Currently Viewing:
Association of Community Cancer Centers Annual Meeting
The Price of Innovation When Improving Cancer Care Delivery
March 15, 2018
Dr James Hamrick Outlines Challenges of Managing Clinical Trials and Benefits of Community Practices
March 15, 2018
Changing Trends in Oncology Practice: Value-Based Care and an Empowered Patient
March 15, 2018
Why Tom Gallo Wants to Address Burnout During His Year as ACCC President
March 15, 2018
Roger Holzberg Discusses Integrating Technology Into Healthcare
March 16, 2018
Investing in the Vital Role of a Cancer Care Coordinator
March 16, 2018
Barbara Tofani: The United States Underestimated the Need for Care Coordination
March 16, 2018
Technology Integration in Community Oncology Practice: Building the Future
March 16, 2018
Experts Emphasize the Value of Cancer Care Integration at ACCC Meeting
March 21, 2018
Tom Gallo: Burnout Needs to Be Addressed for All Members of the Care Team
April 03, 2018
Tom Gallo Discusses How Burnout Is Increasing and the Role of Technology
April 06, 2018
Dr Kathleen Blake Discusses the Impact Healthcare Industry Changes Have on Burnout
April 23, 2018
Dr Mark Soberman on the Next Generation Multidisciplinary Cancer Care Team
April 27, 2018
Dr Mark Soberman on the Importance of Communication Among Integrated Care Teams
May 01, 2018
Dr Charles Saunders Outlines the Increasing Importance of Technology in Practices
May 03, 2018
Currently Reading
Barbara Tofani: The Old Ways of Coordinating Care Are Gone
May 07, 2018
Dr Kathleen Blake Highlights Telltale Signs of Burnout
May 10, 2018
Dr Yousuf Zafar Discusses the Burden of Financial Toxicity and Trends Over Time
May 14, 2018
Thomas Asfeldt Highlights 3 Key Challenges to Creating Integrated Cancer Care Teams
May 15, 2018
Pamela Tobias Discusses Pulling Data from EHRs to Improve Processes
May 15, 2018
Dr Mark Soberman Discusses Integrated Care Teams in Oncology
May 16, 2018
Dr Charles Saunders Highlights Data Collection Challenges
May 18, 2018
Dr Kathleen Blake Outlines How Burnout Affects Specialties Differently
May 21, 2018
Barbara Tofani Outlines Best Practices and Mistakes of Care Coordination
May 22, 2018

Barbara Tofani: The Old Ways of Coordinating Care Are Gone

The old ways that physicians used to coordinate care no longer work and the idea of just hiring 1 person to do it hasn’t been sufficient, said Barbara Tofani, RN, MSN, NEA-BC, administrative director of the Hunterdon Regional Cancer Center.


The old ways that physicians used to coordinate care no longer work and the idea of just hiring 1 person to do it hasn’t been sufficient, said Barbara Tofani, RN, MSN, NEA-BC, administrative director of the Hunterdon Regional Cancer Center.

Transcript

What are the biggest mistakes organizations are making when trying to improve care coordination?

Organizations think that 1 person or 1 group of people—care coordinators, nurse navigators, lay navigators, whatever they want to call them—they think, “if we just hire care coordinators or navigators, that will solve all the problems.” And, I think, that has been our biggest mistake. And I have been working with care coordination for about 12 years now, and that’s becoming more and more clear to me, the more I’ve been involved in care coordination, that it is not 1 person who can coordinate the care of the patient. It’s a systems problem, and it needs to be a systems solution, and we weren’t looking at it as a systems solution. We were just looking to say, “Let’s hire a person, and if we hire a nurse that’s even better because nurses can do anything.”

We need to create the infrastructure. We need to make sure that the medical records talk to each other. We need to make sure that the physicians who are in those medical records actually read the information that’s in there. We need to make sure that physicians talk to each other. We’ve gone to a system where we use hospitalists and intensivists in hospitals—physicians don’t admit patients anymore, so they don’t have a mechanism to communicate with each other unless they intentionally make the effort to talk. But the days of physicians just being able to run into each other in the hallways or sit together in the staff lounge and just talk are gone.

And, so, all those ways that we coordinated care in the past, don’t exist anymore. And we thought if we just hired a nurse navigator that that would atone for all those sins that we’ve created over time and it just hasn’t been working.

 
Copyright AJMC 2006-2019 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
x
Welcome the the new and improved AJMC.com, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up