Queensland Remote Chemotherapy Supervision (QReCS ...

CIRCS Central Integrated Regional Cancer Service“To champion safe and high quality care for people affected by cancer”

CIRCSCentral Integrated Regional Cancer Service

Queensland Remote Chemotherapy

Supervision (QReCS)

Maree Bransdon, Nursing Director

CIRCS Central Integrated Regional Cancer Service

Reason why?Interstate Rankings on Selected Health Indicators, Australia, 2012.

Australian Bureau of Statistics, cat. no. 4102.0, Australian Social Trends, Data Cube - Health, Table 2 Health, State Summary

Health StatusMorbidity and disability prevalence - age standardised(c)(d)

NSW Vic. Qld SA WA Tas. NT ACTCancer(e) % 2007-08 1.5 1.1 1.9 1.5 1.7 1.6 n.p. 2.1 1.5

Causes of Death ‐ Rates are per 100,000 people(a)(h)Units Years NSW Vic. Qld SA WA Tas. NT ACT Aust.

Cancer rate 2008-2010 171 173 180 175 170 196 210 158 174

The Health Statistics Unit has compiled this excel spreadsheet providing a summary of selected health indicators that the Australian Bureau of Statistics (ABS) derives from a wide range of data sourced both from the ABS and other agencies. The original data cube provided interstate rankings. Colour coding has been added by the Health Statistics Unit, Queensland Health, to show where Queensland ranks compared to other Australian states/territories on selected health

indicators.

Interstate ranking (6 states only) Qld better than Aust

Best WorstQld equal to

Aust

1st 2nd 3rd 4th 5th 6th Qld worse than Aust


Cancer care statewide health service strategy

Service direction 1 •Cancer care services promote consistency of care across the state through the use of multidisciplinary teams, evidence-based treatment protocols, guidelines and standards and ensure people affected by cancer are well informed throughout their cancer journey. Objective 1.3 •Continue to promote consistency of care by making evidence-based referral and treatment protocols, guidelines and standards as well as supporting education that is accessible across the state for all providers


EssentialNeed for quality

cancer care education to

be accessible

and available regardless of

where a health

professional is located

All nurses will have contact with people affected by cancer

despite the context of their work environment (Aranda, S and Yates,

P: 2009)


TelehealthThe expansion of Telehealth infrastructure across Queensland enabled a shift in paradigm• Townsville Teleoncology 2007 – access to specialist oncology services 1

facility Mt Isa 2008 – demand to include support for treatment

supervision 2012 - Dr Sabesan presented to Queensland

Oncology Nurses Group in Cairns, concept of Teleoncology nursing

2012 - 21 facilities utilising this service 2012 - expanded scope of services to include

Teleoncology nursing at Ingham


QReCS10 requirements1. Strategy and governance2. Financial considerations3. Workforce4. Chemotherapy medication

management5. Telehealth readiness6. Chemotherapy administration

readiness7. Information technology and

support8. Legislation and special

considerations9. Education and training10. Documentation and discharge


Benefit

‘to support the safe and sustainable

administration of chemotherapy closer to home for patients from rural and remote areas

using Telehealth technologies’


Provider and RecipientQReCS adopts the hierarchy of health services in accordance with the:

Clinical Services Capability

Framework


Workforce


Nursing skill taxonomyA prerequisite

for ADAC

Articulates nursing requirements.

Sufficient time needs to be allocated to

complete requirements


Enabler

Integrated Oncology Information Management System

– North Queensland MOSAIQ• HHSs - Townsville, North West, Mackay, Cairns Hinterland and

Cape Torres.


Support

• QReCS will benefit people affected by cancer by enabling confident and competent staff to deliver care closer to home.

• CIRCS is committed to providing cancer specialist resources to a variety of health professionals across all settings.


Dr Sabe Sabesan

Queensland Remote Chemotherapy Supervision (QReCS ...

Documents