R25 2018 Participant Goals

Institution	Location	Participants	Goal 1	Goal 2	Goal 3
Anne Arundel Medical Center	Annapolis, MD	Julia Buckel (jbuckel@aahs.org) Stephanie Smith (ssmith25@aahs.org) Monique Willingham (mwillingha@aahs.org)	By July 2019 the outpatient infusion center will be performing the Lawton Instrumental Activities of Daily Living Scale to be performed at Day 1 of each treatment cycle for pt's 65 yo or greater.	By December 2018 a trained pharmacist will perform a medication reconciliation on all pt's 65 and older taking five or more prescribed medications at Day 1 Cycle 1 of treatment.	75% of nurses at DeCesarias Cancer Institute will attend quarterly webinar educational sessions on gerontology by December 2019.
Bon Secours Health System	Richmond, VA	Mary Baker (mary_baker@bshsi.org)	Summarize key findings from conference and share electronically with clinical staff by 8/31/18 and evaluate its effectiveness by 11/18	Collaborate with staff to create geriatric resource list for use in our cancer program by all staff by mid March 2019	Develop an enhanced chemotherapy teaching tool to be delivered to geriatric patients and their caregivers in order to decrease ED utilization for symptom management issues by end of summer 2019
City of Hope EHA	Duarte, CA	Mario Escalante (mescalante@coh.org) Dung Banh (dbanh@coh.org) Tia Wheatley (twheatley@coh.org)	Implement a practical tool assessment to identify geriatric discharge needs on admission and throughout impatient stay on EHA. Identify a practical geriatric assessment tool to identify discharge needs on admission and throughout impatient stay on EHA. We will on the 4th quarter 2018	Provide geriatric education and resources information to EHA staff; educate staff how to use discharge needs assessment tool. Education and Resources will be provided by the 1st quarter 2019	Develop a unit based team to review the use of the discharge needs assessment tool and its effects on 30-day readmission rates for geriatric oncology patients admitted to EHA. Data collection will be started on the 2nd quarter 2019.
Denver Health	Denver, CO	Zita Fenner (zita.fenner@dhha.org) Angie McGee (angela.mcgee@dhha.org) Elaine Tucker (elaine.tucker@dhha.org)	Education will be provided to staff on the care of geriatric oncology patients monthly for 6 months. Journal article will be included in the education and resources provided.	Interdisciplinary group will be developed to meet monthly to review new geriatric patients. Team to include RN (both clinic and infusion) Mgr, MD, SW, psych, palliative. Meeting to start in 3 months.	Nurses will see all new geriatric patients in the office for their first visit. During visit nurse will complete geriatric assessment. Nurse visit to start in 3 months.
Fox Chase Cancer Center	Philadelphia, PA	Tony Tseng (tony.tseng@fcc.edu) Jill Ranochak (jill.ranochak@tuhs.temple.edu) Frank Micucci (francis.micucci@fccc.edu)	Perform a geriatric assessment using a tool upon first clinic visit for geriatric patients over 65 yrs of age.	Use the data collected from the geriatric assessment tool and plug it into the chemotoxicity tool.	Monitor/track patients through treatment for 18 months then use the data to educate staff on the relevance of geriatric assessments vs. patient outcomes.
Hospital of University of Pennsylvania	Philadelphia, PA	Pamela Engle (pamela.engle@uphs.upenn.edu) Rachel Mea (rachel.mea@uphs.upenn.edu) Mary Kate Weber (MaryKate.Weber@uphs.upenn.edu)	We will create education about geriatric oncology and on ways to improve quality of care in this population within the next 3 months.	We will implement the geriatric oncology education to the staff on the impatient oncology units within the next 6 months and evaluate quality metrics (fall, LOS) approximately 3 months after the completion of the education.	We will pilot the GRN program for the inpatient oncology population to align similar to the program previously implemented on several medicine floors (F12, F14, 511) within the next 12 months.
Huntington Hospital	Pasadena, CA	Betsy Schoeni (betsy.schoeni @huntingtonhospital.com) Garry Brekenridge (garry.breckenridge @huntingtonhospital.com) Stacey Hoffman (stacey.hoffman @huntingtonhospital.com)	Provide geriatric oncology education to 100% of medical/oncology staff by quarter 2 of 2019 (pre and post evaluations).	Conduct a need assessment to identify gaps in care of geriatric oncology population on medical oncology unit by 12/31/2018.	Develop a geriatric oncology resource manual to provide to patient and caregivers which includes community resources and outreach support services and evaluate effectiveness of resources by 3rd quarter 2019.
James Cancer Hospital	Columbus, OH	Christy Eastep (christine.eastep@osumc.edu) Sarah Davis (sarah.davis2@osumc.edu) Mandy Minick (amanda.minick@osumc.edu)	Develop an age-appropriate, patient-specific binder for thoracic oncology patients greater than or equal to 70 years old with the goal of improving understanding of disease state and reducing anxiety while facilitating continuity of care. Binders can include information about our institution and available resources, spaces for pt papers including lab values and AVS/discharge summaries and space for info about medications treatments and upcoming appointments. Timeline 3 months.	Distribution of age-appropriate patient specific binder for thoracic oncology patient >70 years old. Patients and caregivers will be given instructions on purpose of binders and intended uses. Timeline 3 months.	Develop and distribute a brief questionnaire to be given to patients who receive binders to determine if patients are using the binders if they find them helpful and if they notice increased disease understanding and reduced anxiety because they have the binder. Timeline 6-9 months to allow time to gather + interpret data.
Kaiser - Woodland Hills	Woodland Hills, CA	Fem Bayani (fem.x.bayani@kp.org) Marilou Ruiz (quadrsrus@juno.com) Chris Humphrey (christine.a.humphrey@kp.org)	Increase communication between outpatient and inpatient oncology for our older-adult patients through implementation of a multidisciplinary tool within 6 months.	Provide educational plan for increasing knowledge of our older adult oncology to our RN's within 3 months.	Increase mobility of our older adult oncology patients through implementation of an exercise program by spring 2019.
Kaiser Permanente West L.A.	Los Angeles, CA	Melody Navarro (melody.d.navarro@kp.org) Ferdinand Dayalo (ferdinand.d.dayalo@kp.org) Tamika Booten (tamika.m.booten@kp.org)	By October 1, 2018 the HEM/ONC +ATC departments will develop a fall prevention teaching tool for all infusion patients >60 years old.	By December 1, 2018 the infusion RNs and HEM/ONC staff will be educated on the fall prevention tool and identifying gero-oncology patients who are high risk for falls.	By March 1, 2019 all infusion patients >60 years old will receive a fall prevention tool that will increase their awareness of their risks for falls.
Levine Cancer Institute	Charlotte, NC	Markecia Cooper (markecia.cooper@atriumhealth.org) Allison Risha (allison.risha@atriumhealth.org)	Develop geriatric oncology education training for Levine Cancer Institute for clinical staff. Target 1st clinic by the end of August; target a few more clinics by the end of Dec. 2018. Will provide education to staff, provide visibility for the senior oncology clinic and build referrals for senior oncology clinic.	Develop a screening process for senior oncology referrals for cancer patients in the inpatient setting. Target date is Oct 2018. Will identity frail patients who need a comprehensive geriatric assessment by the Senior Oncology Clinic.	Create patient friendly education brochures for patients being assessed in senior oncology clinic. Target date is Nov 2018. Will provide additional education for patients. Topic will be common concerns of the older population.
Lewis Cancer Center	Savannah, GA	Beverly Youmans (youmansb@sjchs.org) Sheila Charron (charrons@sjchs.org) Dorothy Ann Hipp (hippd@sjchs.org)	Implement geriatric oncology specific topics in Breakfast & Learn sessions quarterly. Annually create computer based learning activity as compilation of information for inpatient/outpatient staff. Timeline 18 months.	Incorporate Top 10 Geriatric Need to Know at staff meetings to include all staff (medical assistants & professional staff). Timeline 3 months.	Identify and create multi-site resources list for referrals and support for patient staff. Educate staff on resources and referrals post development. Timeline 6 months.
Lovelace Cancer Care	Albuquerque, NM	Debra L. Winkeljohn (dwinkeljohn1@gmail.com) Deanna Flores (deanna.flores@lovelace.com)	Maintain patient safety by assessing functional status using TUAG on new chemotherapy patients > 65 years old. Debbie Winkeljohn will perform on pt's identified. Timeline 6 months. Plan to repeat q 3 months x 1 year. Will refer to PT/OT as needed. Will record falls.	Develop "when to call" tool for patient education for oral + IV chemotherapy side effects (English and Spanish). Design timeline 3 months. Approval lovelace marketing by 6 months - then begin giving to patients at education sessions. Educate nurses. Deanna to work on.	Implement chemo toxicity prediction tool on pts >65. Starting chemotherapy timeline 9-12 months. Will champion Dr. Purdy. Performed by nurses at time of teaching session - Educate nurses - Follow up with patient by phone call ( Deanna or nurses) - about 2-3 days post infusion ( maybe a week after) - keep data - shadow charts & toxicities.
Mays Cancer Center	San Antonio, TX	Carolyn (Beth) Welch (welchc3@uthscsa.edu) Deborah James (jamesdl@uthscsa.edu) Mary Salazar (salazarm5@uthscsa.edu)	Each patient >65 y.o. will have Edmonton (ESAS) intake form and G8 Assessment at each new pt appt. Timeline 2/2019.	Implement ZONE educational handout to all pts and caregivers >65 y.o. when pt is to start new treatment plan. Timeline 11/2018.	Resource list for elders on Sharepoint site. Timeline 10/2019.
Memorial Sloan Kettering Cancer Center	New York, NY	Esther Ruiz (ruize@mskcc.org) Tatiana Henderson (henderst@mskcc.org) Maureen Healy (healym1@mskcc.org)	We plan to further develop our geriatric resource nurses to our night shift with a target of 1-2 senior night staff per unit through the completion of NICHE modules by December 2019.	Improve geriatric fall rates with multimodality approach. Through education of staff in both inpatient and ambulatory settings by December 2019.	To assess and map all of MSKCC geriatric oncology nursing disciplinary initiatives with the long-term goal of developing a geriatric council by December 2019.
Montefiore Einstein Center for Cancer Care	Bronx, NY	Alana Frampton (aframpton@montefiore.org) Katrina Garcia (katgarc@montefiore.org) Carol Sheridan (csherida@montefiore.org)	Incorporate a geriatric designed fall reduction binder that results in a 10% reduction in falls yr/yr (2018/2019) in the geriatric oncology pt population (Age > 65). Timeline 2019.	Decrease emergency room visits and 30 day readmissions to acute care settings by 10% reduction yr/yr (2018/2019) in the geriatric oncology pt population (>65 yr old cancer elders) using the TRST. Timeline June 2019.	Conduct a need assessment of caregivers of older cancer pts (>65) undergoing cancer treatment in an urban AMC. Timeline June 2019.
Nebraska Cancer Specialists	Omaha, NE	Jennifer Dick (jdick@nebraskacancer.com) Sharron Forsberg (sforsberg@nebraskacancer.com) Ashley White (awhite@nebraskacancer.com)	Update our new patient chemotherapy education packets, tailoring them to include geriatric-friendly formatting, information and resources. Modified materials will be reviewed by our patient family advisory council. Project completion within 6 months.	Improve coordination of care for geriatric oncology patients receiving chemotherapy by assessing predicted chemotherapy toxicity risk score and implement a follow-up strategy for patients at mid-high risk. This would result in reduction of same-day office visits and/or ER visits and hospitalizations by 20% in 6 months and 50% in 1 year. Follow-up strategy to include follow-up calls and interdisciplinary recommendations.	Develop and implement practice wide geriatric education, targeting clinical, ancillary, and office staff. Education to include in-clinic education sessions, newsletters, and continuing education opportunities over a 1 year period.
Nebraska Medicine	Omaha, NE	Bailey Shanholtz (bshanholtz@nebraskamed.com) Beth Mortensen (bmortenson@nebraskamed.com) Heidi Tonne (htonne@nebraskamed.com)	Develop education for oncology nurses through Nebraska Medicine's Oncology Nurse Fellowship focusing on the care of the geriatric oncology patient. Education material to be developed and presented within 6 months.	Within three months we will identify the resources available in the Resource + Wellness Center at the FPBCC as applicable to older adults. Within 6 months we will address the deficits of the center and staff's knowledge of the resources center. Within twelve months Buffett Cancer Center staff will be educated on available resources and directing the older adult population to the resource center.	Complete and document a TUG score on older adults age > 65 in the Fred and Pamela Buffett Cancer Center to help determine their fall risk level and need for additional referrals. By May 2019, staff will be able to perform a TUG test and One Chart will have a TUG score documentation section.
Northeast Georgia Medical Center	Gainesville, GA	Andria Caton (andria.caton@nghs.com) Kimberly Meeks (kim.meeks@nghs.com) Janet Blanchard (janet.blanchard@nghs.com)	Our team will pilot an algorithm to assist nurse navigators with the assessment and tracking of the psychosocial needs of patients with head + neck cancer over the age of 70 by March 1, 2019.	Our team will develop and present a continuing education program for oncology navigators, radiation therapy, nurses, inpatient oncology + outpatient infusion nurses by January 31, 2019. Topics to include the assessment of psychosocial needs of geriatric oncology patients, myths of aging, and resources for rehabilitation and nutritional services for geriatric populations in our community. The team will partner with palliative care social worker, rehabilitation services and nutritional services to conduct the program.	Our team will implement a process to improve the assessment and tracking of patients with head+neck cancers over the age of 70 for psychosocial needs at the time of first contact and throughout the treatment plan by June 1, 2019.
Northwest Oncology & Hemotology	Rolling Meadows, IL	Kelly Monaghen (kellya@northwestoncology.com) Kathleen Tourtellott (kathleent@northwestoncology.com) Kasi Novak (kasin@northwestoncology.com)	Disseminate knowledge of geriatric assessment in a series of educational presentation by providing various media resources to the nursing staff quarterly. S: The goal is to improve education and increase the clinical staff knowledge base; in turn giving back, with increased focus to the geriatric oncology population. M: Measure through staff surveys prior to educational presentation, after first and second presentations. A: This is an opportunity to promote an enthusiastic environment about continued education. R: This is relevant. Clinical staff needs continued education/resources to reference, in a variety of media. This will provide the staff the opportunity to choose what works for their specific learning needs and the specific needs of their patients when teaching. T: 6 Months.	Developing a patient information binder, especially for the older adult for home symptom management + caregiver handout. S: Develop an age specific patient education binder to teach sx management. M: Survey pt on quality of pt ed new binder vs. old binder. A: This age specific binder will support the older adult & provide greater opportunity for success. R: Support older adult, providing relevant resources age appropriate. T: 6 months.	Implement a process to assess older patient's status prior to treatment education. S: Create & use an NWOH approved assessment tool prior to tx teaching to provide individualized care. M: Solicit nurse navigator data re:calls -> Walkins reporting SE. Document reported acute post chemo SE in pt 65+ in 1 office & office using tool A: Achievable, it can be started in 1 office & use in pt 65+ R: Will review pt lifestyle & predict hurdles prior to tx to determine possible referrals. T: 12 months.
Phoenix VA	Phoenix, AZ	Donna Cherkasky (donna.cherkasky@va.gov) Mary J. Ellis (mary.ellis3@va.gov) Andrea Hepburn (andrea.hepburn@va.gov)	Development and implementation of a distress screening tool. To be administered at initial diagnosis and pivotal points during cancer care. *Don't forget geriatric focus pilot with 10.	Initiate a separate appointment for newly diagnosed cancer patients that incorporates all of the interdisciplinary team members. PT, SW, Nutrition, Pharm, infusion nurse, et al. Pilot with 10.	Provide prep course to nurses and request funding for certification of nurses in geriatrics or oncology. The goal is to improve the quality of care to the geri-onc population. Request by Oct 1, 2018. FY 20 funding.
Presbyterian	Rio Rancho, NM	Melissa Mclaughlin (mmclaughl@phs.org) Chantel Tarin (ctarin@phs.org) Samantha Davidson (sdavidson2@phs.org)	By August 31, 2018 we will identify an assessment tool of current mobility status level appropriate for inpatient and outpatient settings for patients >65 years and in active cancer treatment and development appropriate documentation tools.	By October 2018 develop education materials for patients >65 years old with exercise ideas and for their use in planning an exercise routine while in the hospital and how to continue while at home and for patients while they are receiving treatment in the clinic and when they go home.	By December 2018, implement an exercise program (strength, balance, and/or mobility) including education for a plan for ongoing exercise at home in both the inpatient and clinic setting for a least 75% of patients >65 years and in active cancer treatment with a goal of maintaining or improving physical status/mobility as evidenced by mobility scores.
Roswell Park (inpatient)	Buffalo, NY	Laurie Flury (laurie.flury@roswellpark.org) Rose Bell (rose.bell@roswellpark.org) Shiloh Bromstead (shiloh.bromstead@roswellpark.org)	Develop delirium assessment and interventions for patients 65 and older in 10 months Develop program for delirium prevention education for staff and caregivers in 1 year.	Utilize needs assessment results to develop case study based education for development of unit based resource nurses in 1 year.	Develop policy for patients 65 and older for IT/HER pain scales for dementia/non-verbal and CPO T in 1 year.
Roswell Park (outpatient)	Buffalo, NY	Anna Foster (afoster@roswellpark.org) Heather Sabadasz (heather.sabadasz@roswellpark.org) Rose Bell (rose.bell@roswellpark.org)	Develop and administer a Geriatric needs assessment for inpatient/outpatient RNs and APPs in 10 months.	Develop standard central line kits with clear instructions for patients 65 and over that can be kept in pharmacy. The patient would receive a prescription at discharge for a month’s supply of kits to take home and these kits would be used in the home as well. Roswell staff will train the home health nurses on the use of the kits along with instructions for the patients 65 and over to ensure continuity. Measurement will be decreased infection rates in patients with a central line who are 65 and over.	Develop over 65 packet of resource information to be provided at new patient orientation, resource center and outpatient and inpatient units in 1 year.
St. Mary Medical Center	Langhorne, PA	Renee Rogers (rrogers1@stmaryhealthcare.org) Loren Berens-Ciccone (lberens-ciccone@stmaryhealthcare.org) Linda Schrier (lschrier@stmaryhealthcare.org)	Provide education for Oncology Registered Nurses to incorporate geriatric assessment with daily practice. January 2019 (6 RN).	Identify community based resources available to support our senior oncology patients and their caregivers. November 2018.	Identify nutritionally at risk, age 70+, oncology patients receiving chemotherapy with/or radiation. 5 patients. December 2018.
Stanford Healthcare	Palo Alto, CA	Joy Caneda (joycaneda@gmail.com) Andrea Von Ellen (avonellen@stanfordhealthcare.org)	Perform a RN needs assessment on 2 inpatient units (Hematology/ Oncology & Bone marrow Transplant) using survey methods to identify knowledge gaps in geriatric/gerontologic oncology nursing. 3-6 months.	Based on needs assessment results, educate nurses about top 3 choices via staff retreat, staff meeting and/or inservices with pre & post test over 1 year to increase knowledge base of gerontological patients. This is for blood & marrow transplant unit.	Implement a staff-meeting education program utilizing CARG + NICHE resources to fill gaps in knowledge regarding geriatric/gerontologic oncology nursing. Post-Survey to evaluate improvements in knowledge deficits. 6 months - 1 year. Hem/Onc. Implement usage of chemo tox calculator on 10 patients and evaluate future implementation using nursing satisfaction of patient satisfaction scores.
Tibor Rubin VA Medical Center	Long Beach, CA	Cheryl Schumacher () Mary Soltero (mary.soltero@va.gov) Xavier Karikitan (xavier.karikitan@gmail.com)	Develop a teaching plan to educate staff nurses on the unique needs of our geriatric oncology patients and the special considerations specific to the veteran culture. 6 months - 1 year.	Develop a project designed to modify our current screening process to identify "at risk" (Patients prone to deconditioning) patients. The project will mitigate the occurrence of falls and hospital acquired pressure ulcers in the inpatient setting. 1 year.	Develop an interdisciplinary improvement project addressing the unique needs of our "at risk" patients identified in our screening process. 1 year - 1 year 6 months.
Torrance Memorial Medical Center	Torrance, CA	Joanne Mulvaney (joanne.mulvaney@tmmc.com) Joan Schleper (joan.schlper@tmmc.com) Billye Chaney (billye.chaney@tmmc.com)	Implement "Fun-Nutrition Facts for Older Adults" with nursing staff over 4 weeks, by November 1, 2018.	Evaluate current nutritional tools and provide age appropriate nutrition tips for adults greater than 75 years over 8 weeks, by January 31st 2019.	Evaluate effectiveness of older adult nutrition tips by phoning ten patients 1 week after discharge, and will be completed by March 11, 2019.
UCSF Medical Center	San Francisco, CA	Jennifer Canlas (jennifer.canlas@ucsf.edu) Claire Flatley (claire.flatley@ucsf.edu) Janett Zarate (janett.zarate@ucsf.edu) Emmika Elkin (emmika.elkin@ucsf.edu)	Identify geriatric resource nurses in hem/onc inpatient units that will help disseminate and champion age-friendly care.	Implement TUG test for all thoracic patients age 70+ and workflow for entering PT referral as needed.	Partner with cancer center nutrition to create a one page nutritional reference sheet for geriatric oncology patients.
University of Chicago Medicine	Chicago, IL	Alyssa Roy (aroy5@medicine.bsd.uchicago.edu) Linley Moreland (lmoreland@medicine.bsd.uchicago.edu)	We will present our 2 other goals and key takeaways at our Lunch + Learn presentation on 7/17/18 to ensure team is on board with participation and implementation of goals, identify any barriers, and to share relevant information learned at the workshop. This goal will be measured by utilizing an attendance sheet and completing the presentation.	We will work to standardize the exercise education given to patients (180 min/week aerobic activity, resistance training 2-3x/week) with input from PT and physicians/other RNs by updating our transplant education class curriculum and the literature given to patients by January 2019.	We will support the implementation of a MoCA assessment for the first 20 cellular therapy patients > 50 y/o within 30 days of their treatment to identify individuals at a higher risk for neurotoxitities. This involves listing MoCA assessment in program SOP, defining who obtains it and where it's charted and how abnormal results will be relayed to the team. Goal completion date is 7/2019.
University of Miami	Miami, FL	Tracy Ruegg (truegg@med.miami.edu) Cristina Herrera (cherrera@med.miami.edu) Karen Henry (khenry@med.miami.edu)	Develop and implement a demonstration project involving the utilization of the CARG chemotherapy toxicity calculator (found in the ASCO guidelines for older adults getting chemotherapy) to improve the care of older adults with cancer. Timeline July 2019.	Implement geriatric educational nursing in-service programs throughout Sylvester CCC on a quarterly basis for CE credit. Timeline Dec 2019.	Develop an interdisciplinary Geriatric Oncology Champion Program. Timeline Dec 2019.
University of South Alabama (Mitchell Cancer Institute)	Mobile, AL	Diane Baldwin (dlbaldwin @health.southalabama.edu) Lynn Collins (lcollins @health.southalabama.edu) Lura Kauffman (lgkauffman @health.southalabama.edu)	Identify and form a multidisciplinary work team to develop the framework of the "WINWEN" program which will focus on maintaining/improving quality of life during chemotherapy by October 15, 2018.	Develop a study protocol including program elements, consent form and patient factors to be measured for the "WINWEN" program by April 30, 2019.	Educate clinical team including physicians, APN's, nurses (clinic and infusion), nurse navigators, medical assistants, dietician, physical therapist and others on how they can support the implementation of the program by June 30, 2019. Our goal is to initiate a pilot by July 1, 2019.
University of Toledo Medical Center	Toledo, OH	Janelle Tipton (janelle.tipton@utoledo.edu) Brittany Berry (brittany.berry2@utoledo.edu) Sheila Rothert (sheila.rothert@utoledo.edu)	Implement in the outpatient oncology setting, a chemotherapy predictive model in new patients over 70 years of age who are anticipated to receive chemotherapy by January, 2019. (Activities include pulling together multidisciplinary team (MDs, fellows, nursing, pharmacy), secure MD champion, educate, + develop process for implementation.	Provide education in geriatric oncology to various departments within the cancer center (radiation oncology outpatient clinic, pharmacy) + offer beyond to specific departments (ie. In pt oncology) develop new staff competency) (Activities include developing education team, needs assessment, include staff dev, onc nursing newsletter) by July 2019.	Add brief geriatric assessment (brief e & a) to new infusion center patients, including function, nutrition, cognition, social support, comorbidity, and psychological state. Will include algorithm for referral + intervention by Jan 2020. (Activities include dev. team, system of screening (paper vs electronic), ed of resources (including caregiver).
UT MD Anderson Cancer Center	Houston, TX	Colleen Villamin (cvillamin@mdanderson.org) Danya Garner (dtgarner@mdanderson.org) Clara Capella (cacapella@mdanderson.org)	Implement geriatric considerations for patients status post thoracic surgery age 65 and older during daily pod brief and daily associate director/case manager huddle which includes discussion, management, and documentation in the care conference navigator in EPIC by September 1, 2018.	Implement geriatric considerations for patients status post thoracic surgery aged 65 and older during weekly interdisciplinary rounds on PT that includes discussion, management, and documentation between case managers, nurse leaders, physical/occupational therapy, social work, chaplain, nutrition, and thoracic surgery Advanced Practice Providers by September 1, 2018.	Implement geriatric nursing rounds once per month to include pertinent case studies and peer-reviewed articles beginning with the P7 Big Education Days on August 20, 2018 and August 27, 2018 which will provide continuing education credits and a goal of greater than 85% RN attendance from P7.
VA Long Beach	Long Beach, CA	Nimian Bauder (nimian.bauder@va.gov) Janette Tran (jtran@va.gov) Genevieve Sanchez (gsanchez@va.gov)	Develop a teaching program for nursing staff on the BMAT and sleep protocol by Nov 2018.	Implement the use of BMAT on the unit to improve function/mobility. Measuring function from admission to monthly assessment and admission to discharge. Pts > 65 by April 2019.	Implement a sleep protocol on the unit measuring the use of the non pharmacological methods for sleep. Pts >65 by 8/2019.
William Osler Health Center	Brampton, ON, Canada	Massey Nematollahi (massey.nematollahi @williamoslerhs.ca)	Implementation of a practical assessment tool to identify nurse's knowledge and understanding of geriatric oncology. Timeline: 2 months.	Create an educational corner in monthly newsletter to post and reinforce education based on finding in previous goal. Timeline 4 months.	Planning to create an immunooncology toxicity assessment tool which is going to be validated in future. Timeline: 14 months.
Wilmot Cancer Institute	Rochester, NY	Jen Galdys (jennifer_galdys @urmc.rochester.edu) Connie Emens (connie_emens @urmc.rochester.edu) Heidi D'Aurizio (heidi_daurizio @urmc.rochester.edu)	Develop questions (new or using NICHE) to assess nursing knowledge regarding gerontology in the outpatient oncology setting, give survey to nurses at Pluta CC + Highland. 10/1/18.	Based on answers to questions, identify problem and educate nurses through educatiox. Education to be determined based on identified problem. Post education test for knowledge gained. 12 months.	Evaluation/ patient effect will be determined based on identified problem + outcome. 18 months.

Last Updated on November 27, 2020