Table 1.
Area | Excellence requirement |
---|---|
Staff | Members of LC-MDTs must belong to different disciplines and have experience in their fields |
Members of LC-MDTs must show respect for the patients and their colleagues, and favor an environment of fluid communication | |
All the disciplines involved in LC-MDTs must be accessible for queries that may arise during the evolution of the disease, and show collaboration to network with other hospitals and specialists | |
Members of LC-MDTs must have an accredited academic training that demonstrates their technical and professional skills | |
There must be a leader who coordinates and channels the different opinions presented at LC-MDTs meetings [19, 20] | |
Resources | The room where LC-MDT meetings are held must be in a quiet place and properly soundproof to preserve confidentiality. Its size and distribution must be adequate to provide a seat to all the members, to see and hear each other, and to see the tests and diagnostic images of the presented cases [20] |
There must be sufficient technical resources for the performance of care, in terms of equipment, staff, computer resources, or physical space, for the proper functioning of every specialty | |
LC-MDTs must count on administrative support [7] | |
The format of presentation of the cases must be standardized, for what support computer tools may be used; it is highly recommended to use the same model of electronic record among the different hospitals that participate in the same LC-MDTs [7] | |
Cases must be included in an agenda in advance, before an agreed deadline, with flexibility for the addition of justified last-minute cases. Communication systems that guarantee the privacy of the information must be used [20] | |
Due to the increase of online LC-MDT meetings scheduled, tools and facilities for good quality videoconferences must be provided, by which reports and images of complementary tests can be shared and accessed [20] | |
Organization | Standard operating procedures must be written and periodically updated |
LC-MDT meetings must be held regularly, at a previously agreed time [7] | |
Decisions made at LC-MDT must be recorded in a format accessible to all the professionals involved in the care process [7, 19, 20] | |
Meetings must be held during ordinary working hours, and this time consumption must be considered in the organization of clinical departments [20] | |
Patients must be informed of each step within the multidisciplinary process [1] | |
LC-MDTs must meet at least once a year to review the activity of the previous period and audit the results, to carry out changes in protocols and procedures and improve the performance of the unit / center, when needed [1] | |
It is recommended to hold regular meetings to update and analyze the LC-MTD objectives, and to discuss management issues | |
All LC-MDT decisions must be documented in an understandable way and be part of the patient’s records [1] |
LC-MDT Lung cancer multidisciplinary team