According to a 2014 Oncology Roundtable member survey, the Commission on Cancer standard that members are most concerned with meeting is providing survivorship treatment summaries and care plans. To help you compare your program to others across the country, we asked about survivorship in our 2015 Cancer Support Services Volumes, Staffing, and Operations Survey. Keep reading to see how other programs are managing the standard.
Most programs provide survivorship plans to less than 25% of patients
On average across respondents, 37% of eligible cancer patients receive a treatment summary and care plan. However, as shown in the graph below, 55% of cancer programs provide survivorship plans to less than 25% of their patients—meaning they still have work to do to hit the CoC target of 25% of patients receiving a survivorship plan by the end of 2016.
Breakdown of Organizations Providing Survivorship Plans
Percentage of Survey Respondents Providing Plans Within Each Category
n = 154
When we analyzed responses by facility type, academic medical centers (AMCs) provide the highest percentage of patients with a survivorship care plan—31% of them report that over 75% of eligible patients receive a survivorship plan.
Percentage of Patients Receiving a Survivorship Plan by Facility Type
APs and navigators most frequently create survivorship care plans
Many organizations are still trying to determine the logistics of providing survivorship care plans, namely, who is responsible for creating them. As shown below, organizations assign responsibility to a variety of staff members including advanced practitioners, navigators, nurses, and physicians.
Most centers administer survivorship care plans by tumor site
We also asked respondents which patients at their organization receive survivorship care plans. Since many cancer programs begin creating survivorship care plans for one tumor site population (typically breast due to the NAPBC survivorship standard), it is no surprise that “patients with certain tumor types” was the most common response.
As CoC survivorship plan requirements continue to increase, it is important to be strategic in how you roll out survivorship care plans. Clarifying staff roles and responsibilities, creating referral triggers, simplifying data aggregation, and building off an initial pilot are a few ways to help you stay on track to meet the CoC goals.