scholarly journals Nurse Practitioner Navigation Program within a Rapid Access Bone Metastases Clinic Improves Patient Access to Radiation

2020 ◽  
Vol 108 (3) ◽  
pp. e166-e167
Author(s):  
P. Pandey ◽  
M. Kim ◽  
S.E. Todd ◽  
D.R. Grosshans ◽  
M.P. Mitchell ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Nurse Practitioner ◽  
Patient Access ◽  
Rapid Access ◽  
Navigation Program

The rapid access palliative radiotherapy program: blueprint for initiation of a one-stop multidisciplinary bone metastases clinic

2008 ◽  
Vol 17 (2) ◽  
pp. 163-170 ◽  
Author(s):  
A. Fairchild ◽  
E. Pituskin ◽  
B. Rose ◽  
S. Ghosh ◽  
J. Dutka ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Palliative Radiotherapy ◽  
Rapid Access ◽  
One Stop

Improving Provider Experience and Increasing Patient Access Through Nurse Practitioner–Physician Primary Care Teams

2018 ◽  
Vol 41 (4) ◽  
pp. 308-313 ◽  
Author(s):  
Joanna DʼAfflitti ◽  
Kristen Lee ◽  
Melissa Jacobs ◽  
Christine Pace ◽  
Jason Worcester ◽  
...  
Keyword(s):  
Primary Care ◽  
Nurse Practitioner ◽  
Patient Access ◽  
Primary Care Teams ◽  
Provider Experience

Privately practicing nurse practitioner services in Australia and patient access to care

2018 ◽  
Vol 30 (6) ◽  
pp. 344-353
Author(s):  
Jane Currie ◽  
Mary Chiarella ◽  
Thomas Buckley
Keyword(s):  
Access To Care ◽  
Nurse Practitioner ◽  
Patient Access

scholarly journals Rapid Access Multidisciplinary Bone Metastases Clinic Decreases Financial Toxicity for Patients Undergoing Palliative Radiation

2019 ◽  
Vol 105 (1) ◽  
pp. S47-S48
Author(s):  
J.A. Maldonado ◽  
L.E. Colbert ◽  
M.M. Gomez ◽  
S.E. Todd ◽  
K.M. Christopherson ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Financial Toxicity ◽  
Palliative Radiation ◽  
Rapid Access

NURSE PRACTITIONER MANAGED RAPID ACCESS CLINIC: A STRATEGY TO PREVENT HEART FAILURE READMISSION

2015 ◽  
Vol 31 (10) ◽  
pp. S320 ◽  
Author(s):  
E. Estrella-Holder ◽  
S. Zieroth
Keyword(s):  
Heart Failure ◽  
Nurse Practitioner ◽  
Rapid Access ◽  
Rapid Access Clinic

Reducing the Time From Initial Call to First Appointment: The Impact of Patient Access Redesign and a Nurse Navigation Program

2014 ◽  
Vol 12 (suppl 1) ◽  
pp. S-16-S-18 ◽  
Author(s):  
Lori J. Goldstein ◽  
Bonnie J. Miller ◽  
Nancy Nicotera ◽  
Delinda Pendleton
Keyword(s):  
Patient Access ◽  
Navigation Program ◽  
The Impact

Use of a rapid access multidisciplinary bone metastases clinic to decrease financial toxicity for patients undergoing single-fraction palliative radiation.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 24-24
Author(s):  
Jose Alberto Maldonado ◽  
Minsoo Kim ◽  
Prasamsa Pandey ◽  
Sarah Todd ◽  
Kaitlin Marie Christopherson ◽  
...  
Keyword(s):  
Bone Metastases ◽  
Radiation Treatment ◽  
Travel Distance ◽  
Cancer Center ◽  
Cost Burden ◽  
Financial Toxicity ◽  
Single Fraction ◽  
Palliative Radiation ◽  
Rapid Access ◽  
Significant Difference

24 Background: A rapid access bone metastases clinic (RABC) was instituted at MD Anderson Cancer Center (MDACC) to allow outpatient consult, simulation and radiation treatment (RT) initiation in < 6 hours for patients with painful bone metastases. Patients underwent multidisciplinary evaluation with orthopedics and radiation oncology. One aspect of financial toxicity is distress due to out-of-pocket (OOP) cost associated with a treatment. We hypothesized the RABC would decrease financial toxicity for MDACC patients over traditional RT. Methods: RABC patients surveyed between April 2018 and January 2020 were included. Patients were asked to estimate OOP cost for RT (including travel and treatment cost) and perceived cost burden of treatment. Travel distance was hometown distance to MDACC. Subset analyses were performed for patients receiving single fraction (1fx) and 2-5 fractions (2-5fx). Estimated OOP cost (1fx: RABCN= 34, nonRABCN= 20; 2-5fx: RABCN= 4, nonRABCN= 22), perceived cost burden (1fx: RABCN= 32, nonRABCN= 27; 2-5fx: RABCN= 7, nonRABCN= 38) and travel distance (1fx: RABCN= 34, nonRABCN= 28; 2-5fx: RABCN= 7, nonRABCN= 38) were compared using a Mann-Whitney U Test. Travel distance was also compared to OOP cost. Patients treated with 6+ fractions were excluded. Results: Median estimated OOP cost was significantly lower for 1fx RABC patients vs. 1fx non-RABC patients ($450 [IQR $187.5-$1,050] vs. $2,000 [$625-$4,000]; p = 0.008), but there was no significant difference for 2-5fx ($1,900 vs. $1,375; p = 0.593). Overall patient satisfaction with cost burden was high regardless of treatment setting (1fx: 10 [8-10]; 2-5fx: 10 [8-10]). Median travel distance was not significantly different between clinics (1fx: 245 [39.8-351.5] vs. 262.5 [83-879.3], p = 0.3651; 2-5fx: 274 [36-1293] vs. 176 [25-626], p = 0.2721). Travel distance was directly correlated with out of pocket cost for single fraction (1fx: R2= 0.125, p = 0.0109; 2-5fx: R2= 0.037, p = 0.3433). Conclusions: The establishment of a RABC at MDACC significantly decreased financial toxicity for 1fx patients receiving palliative RT, but not in the 2-5fx cohort. Increased financial toxicity was associated with longer travel distance for 1fx palliative radiation. Implementation of a similar model in local community centers may decrease financial toxicity for patients receiving palliative radiation.

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