The Royal Prince Alfred Hospital lung MDT was established in 1984. Historically, information about MDT decision making was captured as free text in the electronic medical record, including patient investigation and staging. This information was accessible to clinical staff; however, it was not routinely distributed to GPs involved in the patient's care. We identified a potential gap in the current reporting and communication processes.

2. Cancer Australia Lung Cancer Demonstration Project:
Implementation and evaluation of a lung cancer
multidisciplinary team communication tool for GPs
Gemma Collett, Nicole Rankin, Clare Brown, Shiraz Abdulla, Merran Findlay, Philip Beale,
Brian McCaughan, Tim Shaw, David Barnes
Royal Prince Alfred Hospital Concord Repatriation General Hospital

3. Background:
• RPAH lung MDT commenced in 1984
• Concord introduced a formalised MDT process in 2013
• Discussion captured as free text
• No routine correspondence to GPs
• Gap identified

4. Cases
presented
(RPAH/LH &
Concord)
Formalised
communication
tool
MDT
discussion
recorded
Lung MDT
report sent
to GPs
MDT Puzzle???

5. Aims:
• Develop, implement and evaluate a new lung MDT reporting
form to GPs
• Improve communication flow to GPs following MDT
• Evaluate timeliness, acceptability and appropriateness

6. Method:
• Reporting process was mapped at RPAH & Concord
• New form developed in consultation with GPs & MDT clinicians
• Form generated within Powerchart Cerner, SLHD approval

7. Lung MDT Form
Patient: MRN:
Age: Sex: DOB:
Associated Diagnoses:
VISIT SUMMARY
Royal Prince Alfred Hospital
Missenden Road
CAMPERDOWN NSW 2050
Pt Address: Pt Phone:
General Practitioner: Address:
GP Phone: GP Fax:
Location: Admission/Attendance:
Date:
Presenting Medical Officer:
Participants involved in discussion:
Relevant Medical History:
ECOG Performance Status (score):
Tumour stage:
(table will be provided to GPs with report)
Diagnostic Tests
Chest X-Ray:
CT:
PET:
Histopathology:
Discussion:
Consensus/Treatment Plan:
GP Follow-up:
Lung MDT Form
https://cancerstaging.org/references-
tools/quickreferences/Documents/LungMediu
m.pdf
LUNG CANCER STAGING
Stage IA T1a, T1b N0 M0
Stage IB T2a N0 M0
Stage IIA T1a, T1b N1 M0
T2a N1 M0
T2b N0 M0
Stage IIB T2b N1 M0
T3 N0 M0
Stage IIIA T1, T2 N2 M0
T3 N1, N2 M0
T4 N0, N1 M0
Stage IIIB T4 N2 M0
Any T N3 M0
Stage IV Any T Any N M1a, M1b
LUNG MDT FORM

8. Reporting the Lung MDT in SLHD
Registrar completes
lung MDT form on
PowerChart for
all cases presented
Report sent to GPs
(1-2 days) after MDT
Evaluation: GP brief
phone survey
Cases presented at
Lung MDT
(RPAH/LH & Concord)
All reports are finalised
and signed off

9. Results:
• 20 GP surveys completed (12 rural & 8 metro)
“Emancipating for isolated GPs to receive this level of correspondence from big city hospitals”
“Rarely GPs get involved in such meetings”
“Good to know what treatment patient is having”
“There is a huge gap, good to get a summary of the discussion”
95 90 85
95
0
10
20
30
40
50
60
70
80
90
100
Appropriateness Timeliness Easy to interpret Treatment planning
%
GP Phone Survey summary (N=20)

10. Cases
presented
(RPAH/LH &
Concord)
Formalised
communication
tool
MDT
discussion
recorded
Lung MDT
report sent
to GPs
Puzzle solved!!!

11. Implications:
• GPs found form to be delivered in a manner that was timely,
acceptable and appropriate
• Anticipated to benefit GPs in communicating outcomes and
treatment recommendations to patients
• Lung MDT reporting form will become a model for other MDTs
across SLHD to establish a standardised communication tool

12. THANK YOU!!!
Acknowledgements:
Many thanks to
• Cancer Australia
• LCDP team
• Sydney Catalyst
• Sydney LHD
• RPAH & Concord MDT clinicians
• Medicare Local GPs
• Consumer representatives