Strategic planning to transform pancreatic cancer care: A comprehensive interdisciplinary roadmap.

e13570 Background: Comprehensive interdisciplinary coordinated care is essential for optimizing guideline-concordant treatment and achieving efficient, high-quality outcomes for patients with pancreatic cancer (PDAC). Although essential, the absence of comprehensive care models impedes efficiency, resource allocation, metric tracking, team engagement, and continuous quality improvement (CQI). Methods: From Feb-Aug 2023 our interdisciplinary (Inter-D) team conducted a 6-month strategic planning initiative to develop a robust, patient-centered pancreatic cancer program & operational roadmap. The initiative focused on: Key personnel, services and programs critical for evidence-based PDAC care. Processes, infrastructure and technology enhancements. Fostering a collaborative team culture. There were 3 phases: 1) Environmental analysis assessing strengths/gaps in the program; 2) Collaboration with leadership to align with institutional priorities; 3) Defining a mission vision, priorities & metrics. It resulted in a five-year plan and resource requirements, which has strategically guided clinical care delivery through 2025. Results: Implementing the plan’s 4 priority areas- increasing patient access, program growth, delivering 4-dimensional support, and ensuring CQI through outcome measurement- led to exceptional outcomes in the first year (FY24): Access: Implemented disease-specific hold slots for providers. Enhanced intake coordination and scheduling metrics to reduce new patient appointment referral to visit to 8.3 days. Growth: Organized an annual patient summit, PDAC symposium, clinician outreach programs and community engagement events, which correlated with a 30% increase in new patient volume. 4-Dimensional Care: Developed a comprehensive supportive care framework with RD assessments, genetic counseling, and streamlined transitions. Established an Inter-D clinic and weekly huddles for care continuity. Reduced referral-to-treatment time to 21.7 days and first visit to genetic test result to 17 days. Optimized pancreatic insufficiency management, cutting consultation-to-prescription time from 25 to 2.75 days. Continuous QI & Outcomes Measurement: Secured institutional support building comprehensive data plan to facilitate real-time assessment and tracking of all patients across regional centers. Implemented PDSA cycles to address high-priority areas, driving ongoing improvements. Conclusions: Strategic planning within disease-focused teams can transform cancer care delivery by increasing patient volume, improving measurable quality outcomes, fostering alignment with institutional goals, and establishing a clear roadmap for future growth. This approach is a replicable model for other disease teams seeking to enhance team-based care, efficiency, and improve patient outcomes.

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Publication Details

Journal
Journal of Clinical Oncology
Published
2025-05-28
DOI
https://doi.org/10.1200/jco.2025.43.16_suppl.e13570
Primary Topic
Economic and Financial Impacts of Cancer
Type
article
Field-Weighted Citation Impact
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article

Strategic planning to transform pancreatic cancer care: A comprehensive interdisciplinary roadmap.

Rebekkah Schear, Lindsay Ross, Kyle Taylor, Kartiki V. Desai et al.
Journal of Clinical Oncology
Economic and Financial Impacts of Cancer
article

Strategic planning to transform pancreatic cancer care: A comprehensive interdisciplinary roadmap.

Rebekkah Schear, Lindsay Ross, Kyle Taylor, Kartiki V. Desai, Shelli Hardy, Neha Barrows, Mujeeb Basit, Patricio Marcelo Polanco, Todd A. Aguilera, Jason B. Fleming, Carrie Tompkins Stricker, Matthew D. Hill, Salwan Al Mutar, Tung Wynn, Lan Vu, Remington A Fenter, Anne A Stoecklin, Natalie A Ripley
article en

Abstract

e13570 Background: Comprehensive interdisciplinary coordinated care is essential for optimizing guideline-concordant treatment and achieving efficient, high-quality outcomes for patients with pancreatic cancer (PDAC). Although essential, the absence of comprehensive care models impedes efficiency, resource allocation, metric tracking, team engagement, and continuous quality improvement (CQI). Methods: From Feb-Aug 2023 our interdisciplinary (Inter-D) team conducted a 6-month strategic planning initiative to develop a robust, patient-centered pancreatic cancer program & operational roadmap. The initiative focused on: Key personnel, services and programs critical for evidence-based PDAC care. Processes, infrastructure and technology enhancements. Fostering a collaborative team culture. There were 3 phases: 1) Environmental analysis assessing strengths/gaps in the program; 2) Collaboration with leadership to align with institutional priorities; 3) Defining a mission vision, priorities & metrics. It resulted in a five-year plan and resource requirements, which has strategically guided clinical care delivery through 2025. Results: Implementing the plan’s 4 priority areas- increasing patient access, program growth, delivering 4-dimensional support, and ensuring CQI through outcome measurement- led to exceptional outcomes in the first year (FY24): Access: Implemented disease-specific hold slots for providers. Enhanced intake coordination and scheduling metrics to reduce new patient appointment referral to visit to 8.3 days. Growth: Organized an annual patient summit, PDAC symposium, clinician outreach programs and community engagement events, which correlated with a 30% increase in new patient volume. 4-Dimensional Care: Developed a comprehensive supportive care framework with RD assessments, genetic counseling, and streamlined transitions. Established an Inter-D clinic and weekly huddles for care continuity. Reduced referral-to-treatment time to 21.7 days and first visit to genetic test result to 17 days. Optimized pancreatic insufficiency management, cutting consultation-to-prescription time from 25 to 2.75 days. Continuous QI & Outcomes Measurement: Secured institutional support building comprehensive data plan to facilitate real-time assessment and tracking of all patients across regional centers. Implemented PDSA cycles to address high-priority areas, driving ongoing improvements. Conclusions: Strategic planning within disease-focused teams can transform cancer care delivery by increasing patient volume, improving measurable quality outcomes, fostering alignment with institutional goals, and establishing a clear roadmap for future growth. This approach is a replicable model for other disease teams seeking to enhance team-based care, efficiency, and improve patient outcomes.

Journal of Clinical OncologyVol. 43(16_suppl)
Polaris (United States) (US), Southwestern Medical Center (US), Public Health Solutions (US), Southwestern Medical Center (US), The University of Texas Southwestern Medical Center (US)
Openalex Percentile: Top 83%
Economic and Financial Impacts of Cancer
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