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Improving Efficiency in Cancer Care: 2020-2021 Project

BACKGROUND

ESO (European School of Oncology), ECO (European Cancer Organisation) and All.Can among others have published position papers on the topic of efficiency improvement in cancer care. However, concrete international action to attain some of the goals has not yet emerged, even though there are many examples that could pave the way towards more patient-friendly cancer care, with less waste and better results.

In November 2019, a joint ESO-SPCC Efficiency Task Force was established, supported by an unrestricted education grant from BMS. It took place in Milan with the aim to design a strategy to help the different actors involved in cancer care, optimize the patient journey, tackling challenges from different points of view. An article summarizing the Task Force discussions was published in March 2020 in the online magazine Cancerworld.

As its final result, the Task Force helped to structure a training programme to be promoted, rolled out and continuously implemented over a two-year period (2020-2021). The main aim of the project is to scale-up and implement proven concepts for reducing inefficiencies in cancer care, supporting a patient-centric vision and the sustainability of healthcare systems, whilst improving outcomes.

Two virtual meetings were held in May and July 2020 to further develop the topic and explore the interest of different stakeholders and actors involved in the cancer care journey. The project is to design and develop a new Health Care Professionals international educational programme in oncology on the theme of “Efficiency in cancer care”.

SPCC (Sharing Progress in Cancer Care) has decided to involve All.Can and Bocconi University SDA in the project, to develop a plan of action with key organisations who have recognised and differentiated capabilities.

SCOPE

The scope of the project is to develop a collaborative research and educational project targeted at heads of clinics and healthcare professionals on cancer care efficiency.
The project will be driven by a three-party collaboration between SPCC, All.Can and Bocconi University SDA.

All three partners will strategically guide and communicate jointly during the programme delivery phases.

The project will include three essential elements, which aim at content development and content delivery:

• an educational curriculum with international education webinars;

• an outreach and advocacy program towards policy makers and key stakeholders;

• an academic analysis (methodology and impact assessment).

OBJECTIVES

The project objectives are the following:

To build an international curriculum developed thanks to the organization of a series of educational webinars (started in December 2020, see below for more information) on “Spotlights on Improving Efficiency in Cancer Care”. The webinars are dedicated to the development of efficiency projects in different geographical areas in the world, leveraging previous contents by All.Can, ESO and SPCC

1. To develop a review paper on methodologies to evaluate outcomes in the field of cancer care efficiency. The efficiency concept will be considered and measured from a systemic, population and individual health perspective. It will be built on previous research work conducted by IHE (The Swedish Institute for Health Economics) and All.Can.

2. To select three ongoing programmes with a focus on efficiency in cancer care (e.g. PROCHE) and scale those up in the clinics.

3. To assess the impact of selected projects and align them with the All.Can efficiency definition metrics and inform with updates.

4. To engage with external stakeholders and policy makers on evidence-based recommendations resulting from the paper.

THE PROJECT IN DETAIL

In order to increase the efficiency of the project, each of the three partners (SPCC, All.Can and Bocconi University SDA) has been assigned specific tasks, as indicated below:

SPCC

- Oversight and management of the complete project;
- Development of monthly educational webinars on the topic “Improving Efficiency in Cancer Care”.
  The outcome will be used to develop the Bocconi University SDA paper and a possible future call for projects (see below for more information).

All.Can

- Identification of three projects from the All.Can Efficiency Hub and introduction of the projects on a practical level in the clinics;
- Promotion and policy engagement and leverage by national All.Can initiatives of the project’s activities via the All.Can website and through social media.

Bocconi University SDA

- Scientific project leadership;
- Hold a webinar with experts to produce ideas about how to measure outcomes in cancer care;
- Development of a peer review paper with All.Can and SPCC on methodologies to evaluate outcomes in the field of cancer care efficiency;
- Development of a virtual example of efficiency programme (Hospital Simulation Management). The call for candidates will be published soon.

WEBINARS

In order to build an international curriculum on “Spotlights on Improving Efficiency in Cancer Care” SPCC has developed a series of 11 monthly educational webinars (started in December 2020) dedicated to the development of efficiency projects in different geographical areas of the world.

All webinars are held in collaboration with All.Can and University Bocconi SDA.
Other collaborations with European Oncology Societies such as ECO, ESTRO, EONS, OECI and regional local Cancer societies as SPOM, SMeo have been developed.
Every webinar will provide a recording and post webinar executive style report that can be made available for attendees and those who are interested.

Here is the proposal for the first 6 educational webinars.
The last 5 webinars (number 7 to 11, June to October 2021) will be developed in a second stage following the establishment of a committee of selected experts who contributed to the first six webinars.

Webinar 1 – What is efficiency in cancer care

Live - 1 December 2020 – 18:00-19:10 CET
Available on demand at https://www.oncocorner.net/webinars/24
Cancer World report: https://cancerworld.net/improving-efficiency-in-cancer-care/
Discussant: Pietro Presti
Speakers: Eduardo Pisani, Alex Filicevas, Stefan Gijssels

Webinar 2 – Moving towards efficiency in cancer care: examples
Live - 13 January 2021 – 18:00-19:10 CET
Available on demand at
https://www.oncocorner.net/webinars/25
Cancer World report:
https://cancerworld.net/moving-towards-efficiency-in-cancer-care-examples/
Discussant: Andreas Charalambous
Speakers: Constantina Cloconi, Mark Lawler, Florian Scotté
Under the auspices of ECO and EONS. 

Webinar 3 – Optimisation and efficiency in cancer care
Live – 10 February 2021– 18:00-19:10 CET
Available on demand at
https://www.oncocorner.net/webinars/28
Cancer World report:
Available soon
Discussant: Lucia Ferrara
Speakers: Denis Lacombe, Simon Oberst, Georgios Margetidis
Under the auspices of OECI and EORTC.

Webinar 4 – What is efficiency in Latin America
Live – 17 March 2021 - 18:00-19:20 CET
Available live at https://www.oncocorner.net/webinars/82
Discussant: Matti Aapro
Speakers: Henry Gomez, Julia Ismael, Hector Martinez Said, Gustavo Werutsky
Under the auspices of SMeO and SPOM.
With simultaneous translation in Portuguese and Spanish.

Webinar 5 – What is efficiency in Australia
Live – April 2021 – 12:00-13:10 CET
Available live at
www.oncocorner.net
Discussant: To be confirmed
Speakers: To be confirmed

Webinar 6 – What is efficiency in Japan and Korea
Live – May 2021 – 12:00-13:10 CET
Available live at
www.oncocorner.net
Discussant: To be confirmed
Speakers: To be confirmed
With simultaneous translation in Japanese and Korean.

PROJECT STEERING COMMITTEE MEMBERS

Matti Aapro, Clinique de Genolier - Sharing Progress in Cancer Care (SPCC), Genolier/Bellinzona, Switzerland
Andreas Charalambous, Cyprus University of Technology, Limassol, Cyprus
Stefan Gijssels, Digestive Cancers Europe, Brussels, Belgium
Eduardo Pisani, All.Can International, Brussels, Belgium
Pietro Presti, Sharing Progress in Cancer Care (SPCC), Turin, Italy/Bellinzona, Switzerland
Florian Scotté, Hopital Foch, Suresnes, France
Rosanna Tarricone, Bocconi University, Milan, Italy