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Care Management
Survivorship Program
Survivorship
• The National Cancer Institute (NCI) describes
cancer survivorship as a focus on the health and
life of a person with cancer post treatment until
the end of life. It covers the physical,
psychosocial, and economic issues of cancer.
Family members, friends, and caregivers are
also a part of the survivorship experience.
• dchamplain@flcancer.com
Survivorship continued
• A cancer patient becomes a survivor at the time of their
diagnosis and will remain a survivor for the rest of their
lives. An estimated 15.5 million cancer survivors are
currently living in the United States. The projected
number of cancer survivors will be 20.3 million, by 2026.
Hence, the importance of survivorship and why we must
continue making certain that cancer patients are offered
the services to assist them as they battle cancer before
during and after treatment.
• dchamplain@flcancer.com
Survivorship continued
• At Florida Cancer Specialists, we have created the
Survivorship program to meet the needs of our diverse
population.
• Who is admitted to Survivorship?
• How is the care delivered?
• Individualized Care Plan
• Role of Survivorship Coordinators
– Triage
– Palliative Care/Quality of Life
– Patient Education
– Follow up care
• dchamplain@flcancer.com
Survivorship continued
– 24/7 On call Nursing support
– Assist Caregivers
– Nutrition
– Social Services
• How long does Survivorship last?
• As more patients are winning the fight against cancer, the number of
survivors will continue to grow as will the need for quality
survivorship programs to support them.
• dchamplain@flcancer.com
Survivorship Care Plan
Florida Cancer Specialists Corporate
4371 Veronica S. Shoemaker Blvd.
Fort Myers, Florida 33916
Phone: 2392748200
Care Plan for testcm test
8/8/2018
testcm test
Date of Birth: 3/4/1966
Diagnosis - Malignant neoplasm of larynx, unspecified
Known allergies - Peanut, Penicillins
Treatment goals
We recommend curative treatment. This means that treatment is being given with the goal of
curing your disease so that your cancer goes away and never comes back. All treatments cause
side effects and sometimes those can be significant. As we discussed, the evidence shows that
the benefit of a potential cure is worth the risks of therapy in your situation. There are people
who have your type of cancer who are cured and go on to live normal lives. This is what we
hope will happen in your case. The farther out from treatment that you are, the less likely that
the cancer will come back.
dchamplain@flcancer.com
Survivorship Care Plan Cont.
Treatment plan
• We have discussed the following treatment plan.
• NCCN Head and Neck Survivorship
• Additionally, our team has prescribed:
• Nutren 1.5 0.07 gram1.5
• kcal/mL liquid for tube feed Refer to label for instructions
• Osmolite 1.5 Cal 0.06 gram1.5
• kcal/mL oral liquid Refer to label for instructions
Your Care Team
• Doctor ZCM — Oncologist – Dr. Z – PCP Dr. Q - Cardiologist
• Diane Perreault RN OCN — Care Manager
• Phone # - 855-327-6112 Ext. 3624
Advance care plans
• The following have been discussed and documented with your care team:
• Living will
• Durable power of attorney
• We do not have documentation of the following for you within our records. We encourage you
• to engage your cancer care team on these items so that we can better understand and meet your
• wishes.
• Do not resuscitate
Other recommendations
• PHQ9
• assessment addressed in clinic
dchamplain@flcancer.com
NCCN Survivorship Regimens
Revenue
Offer a combination of internal and external services.
• In office and telephonic.
Use the Survivorship Care Plan as a guide is an effective way of communicating with the patient regarding their
personal cancer treatment history, appropriate follow-up screenings, surveillance for recurrence, and the possibilities of
late- and long-term effects from treatment.
• Detailed history
• Medication list
• Review of Systems
• Detailed physical exam
• Vital signs
• Assessment
• Plan
99213 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at
least 2 of these 3 components: an expanded problem focused history; an expanded problem focused examination;
medical decision making of low complexity.
99214 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at
least 2 of these 3 components: a detailed history; a detailed examination; medical decision making of moderate
complexity.
A level 3 is the most common code utilized for Survivorship consults.
dchamplain@flcancer.com
Survivorship
Questions and Answers
dchamplain@flcancer.com

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Cancer Survivorship and the Role of an APP

  • 2. Survivorship • The National Cancer Institute (NCI) describes cancer survivorship as a focus on the health and life of a person with cancer post treatment until the end of life. It covers the physical, psychosocial, and economic issues of cancer. Family members, friends, and caregivers are also a part of the survivorship experience. • dchamplain@flcancer.com
  • 3. Survivorship continued • A cancer patient becomes a survivor at the time of their diagnosis and will remain a survivor for the rest of their lives. An estimated 15.5 million cancer survivors are currently living in the United States. The projected number of cancer survivors will be 20.3 million, by 2026. Hence, the importance of survivorship and why we must continue making certain that cancer patients are offered the services to assist them as they battle cancer before during and after treatment. • dchamplain@flcancer.com
  • 4. Survivorship continued • At Florida Cancer Specialists, we have created the Survivorship program to meet the needs of our diverse population. • Who is admitted to Survivorship? • How is the care delivered? • Individualized Care Plan • Role of Survivorship Coordinators – Triage – Palliative Care/Quality of Life – Patient Education – Follow up care • dchamplain@flcancer.com
  • 5. Survivorship continued – 24/7 On call Nursing support – Assist Caregivers – Nutrition – Social Services • How long does Survivorship last? • As more patients are winning the fight against cancer, the number of survivors will continue to grow as will the need for quality survivorship programs to support them. • dchamplain@flcancer.com
  • 6. Survivorship Care Plan Florida Cancer Specialists Corporate 4371 Veronica S. Shoemaker Blvd. Fort Myers, Florida 33916 Phone: 2392748200 Care Plan for testcm test 8/8/2018 testcm test Date of Birth: 3/4/1966 Diagnosis - Malignant neoplasm of larynx, unspecified Known allergies - Peanut, Penicillins Treatment goals We recommend curative treatment. This means that treatment is being given with the goal of curing your disease so that your cancer goes away and never comes back. All treatments cause side effects and sometimes those can be significant. As we discussed, the evidence shows that the benefit of a potential cure is worth the risks of therapy in your situation. There are people who have your type of cancer who are cured and go on to live normal lives. This is what we hope will happen in your case. The farther out from treatment that you are, the less likely that the cancer will come back. dchamplain@flcancer.com
  • 7. Survivorship Care Plan Cont. Treatment plan • We have discussed the following treatment plan. • NCCN Head and Neck Survivorship • Additionally, our team has prescribed: • Nutren 1.5 0.07 gram1.5 • kcal/mL liquid for tube feed Refer to label for instructions • Osmolite 1.5 Cal 0.06 gram1.5 • kcal/mL oral liquid Refer to label for instructions Your Care Team • Doctor ZCM — Oncologist – Dr. Z – PCP Dr. Q - Cardiologist • Diane Perreault RN OCN — Care Manager • Phone # - 855-327-6112 Ext. 3624 Advance care plans • The following have been discussed and documented with your care team: • Living will • Durable power of attorney • We do not have documentation of the following for you within our records. We encourage you • to engage your cancer care team on these items so that we can better understand and meet your • wishes. • Do not resuscitate Other recommendations • PHQ9 • assessment addressed in clinic dchamplain@flcancer.com
  • 9. Revenue Offer a combination of internal and external services. • In office and telephonic. Use the Survivorship Care Plan as a guide is an effective way of communicating with the patient regarding their personal cancer treatment history, appropriate follow-up screenings, surveillance for recurrence, and the possibilities of late- and long-term effects from treatment. • Detailed history • Medication list • Review of Systems • Detailed physical exam • Vital signs • Assessment • Plan 99213 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity. 99214 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 components: a detailed history; a detailed examination; medical decision making of moderate complexity. A level 3 is the most common code utilized for Survivorship consults. dchamplain@flcancer.com