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Moderator
Helen Bevan, NHS England,
@HelenBevan
Welcome to session E1:
Improving Service in Cancer Care:
A Pecha Kucha-Style Workshop
Clarity and brevity in presentations are
endangered practices
Source of image: onlignment.com
Source of image: jennifermccrea.com
Our eight outstanding speakers will share
their experiences of improving service in
cancer care
Leonard Berry
Jerilyn Crain
Robert Chapman
Joe Holcomb
Deborah Mayer
Brad Stuart
Jody Wilmet
Lou Carbone
Woodrow Wilson was asked by a member of his
cabinet how long he took to prepare speeches:
It depends....
If I am to speak for ten minutes, I need a week for
preparation….
If fifteen minutes, I need three days….
If half an hour, I need two days….
If an hour, I am ready now
‘
Woodrow Wilson was asked by a member of his
cabinet how long he took to prepare speeches:
It depends....
If I am to speak for ten minutes, I need a week for
preparation….
If fifteen minutes, I need three days….
If half an hour, I need two days….
If an hour, I am ready now
‘ We have been
preparing for
three months!
Joel Meilleur
The holy triad of
great presentations
• Be brief
• Be brilliant
• Be gone
Leonard Berry, PhD,
Distinguished
Professor of Marketing,
Texas A&M University
1111
Improving Service
in Cancer Care
Leonard Berry, Ph.D.
University Distinguished Professor of Marketing
Mays Business School, Texas A&M University
Senior Fellow, Institute for Healthcare Improvement
1212
Cancer is always life-
changing and often life-
ending.
Cancer care is a
high-emotion service.
“Patients are ultra-sensitive to
the doctor’s words
as clues to whether
they will live or die.”
~acancerpatient
“I wear the heart as a
symbol of compassion. I
truly love my patients. I
often give them hugs
when I see them and say
goodbye.”
– Dr. David Gullion, medical
oncologist, Marin Cancer Care
The Question
How can we improve the service
experience of adult cancer patients
and their families as they make the
journey from diagnosis onward?
An Ongoing Quest to Look for Answers
5 C’s of Cancer Service
 Cancer Services
 Orchestrating Experience
 Enabling
 Valuing Care
 Creating Partnerships
A Sampling of Cancer
Service “Bright Lights”
SETON CANCER CARE’S “BIG PINK BUS”
Community
Monter Cancer Center’s
“Shame Free” Service Culture
Clues
Lacks Cancer Center’s
Financial Navigator Program
Coordination
Kaiser
Permanente’s
“Embedded”
Infusion
Pharmacy
Connection
Mayo Clinic Arizona’s
Supportive Care Infusion Center
Connection
Seton Cancer Care’s
Survivorship Navigation
and Clinic Services
Continuity
Bellin Health’s
Cancer Patient Fitness Program
Continuity
ProHealth’s Care Support
In-Home Palliative Care Service
Continuity
Hospice of the Valley’s
Off-Hours Call Center
Connection
A room at Ryan House
RYAN HOUSE’S “STORY OF ME” ROOM
Clues
“We cannot always control
the clinical outcome,
but we can control the
patient experience.”
~TeamLeader,TheCancerTeam
BellinHealthSystems
Cancer touches us all –
sooner or later, directly or
indirectly. What an
opportunity we have to
improve the journey that
patients and families make.
Jerilyn Crain
Patient Advocate
Kaiser Permanente
The Beginning
Jerilyn Crain ● Kaiser Permanente ● Patient Advisor
“Yes Mrs. Crain, you have cancer.”
I CAN DO ALL THINGS THROUGH CHRIST
WHO
I CAN DO
ALL THINGS
THROUGH CHRIST
WHO
STRENGHTENS
ME
RADIATION BUS
RADIATION BUS
• Support Group Picture - hands
Robert Chapman, MD,
Director, Josephine Ford
Cancer Institute,
Henry Ford Health
System
Providing Real Service:
One Doctor’s Perspective
ROBERT CHAPMAN, MD
Conflicts of Interest
 None
Joe Holcomb,
Director, Oncology
Wellness
INTEGRIS Cancer Institute
of Oklahoma
Joe D. Holcomb
Director, Oncology Wellness
INTEGRIS Cancer Institute of Oklahoma
MULTIDISCIPLINARY CANCER CONFERENCES AND CLINICS
Traditional
Way
Deborah Mayer, PhD, RNA,
OCN, FAAN
Professor
University of North
Carolina at Chapel Hill
The Face of Cancer
Deborah K. Mayer
Professor
University of North Carolina
Director of Cancer
Survivorship
Lineberger Comprehensive
Cancer Center
Chapel Hill, NC
AN INTERRUPTED LIFE
BUMPS ON THE ROAD OF LIFE
SEASONS OF SURVIVAL
WHEN LIFE IS SEWN BACK TOGETHER,
IT HAS CHANGED
Spiritual Well Being
Social Well Being
Psychological Well
Being
Physical Well Being and
Symptoms
Cancer
Survivorship
Ferrell, BR and Grant, M. City of
Hope Beckman Research Institute
(2004)
Quality of Life
The Road Home
Physical Well Being and
Symptoms
AS I AM, BEAUTIFUL AND WHOLE
A BLUE DAY
Psychological
Well Being
MIXED EMOTIONS
RELAY FOR LIFE – SURVIVORS’ LAP
Social
Well Being
UNITED IN BRAVERY
Soldiers of Love
Spiritual
Well Being
CONNECTING WITH
THE UNIVERSE
CAREGIVER
UNCHARTED
Picking up my pieces
SEARCHING:
THE ANSWER IS OUT THERE
THE ROAD TO
SURVIVAL
The Face of Cancer
Brad Stuart, MD,
Chief Medical Officer,
Coalition to Transform
Advanced Care
Care Beyond Cure
Brad Stuart MD
Chief Medical Officer
Coalition to Transform Advanced Care
(C-TAC)
BradS@theCTAC.org
How can we blend the best treatment for patients…
…with the best caring for people?
We can confront the threat of cancer…
…with teams of clinicians who bring care…
…to people where they live.
We can practice deep listening…
…so people may truly be heard.
Help people adapt to life’s challenges…
…and discover what really matters to them.
Help them see all their options…
…so they can choose for themselves.
Help them make decisions now…
…so loved ones aren’t left to decide.
Help people see in the dark…
…so they can find the water of life.
Then we can provide the best treatment…
…as part of real health care.
Then we can find healing together…
…and bring it to a thirsty world.
Jody Wilmet, RN
Vice President
Bellin Heart and
Vascular Center
Bellin Health
Lessons Learned:
Building New Cancer Center
Jody Wilmet, RN, BSN, MS
VP Cancer Services
What did our
cancer
patients
want?
Don’t make us come to the
hospital for treatment
Add facility pic
We want better access to care
Give us top notch physicians
We want
our doctors to know us and
talk to each other
Give me a support person
What Cancer??
Find new pic of wedding
Lou Carbone
CEO
Experience
Engineering
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
“you cannot NOT have an experience…
…the question is, how managed or
haphazard is that experience?”
Lou Carbone,
President & CEO
Experience Engineering, Inc.
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
clues emotions attitudes behavior
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
types of clues that customers experience
what we taste
what we feel
what we see
what we hear
what we smell
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
categories of clues
humanic clues
emotional
mechanic clues
emotional
functional clues
rational
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
what kind of experience do these clues create?what if we managed these clues?
Experience
Design
Experience
Management
System
WHAT
HOW
Culture / Clue Consciousness
© 2015, All Rights Reserved. Experience Engineering, Inc.
lcarbone@expeng.com
"People will forget what you said. They will forget
what you did, but they will never forget how you
made them feel."
Maya Angelou

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