Reducing ED Visits and Hospital Admissions after Chemotherapy with Predictive Modeling of Risk Factors


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Reducing ED Visits and Hospital Admissions after Chemotherapy with Predictive Modeling of Risk Factors

ACCC 37th National Oncology Conference 

This educational activity is jointly provided by AXIS Medical Education and ACCC

This activity is supported by educational grants from Abbvie,  AstraZeneca, GlaxoSmithKline, Lilly and Pfizer, Inc.

Release Date: 10/16/2020

Expire Date: 10/15/2021

Estimated Time to Complete: 75 minutes

Target audience: Physicians, nurses, APPs, pharmacists, pharmacy technicians, cancer program administrators, practice administrators, quality managers

Overview: After conducting a retrospective review to identify clinical variables associated with increased risk of hospital admissions and emergency department visits, Mercy Cancer Care used these data to develop and implement a predictive algorithm that stratifies patients according to their 30-day risk of both events. A daily dashboard report identifies all patients as high, intermediate, or low risk. These dashboard risk scores are then used to proactively manage patients with referrals to services such as social work, dietitian, or evaluation for possible home care assistance. Ultimately, this QI initiative effort will allow proactive management of patients within 30 days of their outpatient chemotherapy—the OP 35 bundling payment initiative that CMS put into effect this year under its Hospital Outpatient Quality Reporting Program. 

Learning Objectives:

At the end of this educational activity, participants should be able to:

  • Identify clinical variables associated with increased risk of hospital and emergency department admissions using predictive modeling
  • Use the above variables to proactively manage patients with cancer to reduce readmissions after chemotherapy

Faculty:

Michelle Smith, DC, Director Oncology Services Mercy Cancer Care
Jay Carlson, DO, Obstetrician-Gynecologist
Mercy Hospital

Christina Fuller, BSW
Oncology Patient Financial Navigator
Mosaic Life Care Cancer Care

ACCREDITED CONTINUING EDUCATION

Accreditation Statement

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In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and ACCC.  AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

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This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credit for learning and change.

Credit Designation for Physicians
AXIS Medical Education designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credit Designation for Nursing
AXIS Medical Education designates this continuing nursing education activity for 1.25 contact hours.
Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

Healthcare Executives
ACHE Qualified Education credit must be related to healthcare management (i.e., it cannot be clinical, inspirational, or specific to the sponsoring organization). It can be earned through educational programs conducted or sponsored by any organization qualified to provide education programming in healthcare management. Programs may be sponsored by ACHE, chapters, or other qualified sources, whether the programming is face-to-face or distance offerings (webinars, online seminars, self-study courses, etc.). You will receive a certificate of completion for 1.25 hours.

AXIS Contact Information
For information about the accreditation of this program please contact AXIS at info@axismeded.org.

Disclosure of Conflicts of Interest
AXIS Medical Education requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by AXIS for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Name of Faculty or Presenter/Planner

Reported Financial Relationship

Michelle Smith, DC

Nothing to disclose

Jay Carlson, DO

Nothing to disclose

Christina Fuller, BSW

Nothing to disclose

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity: 

Name of Planner/Manager/Reviewer

Reported Financial Relationship

Leigh Boehmer, PharmD, BCOP

Nothing to disclose

Jay Carlson, DO

Nothing to disclose

Christina Fuller, BSW

Nothing to disclose

Tom A. Gallo, MS, MDA

Nothing to disclose

Marilyn L. Haas-Haseman, PhD, RN, CNS, ANP-BC

Nothing to disclose

Monique J. Marino

Nothing to disclose

Rebecca McMahon

Nothing to disclose

Kerri Michalik, MHA, BSN

Nothing to disclose

Dee Morgillo, MEd., MT(ASCP), CHCP

Nothing to disclose

Barbara Schmidtman, PhD

Nothing to disclose


Disclaimer  
 

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities. 

Method of Participation and Request for Credit    

  • Attend/participate in the educational activity and review all course materials. 

To receive credit for this activity, participants must review the activity information including learning objectives and faculty/planner disclosures and actively participate in the educational activity. Upon successfully completing the post-test with a score of 75% or better and the post-activity evaluation, your certificate will be made available immediately.

Jay Carlson

Principal Investigator

Cancer Research for the Ozarks (Ozarks Regional CCOP)Springfield

Mercy Clinic – Women’s OncologySpringfield

During his 24 years of military service, Dr. Carlson earned a position as OB/GYN consultant to the office of the Surgeon General and received the prestigious Surgeon General’s Physician Award for 2000. He served at Walter Reed Medical Center as Chief of the OB/GYN Department and as Chief of the Division of Gynecologic Oncology.  Dr. Carlson is a two-time recipient of the National Faculty Award for Excellence in Resident Education and has published more than 70 works related to his field.

Michelle Smith

Director of Oncology Services

Michelle Smith currently serves as Director of Oncology Services for Mercy Hospital St. Louis and has been with Mercy since 2001 in various roles.  Ms. Smith is the administrative lead for the Mercy Health Ministry Oncology Specialty Counsel. This specialty counsel is the driver behind the many changes Mercy oncology programs are working to incorporate across their ministry to both better patient experience and the outcomes for patients. Smith has a passion for oncology and specifically improving the quality of life for this patient population in seamless and innovative ways. The OP35 measure is one of many improved outcomes projects she has worked towards.  Other projects have included nurse navigation and standardization of infusion practices.  

Key:

Complete
Failed
Available
Locked
Pre-Test
4 Questions  |  1 attempt  |  0/4 points to pass
4 Questions  |  1 attempt  |  0/4 points to pass
Session Recording
Open to view video.
Open to view video.
Post-Test
4 Questions  |  3 attempts  |  3/4 points to pass
4 Questions  |  3 attempts  |  3/4 points to pass
Evaluation
10 Questions
CE Certificate
Up to 1.25 medical credits available  |  Certificate available
Up to 1.25 medical credits available  |  Certificate available