Novel digital dashboard improves cancer case review efficiency
Dashboard reduced preparation time by 30%, improved access to data and decision-making

Date:
October 8, 2020
Source:
University of Missouri-Columbia
Summary:
Researchers evaluated a cloud-based product called NAVIFY(R) Tumor
Board that integrates all relevant clinical data for a tumor board
into a single digital dashboard accessible to everyone. During
a 16-month clinical study of the dashboard, researchers found
NAVIFY Tumor Board significantly reduced the amount of time doctors
and nurses across multiple specialties spent preparing for tumor
board meetings.



FULL STORY ========================================================================== Multidisciplinary tumor boards are vital to cancer treatment plans,
bringing together clinicians from different specialties to guide patient treatment and improve outcomes. However, compiling the relevant data
for each case is time- consuming and requires contributions from
multiple team members. To optimize the process, researchers at the
MU School of Medicine partnered with Roche Diagnostics to evaluate a cloud-based product called NAVIFY(R) Tumor Board that integrates all
relevant clinical data for a tumor board into a single digital dashboard accessible to everyone. During a 16-month clinical study of the dashboard, researchers found NAVIFY Tumor Board significantly reduced the amount
of time doctors and nurses across multiple specialties spent preparing
for 227 tumor board meetings involving 1866 patient cases.


==========================================================================
"In addition to saving time, the NAVIFY digital tumor board solution
resulted in less variability in preparation time," said Richard Hammer,
MD, professor of pathology at the MU School of Medicine and vice
chair of clinical affairs in the Dept. of Pathology and Anatomical
Sciences. "The improvements were sustained and became more significant
over time, decreasing administrative burdens of meeting preparation."
Hammer evaluated case preparation time during four phases: before NAVIFY
Tumor Board implementation, after manual implementation, after partial electronic medical record (EMR) integration and after a stable EMR
integration phase. The study found a 30% preparation time reduction
across three cancer categories with full integration compared to pre-implementation. The biggest time savings involved the breast tumor
board, where nurse navigators reduced their preparation time by 69%.

"Institutions with dedicated nurses preparing for cases will likely
benefit the most," Hammer said. "This dashboard enables easy access to
clinical data, which may support optimal decision-making. In addition,
it reduces costs for both patients and hospitals, which is currently
under analysis." Hammer's team is also in the process of submitting
data on the impact of the NAVIFY clinical decision support software on
case discussion time during tumor board meetings. Future studies will investigate its impact on the quality of case discussions.

"As the first reference site for NAVIFY Tumor Board in the U.S., we are
already hosting other institutional leaders to help them implement this software," Hammer said. "This is the wave of the future, where we are
using digital clinical decision support software to enhance how we care
for patients, while improving efficiency, standardizing the preparation of cases and making them available to clinicians at any time." In addition
to Hammer, the study's co-authors included MU School of Medicine colleague Lincoln Sheets, MD, assistant research professor. Hammer received research funding, an honoraria and serves as an advisor for Roche.


========================================================================== Story Source: Materials provided by University_of_Missouri-Columbia. Note: Content may be edited for style and length.


========================================================================== Journal Reference:
1. Richard D. Hammer, Donna Fowler, Lincoln R. Sheets, Athanasios
Siadimas,
Chaohui Guo, Matthew S. Prime. Digital Tumor Board Solutions
Have Significant Impact on Case Preparation. JCO Clinical Cancer
Informatics, 2020; (4): 757 DOI: 10.1200/CCI.20.00029 ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2020/10/201008121324.htm

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