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S88
A B S T R A C T S
P086
EVALUATION OF PATIENT PERCEPTIONS OF TEAM BASED
CARE IN A GERIATRIC ONCOLOGY MULTIDISCIPLINARY
INTERPROFESSIONAL CLINIC
A. E. Chapman
1,
*, K. Swartz
2
, L. Collins
2
, S. Sicks
3
1
Department of Medical Oncology,
2
Family and Community
Medicine,
3
Jefferson Center for Interprofessional Education, Thomas
Jefferson University, Philadelphia, USA
Introduction:
The Senior Adult Oncology Clinic (SAOC) at
Thomas Jefferson University’s Kimmel Cancer Center, utilizes
an interprofessional teamapproach to provide comprehensive
geriatric oncology assessments and treatment plans for
older patients with cancer. The importance of team-based
healthcare delivery is well documented, however, experts
agree that there is a need for more tools to assess the skills
required to be a high-functioning team and a need for the
impact of collaborative practice on patient reported outcomes
and satisfaction.
Objectives:
Our objective was to measure the effectiveness
of our interprofessional team on the patient experience and
assess how the team functioned to provide a comprehensive
treatment plan.
Methods:
Upon completion of a SAOC visit, patients were
asked to participate in a short voluntary survey to assess
team performance. The Jefferson Teamwork Observation
Guide (JTOG) is a validated survey used with learners that
has been adapted to elicit patient perspectives of five
domains of interprofessional collaborative practice, including
communication (C), values/ethics (V/E), teamwork (T), and
roles/responsibilities (R) and patient-centeredness (PC).
The Patient JTOG includes eight competency–based Likert
Scale questions as well as one open-ended question. The
survey was administered on secure mobile tablets by trained
research assistants (RAs) who were not part of the healthcare
team.The study received exempt approval by our Institutional
Review Board.
Results:
A total of 13 patients completed the survey. Seven
respondents were female, and six were male. Seven identified
as Caucasian, four as African American and two as other.
One hundred percent responded “Strongly Agree” to a global
question about the importance of teamwork in patient care
(mean 4.0). Overall satisfaction with the SAOC team was 3.92
out of 4.0. For the eight questions relating to each of the five
collaborative practice competencies noted above, the team
received an average score ranging from 3.69 to 3.77 out of 4.0,
for a global score of 29.66 (out of 32 possible), placing this team
in the highest quartile of teams surveyed at our institution to
date (n=407). In addition, all 13 respondents completed the
open-ended qualitative comments with 12 out of the 13 being
positive with multiple references to effective listening and
communication, team coordination, and patient-centered care.
Conclusion:
Thomas Jefferson University’s SAOC has
been providing coordinated interprofessional geriatric
oncology assessments since 2010. Our Center is fairly unique
in our model of team-based consultation and care plan
development. Using this patient JTOG survey, we were able
to document the perception of our patients in our team’s
ability to provide high quality team-based, patient centered
care. Based on these early results, our high functioning
interprofessional consultative team model may serve as a
model for replication for geriatric oncology care delivery at
other institutions.Introduction: There is increasing emphasis
on inter professional teamwork in healthcare. The Jefferson
Teamwork Observation Tool (JTOG) has been developed to
evaluate the skills and effectiveness of inter professional
teams. The Senior Adult Oncology Clinic (SAOC) at Thomas
Jefferson University’s Kimmel Cancer Center was established
in 2010 to provide Inter professional geriatric oncology
consultation. We used the JTOG to evaluate the SAOC team
skill and effectiveness.
Disclosure of interest:
None declared
Keywords:
Interprofessional, multidisciplinary, patient
centered care
P087
A CHALLENGE IN ONCOGERIATRICS: IS ROCKWOOD
FRAILTY INDEX AN ACCURATE TOOL TO PREDICT CLINICAL
OUTCOMES?
A. Mazzeo
1,
*, F. Monacelli
2
, P. Odetti
2
, C. Russo
2
, S. Sambuceti
2
,
M. Canepa
2
, T. Granello
2
, A. Nencioni
2
, R. Murialdo
3
,
A. Ballestrero
3
, S. Scabini
4
, E. Romairone
4
, F. De Cian
5
,
F. Boccardo
6
1
Department of Internal Medicine and Medical Specialties Section of
Geriatric Medicine,
2
Department of Internal Medicine and Medical
Specialties Section of Geriatric Medicine,
3
Department of Internal
Medicine and Medical Specialties Section of Internal Oncological
Medicine,
4
Oncological surgery and implantable system surgery,
5
Academic Surgery Department of Surgical Science and Integrated
Diagnostics,
6
Department of Internal Medicine and Medical
Specialties Section of Clinical Oncology, I.R.C.C.S. San Martino-IST
Genova, Genova, Italy
Introduction:
Comprehensive geriatric assessment (CGA)
is the gold standard for elderly assessment in oncology
to predict chemotherapy tolerance and the main clinical
outcomes (survival, functional status and quality of life).
CGA is also able to stratify elderly patients according to their
biological condition (frail, pre-frail, fit). However, the method
is of specialist expertise and it is still poorly incorporated into
routine clinical practice. So far, other assessment tools did not
show adequate specificity and predictive accuracy.
Objectives:
We aimed at comparing different evaluation
scales to assess the best predicting oncogeriatric tool.
Methods:
First visit included ECOG PS, CGA, Rockwood 40
item IF, Short Form Health Survey-36 (quality of life). Patients
were assessed after 1 month for mortality, after three and six
months for chemotherapy toxicity and after 12 months for
quality of life, functional status, and overall mortality.
Results:
One hundred and forty seven consecutive patients
(78 females, 69 males), with solid tumour, mean age of 78 +-1.0
years, were enrolled from May 2015 in an Italian hospital.
Respectively, 24% of patients by ECOG PS, and 61% of patients
by CGA were frail. Interestingly, by IF, 58 pts were frail (39%), 77
pre-frail (52%) and 11 were fit. Our study originally showed a