title: Reducing the time from initial call to first appointment: the impact of patient access redesign and a nurse navigation program.
abstract: Fox Chase Cancer Center (FCCC) participated in the NCCN Opportunities for Improvement project with the purpose of optimizing the quality of care delivered at FCCC to patients with breast cancer based on the ASCO and NCCN Guidelines. Historically, FCCC's performance has demonstrated a high level of concordance, based on findings from the NCCN Oncology Outcomes Database project benchmarking data in breast cancer. Access to the NCCN Breast Cancer Timing in Continuation and Transition of Care (TiCToC) Measures data analysis (performed by NCCN) provided an opportunity to further identify specific opportunities related to care along the continuum. The initial goal of the project was to continue participation in the NCCN Oncology Outcomes Database for Breast Cancer, with the overall objective of sustaining high concordance. FCCC's recent data were compared with historical data and benchmarked against those from other participating NCCN Member Institutions.
authors.affiliation: From the aBreast Evaluation Center, bQuality Management, cWomen's Cancer Center, and dNCCN Breast Outcomes Project, Fox Chase Cancer Center, Philadelphia, Pennsylvania.
authors.forename: Lori J
authors.initials: LJ
authors.lastname: Goldstein
authors.forename: Bonnie J
authors.initials: BJ
authors.lastname: Miller
authors.forename: Nancy
authors.initials: N
authors.lastname: Nicotera
authors.forename: Delinda
authors.initials: D
authors.lastname: Pendleton
mesh_terms: D001071:Appointments and Schedules; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D002173:Cancer Care Facilities; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D024802:Nurse's Role; D015143:Philadelphia; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care