Comprehensive survivorship care with cost and revenue analysis.
OBJECTIVE
The 2015 Commission on Cancer standards require that cancer survivors receive an individualized survivorship care plan (SCP). To meet this new standard, St Luke's Mountain States Tumor Institute (MSTI), with support from the National Community Cancer Centers Program, implemented a successful survivorship model.


METHODS
At MSTI, the patient's SCP is prepared in the electronic health record by a registered health information technician. This document is reviewed during an appointment with a nurse practitioner and social worker. The provider's dictation is mailed to the primary care physician with the SCP. From August 2011 to Oct 2012, 118 patients with breast cancer were seen for survivorship appointments. Medical record audit and follow-up telephone call were completed to evaluate patient survivorship needs and satisfaction with the appointment. Patient accounts were reviewed for reimbursement.


RESULTS
From medical record review, the most common patient concerns were weight management (35%), fatigue (30%), sexuality (27%), anxiety (23%), caregiver stress (17%), and depression (16%). Telephone calls showed high patient satisfaction and understanding. Patients rated the following statements on a Likert scale from 1 (strongly disagree) to 5 (strongly agree): I understand my treatment summary and care plan (88% strongly agree or agree), and I feel the survivorship visit met my survivorship needs (86% strongly agree or agree). At 1 month, 80% of participants were still working on wellness goals. Patient accounts analysis showed revenue covered costs.


CONCLUSIONS
Survivorship care at MSTI meets new standards, allows for patient engagement and satisfaction, and improves care coordination. Costs are covered by reimbursement.
St Luke's Mountain States Tumor Institute, Boise, ID.
Alicia R
AR
Rosales
Dia
D
Byrne
Christa
C
Burnham
Lori
L
Watts
Kathleen
K
Clifford
Dan S
DS
Zuckerman
Thomas
T
Beck
D001943:Breast Neoplasms / Q000191:economics / Q000628:therapy; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics; D005260:Female; D017048:Health Care Costs; D019538:Health Care Surveys; D006301:Health Services Needs and Demand; D006801:Humans; D007349:Insurance, Health, Reimbursement; D008495:Medical Oncology; D017060:Patient Satisfaction; D017741:Survivors