"It makes the case for an Oncology Patient-Centered Medical Home model of care that drives the consistency of cancer care delivery, leverages technology to maximally support physician oversight and efficiency, while meeting the needs of our patients and their families."
Sprandio's Consultants in Medical Oncology and Hematology (CMOH) was the first oncology practice to be certified as a level 3 PCMH by the National Committee for Quality Assurance, back in 2010. But it took years before it attained the level of highly coordinated care that exists in his three-location practice today. And that may be a barrier too high for some oncology practices to cross, says Schilsky.
"It's certainly a great idea, and it's certainly difficult to adopt," says Schilsky who notes that the ASCO worked with Sprandio on a grant to expand the oncology PCHM to other practices across the country. It didn't get funded, though they are looking for alternative funding alternatives.
"It requires a substantial investment in staff, and health IT infrastructure," says Schilsky.
In addition to expanding nursing's role in oncology and exploring alternative care models, ASCO's report also recommends trying to prevent professional burnout.