Oncology Consultants
Oncology Consultants-Covid19 ResponsePresenters:Susan Wagner, RN, BSN, OCN (Clinical Director)Alti Rahman MHA/MBA, CSSBB (Practice Administrator)1
Oncology Consultants (OC):Practice Overview Location: Houston, Texas Services: Medical Oncology,Radiation Oncology, RetailPharmacy, Lab, Research Providers: 18 MOs, 2 ROs, 4 NPs Sites 11 Med Onc Locations, 2 Rad Onc,2.5 Imaging centers, 2 RetailPharmacy locations 300 FTE2
Setting the Tone . Mental Health Patient Health Financial Health Advocacy
Sources of Information NIAID (National Institute of Allergy and Infectious Disease) CDC recommendations (constantly updated) WHO (World Health Organization) CMS changes (Telehealth/HIPAA) Employment Law Changes COVID Testing (Quest/LabCorp)- Hospital Information. COA, ACCC, NHISAC (Cyber Security)
Practice Mental Health
Focus on Staff Initial messaging for those staff members over 60 initiating remote work schedule Work in tandem with pharma companies to provide lunch to staff with physicianconversations/provide lunch on days it is not available Allow for “fun days” with jeans, contests, dancing etc. Maintain transparency as much as possible with the rapidly changingenvironment. Provide an email CareOC@oncologyconsultants.com for all questions, commentsand concerns We have investigated multiple resources to provide PPE to maintain optimalstock. We are working toward providing modified schedules per office to allow for sometime “away from work” while not adjusting salaries. Providing physicians modified coverage to allow for time out of the office fortelemed Adjusting work to “remote” in staff that are capable
How We Communicate Communications (Patients, Staff,Digital Media, Emails) Utilizing internal email, Sharepoint,Paylocity to communicate protocols Utilizing Social Media to demonstrate@OCMovingForward Initiatives Using Mass patient emails (Mail Chimp) Appointment reminders via Text andphone with symptom/assessment Enhanced Patient Questionnaires Management Core team meets everyday 4:30 aschanges occur rapidly CareOC@oncologyconsultants.com for allconcerns, questions and comments
Practice Patient Health
Patients Provide updated appointment reminders both in text and phone callformat with instructions and key changes they will see Added remote (digital) check-in via Knack to remove congestion in waitingrooms. Eliminated some chairs in waiting areas to allow for 6 feet social distance Added telehealth option to reduce in-office waits and exposure Provided methods for testing for symptomatic patients, if needed Broadened our messaging via email blast and social media Enhanced cleaning procedures in all areas, most importantly commonareas.
Reduce Waiting Room Crowds
# OCMOVINGFORWARDWe recommend thatpatients and staff stay6 feet apart from each otherin the waiting areaNew digit al technologyregarding telemedicineand online check-in willsoon be avaliableOCRx Pharmacy Solutionswill continue to providehome delivery for all ofyour medication needsAll OC staff are providedpersonal prot ect iveclot hingWe sanitize each and everyspace in our clinic daily to bestprotect our patients and staffOur one caregiver per patientpolicy allows us to provide a lesscrowded waiting room for ourpatientsM andat ory screening will beconducted to all patients andguests, which includes takingtemperatures and answeringa set of questionnairesAll patients have nurse access toanswser questions via phonethrough the clinic's phone numberOncology Consultants ispracticing Corporat eSocial Responsibilit y bysupporting our staff andlocal businesses
Practice Financial Health
Financial Modeling: Internal and External FactorsInternalExternal Consolidation of Location(s) How staffing will change Revenue/Service Line Mix Patient Activity Investment Initiatives COVID19 Claims: Premiumsgoing Up Unemployment: Loss ofCoverage Unemployment: Sicker Patients Sequestration
Financial ScenariosBaselinePatient archLabsPayor ther IncomeExpensesIV DrugsOral DrugsMedical SuppliesRentEquipmentStaff SalariesProvider SalariesNet IncomeScenario 1(Worst Case)Scenario 2(Most Likely)Scenario 3(Best Case)Scenario 4(Other)
Informing the Community (Referring physicians, Patients)
Advocacy
Communicating the message Issues Payors Delaying payments, difficult to get a hold off, prior Authorizationrequirements Hospitals not able to provide certain critical services, transfusions etc Medical Supplies shortages Reaching out to Local Medical Societies and Payors Texas Medical Association Harris County Medical Society Payors The Message “We need Support!” The Practice is on the Front Lines taking care of Critically ill Cancer Patients Our work prevents immunocompromised cancer patients from further stressing theHospital systems
Oncology Consultants (OC):Practice Overview Location: Houston, Texas Services: Medical Oncology, Radiation Oncology, Retail Pharmacy, Lab, Research Providers: 18 MOs, 2 ROs, 4 NPs Sites 11 Med Onc Locations, 2 Rad Onc, 2.5 Imaging centers, 2 Retail Pharmacy locations 300 FTE 2
6 — Oncology Nursing Society Oncology Nurse Navigator Core Competencies Overview Key Terms Used in This Document Oncology nurse navigator: An oncology nurse navigator (ONN) is a professional registered nurse with oncology-specific clinical knowledge who offers individualized assistance to patients, families, and caregivers to help overcome healthcare
Oncology - out of hours - 02476968234 . Acute Oncology Nurses : Pet Mukuzvazva . Tel: 07956362154 or 02476153625 (Monday-Friday 8am-4pm) Petronilla.Mukuzvazva@geh.nhs.uk . Acute Oncology Consultants . Acute Oncology Service Lead – Dr Penny Kechagioglou : Consultant Oncologist – Penny.Kechagioglou@uhcw.nhs.uk . Cancer of Unknown Primary
oncology pharmacists in an effort to unify practice. History of the Hematology/Oncology Pharmacy Association HOPA, a professional society for hematology/oncology pharmacists and associates, was launched in 2004. The goal of HOPA is to have an oncology pharmacist as an integral member of the care team for all individuals affected by can-cer.
Part 2 – Radiology: Oncology Radiology: Oncology Page updated: December 2020 This section describes policies and guidelines for billing radiation oncology procedures. Radiation oncology services include initial consultation, clinical treatment planning, simulation, medical radiation physics
for Oncology for hospitals, clinics, and office practice settings that offer oncology services. This project was made possible through a grant from the International Society of Oncology Pharmacy . (ISOPP), the American Society of Clinical Oncology (ASCO), and the
Director, Scripps Green Cancer Center, Division of Hematology/Oncology, Scripps Clinic, La Jolla, California, USA Roberto Ivan Lopez, MD Centro Oncologico Punta Pacifica, Medical Oncology, Panama, Panama Jean-Pierre Lotz, MD, Professor Head of the Department of Medical Oncology and Cellular Therapy, Medical Oncology Department, Tenon
ONCOLOGY CONSULTANTS, P.A. for services furnished to me or my dependents. I authorize PREMIER ONCOLOGY CONSULTANTS, P.A. to collect payments directly from insurance companies and to deposit checks received on my account when made out in my name. I understand that my insurance company may only cover a portion of the total bill.
Here are a few suggested references for this course, [12,15,1]. The latter two references are downloadable if you are logging into MathSci net through your UCSD account. For a proof that all p{ variation paths have some extension to a rough path see, [14] and also see [6, Theorem 9.12 and Remark 9.13]. For other perspectives on the the theory, see [3] and also see Gubinelli [7,8] Also see, [9 .
