Table 3.
STAGE OF CONTINUUM | JURISDICTIONAL LEVEL | TACTIC OR STRATEGY TYPE | INITIATIVE (PROVINCE) |
---|---|---|---|
Pretreatment (ie, screening, diagnosis, and transitioning from diagnosis into treatment) | Local or regional | Nurse patient navigation | Clinical Breast Health Program (AB) Comprehensive Breast Care Program (AB) Diagnostic Assessment Programs (ON) |
Provincial | Electronic communication or information systems | eReferral (AB) | |
Physician education | LEAN on cME (MB) | ||
Multidisciplinary care teams | Ontario Breast Screening Program (ON) Nova Scotia Breast Screening Program (NS) |
||
Posttreatment (ie, transitioning from treatment to survivorship or follow-up care) | Local or regional | Providing survivorship and primary care to “unattached patients” | Survivorship Nurse Practitioner Program (BC) |
Multicomponent initiatives | Juravinski Cancer Centre well follow-up clinics (ON) Optimizing a Cancer Survivorship Care Model for Northeast Ontario (ON) Wellness Beyond Cancer Program (ON) Transition Care Clinic (ON) Well follow-up care for colorectal cancer survivors and their circles of care (ON) |
||
Electronic communication or information systems | Embedding disease pathway management published pathways into process of care (ON) | ||
Provincial | Multicomponent initiatives | Provincial Integrated Cancer Survivorship Program (AB) Moving Forward after Cancer Treatment (MB) |
|
Other jurisdiction | Patient navigation and education | Transition Volunteer Navigator Program (BC, NS) | |
Multicomponent initiatives | Victorian Cancer Survivorship Program (AU) | ||
Across the cancer care continuum (ie, initiatives that address multiple stages of care) | Local or regional | Nurse patient navigation | Oncology Navigation Program (ON) |
Provincial | Nurse patient navigation | Alberta Cancer Foundation Cancer Patient Navigation (AB) Establishing oncology pivot nurses in Quebec (QC) Community-based cancer patient navigation (NS) |
|
Physician education | Uniting Primary Care and Oncology (MB) British Columbia Family Practice Oncology Network (BC) |
AB—Alberta, AU—Australia, BC—British Columbia, MB—Manitoba, NS—Nova Scotia, ON—Ontario, QC—Quebec.
Reproduced from the CanIMPACT Casebook.10