Improving Oncology, Haematology, and Palliative Patients Flow in NCCCR

Improve Oncology
Haematology and Palliative
Patients Flow
In National Centre for Cancer Care and Research (NCCCR)

Table of Contents
MAIN BODY..................................................................................................................................1
Current understanding of system/process....................................................................................1
Rationale and drivers for the improvement.................................................................................1
Stakeholder analysis and engagement plan.................................................................................2
Risk analysis................................................................................................................................3
Expected benefits.........................................................................................................................5
Methods to be used-.....................................................................................................................5
Evaluation plan............................................................................................................................6
REFERENCES................................................................................................................................8

MAIN BODY
Current understanding of system/process
Present situation describes services and care of Oncology and Haematology department
which are resulting in enhancing quality and wellbeing of patients by making use of multi-
disciplinary approach (El-Jawahri et.al., 2016). From the data provided it can be summarised that
83 patients were admitted to oncology department in local Hospital of Qatar and out of these
only 72 people were timely discharged (Finlay, Rabow & Buss, 2018). It has also been analysed
that there are two admission discharge teams working in hospital i.e. team A and B. provided
figure has given the detail in comparison to admission, there were less patients who were
discharged. This is because discharge procedure includes lots of documentation because of
which it takes time (Tashkandi et.al., 2020).
Discharged Patients need close observation, weekly follow up for blood work. The process
followed by hospital care unit should be enhanced in order to meet out the social, psychological
and spiritual needs of the patient and their families. It has also been analysed from the data
provided that admission is more than discharge on the same day (Silva & Paiva, 2019). There is
a long process followed even when patients are admitted. Impatient work flow has provided the
details that there is an elective admission of patient, Admission within NCCCR units, Admission
from other facility, Admission from abroad. In order to enhance quality of care provided by
oncology and haematology department, they need to be involved in making a staffing plan
(Nicosia et.al., 2018). A staffing plan for the Chemotherapy Day Care Unit is formulated to
identify staffing numbers needed and budgeted for the unit. The department is also trying to
discharge patients before 11 am but because of the long process, they are unable to manage and
handle work so most of the patients are discharged after 2 PM.
1

Rationale and drivers for the improvement
2
Supplier
s
Input Process Outcome Customers
Beds
Resources
Medication
Transportation
Sponsor
Work flow
Finance
Preference
Language
related
issues
Staff issues
Shortage of
staff
Readiness of
patients/ family
problems
Incorrect
entry
No shortage
of bed
Early
admission
Improve
healthcare
outcome
Nurses
Physcisans
Patients
Families
SIPOC:
Decrease
cost