tra (hannah.tra@elcaminohospital.org) Monica Hite (monica.hite@elcaminohospital.org) Shara Vinco (shara.vinco@elcaminohospital.org) | Assess nurses' knowledge of geriatric syndromes and age‑friendly care to identify knowledge gaps by 4th quarter 2017. | Develop an education plan and materials to address knowledge gaps by 1st quarter 2018. | Initiate implementation of education plan by 2nd quarter 2018. |
| Fox Chase Cancer Center | Philadelphia, PA | Jeanne Held‑Warmkessel (jeanne.held‑warmkessel@fccc.edu) Terry Pody (theresa.pody@fccc.edu) Jennifer Ranck (jennifer.ranck@fccc.edu) | Identify components of EMR related to: ADLs, IADLs, cognitive impairment, urinary incontinence, and spiritual; and enhance/add components to EMR by Sept/Oct 2017. | Develop an assessment component to include in annual Professional Development Needs Assessment related to evaluate nursing staff comfort level/knowledge related to: ADLs, IADLs, cognitive impairment, urinary incontinence, and spiritual by Sept/Oct 2017. | Based on the needs assessment, develop multidisciplinary scripting for nurses to use to discuss issues identified during assessment. (March 2018) Identify local resources nurses can utilize to assist patients and transitions of care. (June 2018) |
| Kaiser Permanente | San Jose, CA | Marit DiRado (marit_63@yahoo.com) | Meet with Nurse Manager and present evidence based material regarding growth of older adults (765) in our practice. From this meeting I hope to present a 5 minute powerpoint educational presentation to deliver at one of our monthly staff meetings which would highlight the growth of the older adults and the opportunities to meet these patients' needs. | Develop a quick survey tool which MDs would complete to determine where they are regarding their thoughts on geri‑onc and assess if they would be willing to use the chemo‑toxicity tool on a set number (5) of patients. | Use the Sklenarova 'Supportive Care Needs Survey… for Partners + Caregivers' with family members of patients > 70 to assess their emotional/physical, social/spiritual well being. |
| Kaiser Permanente Kennesaw GA | Kennesaw, GA | Martha A. Trout (martha.a.trout@kp.org) | Will provide nursing education focusing on "The older cancer member" at the monthly UBT (United Based Teams) Sept 2017‑Sept 2018. Utilize Hartford Institute for Geriatric Nursing www.ConsultGeriRN.org | Will assist oncologists to utilize chemotoxicity tool with patients > 70 years young who are considering chemotherapy within 12 months. Would like to see used 90% of time. (Aug 2018) - Identify physician champion to pilot project by Sept 2017 - Write smartphrase for documentation consistency | Will develop a workflow, in coordination with oncology social worker, that incorporates a geriatric assessment with newly diagnosis cancer patients over age 70 seen at the Southwood location within 6 months. (Feb 2018) 2nd goal Earlier referral to palliative care for at risk patients |
| Kaiser Santa Clara | Santa Clara, CA | Shefali Desai (shefali.desai@kp.org) | Focus: NQI + Education Within six months I will present an education overview of Geriatric Functional Assessment tool (Balance Test) to direct care providers/general nursing staff to reduce falls among Oncology patients age 65 years and older. | Focus: Pt Care Experience (PCE) Will have interdisciplinary team to provide holistic care/therapeutic communication for Oncology patients age 65 years and older, over 12 months to improve P.C.E. scores by 5 points from baseline. | Focus: Increase HCAHPS score Will pilot the use of Cognition Assessment Tool (Orientation‑Memory‑Concentration Test) to provide medication side effect education for oncology patients age 65 year and older. |
| Memorial Sloan Kettering | New York, NY | Patrice Beecroft (beecrofp@mskcc.org) Kathy Romano (romanok@mskcc.org) Diane Paolilli (paolilld@mskcc.org) | Work with executive nursing leadership to review our plans and goals on enhancing our NICHE program. | Expand existing GRN team throughout MSK enterprise. Having all GRNs complete NICHE program by the end of 2017. | Promote integration into the Nursing culture at MSK by presenting at councils and doing Nursing Grand Rounds. |
| Mountain View Hospital | Las Vegas, NV | Lauren Edgar (changed position) (lauren.edgar@hcahealthcare.com) Ian Flowers (changed position) (ian.flowers@hcahealthcare.com) Marija Markovic (Marija.Markovic@hcahealthcare.com) Tammie Garcia (Tammie.Garcia@hcahealthcare.com) | Develop age‑specific Oncology curriculum for staff by December 31, 2017. | Deliver live course to implement age-specific Oncology context within our facility. The course will be offered quarterly to new and existing staff in 2018. | Educate staff regarding chemotherapy toxicity prediction tool and implement facility‑wide by July 2018. |
| Orlando Health - UF Health Cancer Center | Orlando, FL | Patricia I. Geddie (patricia.geddie@orlandohealth.com) | Develop a plan to utilize Chemotherapy Toxicity Risk tool or CRASH into clinic documentation. (6 months) | Pilot use of Chemotherapy Toxicity Risk tool or CRASH in one oncology MD clinic. | Present findings from using Chemotherapy Toxicity Risk tool or CRASH to the other oncology MD clinics. |
| Overlake Hospital Medical Center | Bellevue, WA | Angela M. Collins (angela.collins@overlakehospital.org) Kendra Hahn (kendra.hahn@overlakehospital.org) Judy Marshall (judith.marshall@overlakehospital.org) | Perform a Timed-Up-and-Go (TUG) at initial chemotherapy teaching session for patients age 75 or older to assess functional status and fall risk.
| Implement the use of the Chemo‑Toxicity Calculator on Day 1 for all inpatients receiving chemotherapy.
| Develop staff education plan on the care of the geriatric oncology patient using a variety of teaching modalities.
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| Overlook Medical Center | Summit, NJ | Kerstin Scheper (kerstin.scheper@atlantichealth.org) Mary Kay Moschella (marykay.moschella@atlantichealth.org) Tatiana Gass (Tatiana.gass@atlantichealth.org) | Restructure our current multidisciplinary rounds to a patient centered interdisciplinary format at the bedside, incorporating our already available tools such as our over 70 years of age care plan and distress screening over 12 months. | Introduce the NICHE "care of older adults with cancer" module to our mandatory inpatient oncology education curriculum. All current RNS will be given the support and timeframe to complete. The module will be required by all new hires to complete within six months of hire date. | Examine existing data for our 30 day oncology readmissions of our 70 and over patients in order to identify common factors in 2017. |
| Parkland Healthcare System | Dallas, TX | Shirly Koduvathu (Shirly.koduvathu@phhs.org) Jennifer Pritchard (JENNIFER.PRITCHARD@phhs.org) Sarita KC (sarita.kc@phhs.org) | Disseminate knowledge of geriatric assessment in the series of education at presentations such as MSR (Medical‑Surgical nurse residencies), General Nursing Orientations (GNO) and staff meetings (especially in Med specialty floor) in quarterly basis from August 2017. | Collaborate with nutrition services to provide nutrition care plan/education/resources to all the patients with BMI < 20 admitted in Med Specialty Unit starting August, 2017. | Reduce falls in our geriatric oncology patients (age > 65 with cancer dx) through retrospective (3‑6 months) and ongoing data collection, analytics, and implementation of TUG test in this population in Med Specialty inpatient setting. |
| Providence Saint Joseph's Medical Center | Burbank, CA | Sarah Sumner (sarah.sumner@providence.org) Nancy Loporchio (nancy.loporchio@providence.org) Deanna Schlifke (deanna.schlifke@providence.org) | Develop a scripted educational post‑chemotherapy symptom management teaching for the patient and primary caregiver. | Train inpatient/outpatient oncology nursing departments on above tool. | Decrease emergency room visits in cancer patients 65 and older who have had chemotherapy within the last 30 days by 3rd quarter in 2018. |
| Roswell Park Cancer Institute | Fishersville, VA | Jennifer Missland (jennifer.missland@roswellpark.org) Genna Miller (genna.miller@roswellpark.org) Matthew Piechnik (matthew.piechnik@roswellpark.org) | Meet with Diane Bartella (previous attendee) to coordinate education topics for inpatient RN's/outpatient RN's. (8/2017) Offer education (Nov‑Dec 2017) Develop curriculum (10‑1‑17) | Research available assessment tools (9‑2017). Incorporate geriatric assessment into inpatient admission assessment (12‑2017). (ie. sleep screening, cognitive screening) | Meet with IT to add screening assessment and getting IT trigger referrals (Jan 2018). |
| Roswell Park Cancer Institute 2 | Buffalo, NY | Corrie Roeser (corrie.roeser@roswellpark.org) Ashley Keppel (ashley.keppel@roswellpark.org) Karen Shareno (Karen.shareno@roswellpark.org) | Research available geriatric nursing assessment tools and collaborate with executive leadership to determine a tool aligning with our strategic plan by 10/1/17. | Incorporate geriatric education and education on selected geriatric nursing assessment tool into new care coordinator role by 12/1/17. | Implement selected geriatric nursing assessment tool, utilizing the care coordinator role in targeted clinics (GI, GYN, GU) by 1/1/18. |
| Sanford Health | Sioux Falls, SD | Jacqueline Kelley (jacqueline.kelley@sanfordhealth.org) Tamara Kremer (Tamara.kremer@sanfordhealth.org) Cassie McClure (cassie.mcclure@sanfordhealth.org) | Beginning August 2017, geriatric specific information will be integrated into each monthly oncology educational session, including one dedicated geriatric oncology presentation. | By January 1st, 2018, an age friendly resource list will be compiled to encompass the major rural communities served by the Sanford Health South Network. | Within 6 months, we will deliver a nutritional assessment to all patients > 65 years old and provide resources and referrals to nutritional services as indicated. |
| Seattle Cancer Care Alliance | Seattle, WA | Erin Pinto (elpinto@seattlecca.org) Norbu Sangpo (nsangpo@seattlecca.org) Janice Lloyd (jlloydbo@seattlecca.org) | Within 6 months we will help to develop age friendly patient education handouts from our 10 most common education handouts. Working with our patient education department. | Within 12 months we will provide a presentation for our MAs/TCs and RNs/APPs on misconceptions of the older adult (ages > 65). Introducing the concept of geriatric oncology and age friendly approach to care. Starting within our Hematology team. | Within 12 months we will explore opportunities to make the physical environment more age friendly. Ex: Offering assistance from the main entrance to their first appointment. Talking with V.P. of Nursing, facilities, transport team to make sure this is also included with our clinic expansion in a few years |
| Smilow Cancer Hospital at Yale New Haven Health | New Haven, CT | Lisa Barbarotta (lisa.barbarotta@ynhh.org) Stacey Lane (stacey.lane@ynhh.org) Nancy Hassan (nancy.hassan@ynhh.org) | In next 6 months (by Dec. 30 2017) provide geriatric oncology specific education to our OCM (Oncology Care Model) Care Coordinators. | In the next 12 months, implement the chemotherapy toxicity prediction tool for all OCM eligible patients (advanced St IV Cancer over the age of 70). | In the next 12 months, implement a geriatric assessment tool for all OCM eligible patients with lung cancer at time of 1st post‑discharge follow up appointment. |
| St. Mary Medical Center | Langhorne, PA | Vicki Zaino (vzaino@stmaryhealthcare.org) Jodie McClutcheon (jmccutcheon@stmaryhealthcare.org) Jillian Yost (jyost@stmaryhealthcare.org) | Within 2 months, Conference representatives will complete 1 module of NICHE modules, to lead by example. Within 6 months 30% (10 RNS) of additional floor staff will complete 1 module of NICHE modules. | In the next 2 months we will start implementing family meetings with discharge rounding, on patients 75 years or older being discharged back to home. By identifying the patients as high risk via Geriatric Assessment HealthCare Professional questionnaire. | By October 31st we will implement a bedtime and/or sleep promotion routine for our in-patient unit to help improve sleep quality. |
| Swedish Medical Center | Seattle, WA | Janice Gibson (Janice.Gibson@swedish.org) Mary Halpin (Mary.Halpin@swedish.org) Beth Waite (Elizabeth) (Elizabeth.Waite@swedish.org) | Conduct a short 5‑10 question survey of the inpatient/outpatient oncology and palliative care nurses to identify areas of need and interest about gerontology issues by October 31, 2017. | In the next ten months (by May, 2018) will write 3 articles on gerontology issues identified in the needs assessment. Will be shared in department newsletters and organization newsfeeds. | Create a poster for presentation at Swedish Nurse Quality Research Conference (SNQRC) based on one of the issues identified in the needs assessment. |
| The Hospitals of Providence Memorial Campus | El Paso, TX | Daniela Gehrke (Daniela.Rivera@tenethealth.com) Pamela Moyers (moyersp@ymail.com) Nancy Ulrickson‑Swopes (NANCY.SWOPES@TENETHEALTH.COM) | Education: Develop inservices on common problems like NVLD and dehydration. Provide this inservice to the inpatient adult oncology unit. Specific to the geriatric population, starting on October 2017. | Meet with administration to develop a process and identify nurses to become part of a GRN team. We will work in conjunction to our CND and NICHE team leader by September 2017. | Submit education on geriatric topics such as delirium, geriatric assessment + interventions for our monthly CNO letter beginning September 2017. |
| University of Alabama at Birmingham | Birmingham, AL | Erica Lumpkin (elumpkin@uabmc.edu) Fatiha Johnson (fsalaam@uabmc.edu) Nisha Cheesman (ncheesman@uabmc.edu) | Perform bimonthly geriatric oncology continuing education hours for the GYNX/HOSU/BMT staff. The teaching effectiveness will be evaluated by pretest and post test/post assessment activities. The proposed start date is Thursday, September 28, 2017. The following CE offerings will be held on the fourth Thursday of November, January, March, May, July, and September. The objective fits with the goals of the organization; all inpatient oncology nurses must obtain 12 oncology CEUs each year. The goal will be completed September 2018. | Within 12 months, we will pilot the Chemotherapy Toxicity Prediction tool using 10 geriatric oncology inpatient and outpatients prior to receiving their first dose of their prescribed chemotherapy regimen. The cases and results will be reviewed as an interdisciplinary team including physicians, nurses, pharmacy, and case management. The expected outcome is to incorporate results from the Chemotherapy Toxicity Prediction tool within the electronic medical record making it available for the entire patient care team. | Within 6 months, we will assess the RN's current knowledge of the six‑item screening (SIS) cognitive impairment tool using an anonymous questionnaire. We will use the information gathered from the questionnaire to guide us towards implementing a developed algorithm with delirium guidelines to provide safe quality care. |
| University of Chicago | Chicago, IL | Joan Bigane (jbigane@medicine.bsd.uchicago.edu) Laura Johnson (laura.johnson@uchospitals.edu) Pamela McCall (Pamela.mccall@uchospitals.edu) | Develop and distribute survey of baseline knowledge of geriatrics to inpatient oncology nurses by 2 months. | Based on needs assessment, create computer‑based training modules on geriatric oncology by 6 months. | Implement computer‑based training on geriatric oncology and evaluate learning by 9 months. |
| University of Texas | Austin, TX | Ashley Henneghan (ahenneghan@utexas.edu) | By 9/1/2017 present age friendly resources available from MSKCC (eg. Large print) to patient navigators at Breast Cancer Resource Center in Austin TX. | By 10/1/2017 Develop a program for advanced practice nurses on the CARG website geriatric tools including the geriatric assessment and chemotoxicity tool. | By 12/31/2017 present the program developed in goal 2 to Austin network of advanced practice nurses with Texas oncology. |
| VA Loma Linda Healthcare System | Loma Linda, CA | Radina Tuot (radina.tuot2@va.gov) Patchanee Baedyananda (patchanee.baedyananda2@va.gov) Deborah Jones (deborah.jones28@va.gov) | Develop and incorporate geriatric oncology education module "veteran style" into our chemotherapy/biotherapy class scheduled in October in 2017 and next year. | In regard to geriatric assessment, review our current electronic chart record (ECR), develop a template for our ECR and incorporate the elements that would complete the geriatric assessment. | Develop and incorporate a series of geriatric oncology education for our outpatient to increase patient knowledge. Topic examples: polypharmacy, disease process, symptoms management, resources, nutrition. |
| VCU Massey Cancer Center | Richmond, VA | Teresa James (teresa.james@vcuhealth.org) Theresa Melville (theresa.melville@vcuhealth.org) Cassandra Hammond (cassandra.hammond@vcuhealth.com) | Over the next 5 months, nursing staff will complete 5 assigned "Try This" assessments (ConsultGeriRN.org) to engage + educate nurses on geriatric oncology issues. To measure the effectiveness of this intervention a pre- and post- survey will be given to evaluate the effectiveness of this education. | Over the next 12 months we will identify nurses and patients interested in creating a geriatric patient advisory council to include nurses, patients, and caregivers. Organization of the council will identify meeting frequency, goals, and outcomes to enhance are delivered to our geriatric oncology population. |
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Last Updated on November 27, 2020