IOM: Cancer Care System in Crisis
An Adequately-Staffed, Trained, and Coordinated Workforce
3. Members of the care team should coordinate with each other and with primary geriatric and specialist care teams to implement patients' care plans and deliver comprehensive efficient and patient-centered care.
To accomplish this, the report says, federal and state regulatory agencies should eliminate scope-of practice barriers to team-based care and academic institutions and professional societies should develop programs to train workforce in team-based care and promote coordination.
4. All individuals caring for cancer patients should have appropriate core competencies.
The report says healthcare organizations that deliver cancer care "should require" that team members "have the necessary competencies to deliver high-quality cancer care, as demonstrated through training, certification, or credentials."
Evidence-Based Cancer Care
5. Expand the breadth of data collected on cancer interventions for older adults and individuals with multiple co-morbid conditions.
The NCI, the Agency for Healthcare Research and Quality, and the Patient Centered Outcomes Research Institute should require researchers to study populations that mirror the age distribution and health risk profile of patients with the disease.
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