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National Comprehensive Cancer Network Infusion Efficiency Workgroup Study: Optimizing Patient Flow in Infusion
Jessica M Sugalski1, Timothy Kubal2, Daniel L Mulkerin3
11 National Comprehensive Cancer Network, Fort Washington, PA.
Journal of Oncology Practice
|April 10, 2019
Summary
Cancer centers show significant variation in infusion center efficiency, impacting patient wait times and revenue. Standardization of practices can improve operations and financial outcomes.
Area of Science:
- Oncology
- Healthcare Administration
- Health Services Research
Background:
- Infusion centers are critical for cancer patient care.
- Operational efficiency in infusion centers directly impacts patient experience and revenue.
- The National Comprehensive Cancer Network (NCCN) recognized the need to address inefficiencies in infusion center operations.
Purpose of the Study:
- To determine best practices for operating efficient and effective infusion centers.
- To identify variations in current infusion center practices.
- To provide recommendations for standardization and improved efficiency.
Main Methods:
- Conducted three surveys distributed to NCCN member institutions.
- Collected data on patient wait times, chemotherapy premixing, chair use, and premedication protocols.
- Defined five components of infusion chair time to assess utilization.
Main Results:
- Average patient wait times ranged from 25 to 102 minutes (mean 58 minutes).
- Significant variation observed in planned chair time for identical chemotherapy regimens across centers.
- Only 19% of centers routinely premixed chemotherapy drugs before patient arrival.
Conclusions:
- Substantial variation exists in infusion center practices, indicating opportunities for improvement.
- Standardization of practices can lead to increased revenue and enhanced efficiency.
- The NCCN Workgroup offers recommendations for optimizing infusion center operations.
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