Improving service in cancer care: a Pecha Kucha style workshop

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ModeratorHelen Bevan, NHS England,

@HelenBevan

Welcome to session E1: Improving Service in Cancer Care:

A Pecha Kucha-Style Workshop

Clarity and brevity in presentations are endangered practices

Source of image: onlignment.com

Source of image: jennifermccrea.com

Our eight outstanding speakers will share their experiences of improving service in cancer care

Leonard BerryJerilyn CrainRobert ChapmanJoe Holcomb

Deborah MayerBrad StuartJody WilmetLou Carbone

Woodrow Wilson was asked by a member of his cabinet how long he took to prepare speeches:It depends....If I am to speak for ten minutes, I need a week for preparation….If fifteen minutes, I need three days….If half an hour, I need two days….If an hour, I am ready now

Woodrow Wilson was asked by a member of his cabinet how long he took to prepare speeches:It depends....If I am to speak for ten minutes, I need a week for preparation….If fifteen minutes, I need three days….If half an hour, I need two days….If an hour, I am ready now

‘ We have been preparing for

three months!

Joel Meilleur

The holy triad of great presentations

• Be brief• Be brilliant• Be gone

Leonard Berry, PhD,Distinguished

Professor of Marketing,Texas A&M University

1111

Improving Servicein Cancer Care

Leonard Berry, Ph.D.University Distinguished Professor of Marketing

Mays Business School, Texas A&M UniversitySenior Fellow, Institute for Healthcare Improvement

1212

Cancer is always life-changing and often life-

ending.

Cancer care is a high-emotion service.

“Patients are ultra-sensitive to the doctor’s

words

as clues to whether they will live or

die.” ~ a

cancer patient

“I wear the heart as a symbol of compassion. I truly love my patients. I often give them hugs when I see them and say goodbye.”

– Dr. David Gullion, medical oncologist, Marin Cancer Care

The QuestionHow can we improve the service experience of adult cancer patients and their families as they make the journey from diagnosis onward?

An Ongoing Quest to Look for Answers

5 C’s of Cancer Service

Coordinating Cancer Services

Orchestrating Experience Clues

Enabling Connection

Valuing Care Continuity

Creating Community Partnerships

A Sampling of Cancer Service “Bright Lights”

SETON CANCER CARE’S “BIG PINK BUS”

Community

Monter Cancer Center’s“Shame Free” Service Culture

Clues

Lacks Cancer Center’s Financial Navigator

Program

Coordination

Kaiser Permanente’s “Embedded”

InfusionPharmacy

Connection

Mayo Clinic Arizona’sSupportive Care Infusion

Center

Connection

Seton Cancer Care’s Survivorship Navigation

and Clinic Services

Continuity

Bellin Health’sCancer Patient Fitness

Program

Continuity

ProHealth’s Care Support In-Home Palliative Care

Service

Continuity

Hospice of the Valley’s Off-Hours Call Center

Connection

A room at Ryan House

RYAN HOUSE’S “STORY OF ME” ROOM

Clues

“We cannot always control the clinical

outcome, but we can control the

patient experience.”~ Team Leader, The Cancer

Team Bellin Health Systems

Cancer touches us all – sooner or later, directly or indirectly. What an opportunity we have to improve the journey that patients and families make.

Jerilyn CrainPatient Advocate

Kaiser Permanente

The BeginningJerilyn Crain ● Kaiser Permanente ●

Patient Advisor

“Yes Mrs. Crain, you have cancer.”

I CAN DO ALL THINGS THROUGH CHRIST WHO

I CAN DO ALL THINGS

THROUGH CHRIST WHO

STRENGHTENS ME

RADIATION BUS

RADIATION BUS

• Support Group Picture - hands

C≠D

Robert Chapman, MD, Director,

Josephine Ford Cancer Institute, Henry Ford Health

System

Providing Real Service:

One Doctor’s Perspective

ROBERT CHAPMAN, MD

Conflicts of Interest

None

Joe Holcomb, Director, Oncology

WellnessINTEGRIS Cancer

Institute of Oklahoma

Deborah Mayer, PhD, RNA, OCN, FAANProfessor

University of North Carolina at Chapel Hill

The Face of Cancer

Deborah K. MayerProfessor University of North CarolinaDirector of Cancer SurvivorshipLineberger Comprehensive Cancer CenterChapel Hill, NC

AN INTERRUPTED LIFE

BUMPS ON THE ROAD OF LIFE

SEASONS OF SURVIVAL

WHEN LIFE IS SEWN BACK TOGETHER, IT HAS CHANGED

Spiritual Well BeingSocial Well Being

Psychological Well Being

Physical Well Being and Symptoms

Cancer Survivorship

Ferrell, BR and Grant, M. City of Hope Beckman Research Institute

(2004)

Quality of Life

The Road Home

Physical Well Being and Symptoms

AS I AM, BEAUTIFUL AND WHOLE

A BLUE DAY

Psychological Well Being

MIXED EMOTIONS

RELAY FOR LIFE – SURVIVORS’ LAP

Social Well Being

UNITED IN BRAVERY

Soldiers of Love

Spiritual Well Being

CONNECTING WITH THE UNIVERSE

CAREGIVER

UNCHARTED

Picking up my pieces

SEARCHING: THE ANSWER IS OUT THERE

THE ROAD TO SURVIVAL

The Face of Cancer

Brad Stuart, MD, Chief Medical Officer, Coalition to Transform

Advanced Care

Care Beyond CureBrad Stuart MDChief Medical Officer

Coalition to Transform Advanced Care(C-TAC)

BradS@theCTAC.org

How can we blend the best treatment for patients…

…with the best caring for people?

We can confront the threat of cancer…

…with teams of clinicians who bring care…

…to people where they live.

We can practice deep listening…

…so people may truly be heard.

Help people adapt to life’s challenges…

…and discover what really matters to them.

Help them see all their options…

…so they can choose for themselves.

Help them make decisions now…

…so loved ones aren’t left to decide.

Help people see in the dark…

…so they can find the water of life.

Then we can provide the best treatment…

…as part of real health care.

Then we can find healing together…

…and bring it to a thirsty world.

Jody Wilmet, RNVice President

Bellin Heart and Vascular Center

Bellin Health

Lessons Learned:Building New Cancer Center

Jody Wilmet, RN, BSN, MSVP Cancer Services

What did our cancer

patients want?

Don’t make us come to the hospital for

treatment

Add facility pic

We want better access to care

Give us top notch physicians

We want our doctors to know us and

talk to each other

Give me a support person

What Cancer??

Find new pic of wedding

Lou CarboneCEO

Experience Engineering

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

“you cannot NOT have an experience…

…the question is, how managed or haphazard is that experience?”

Lou Carbone,President & CEO

Experience Engineering, Inc.

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

clues emotions attitudes behavior

AffectShape

Drive

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

types of clues that customers experience

what we taste

what we feel

what we see

what we hear

what we smell

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

categories of clues

humanic clues

emotional

mechanic clues

emotional

functional clues

rational

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

what kind of experience do these clues create?what if we managed these clues?

ExperienceDesign

ExperienceManagement

System

WHAT

HOW

Culture / Clue Consciousness

© 2015, All Rights Reserved. Experience Engineering, Inc.lcarbone@expeng.com

"People will forget what you said. They will forget what you did, but they will never forget how you made them feel."

Maya Angelou