StayCurrentMD · Keys to Building a Successful Interdisciplinary Program
Video9 min·Published Jul 2017Older

Keys to Building a Successful Interdisciplinary Program

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What the experts said17 expert statements
Building street credibility with oncology teams by not delaying treatment was critical to program success
Opinion
A minority of patients and families choose to intervene with fertility preservation, but every patient and family should have the opportunity to understand their risks and options
Clinical
Focusing on care managers (nurses and nurse practitioners) rather than physician providers, using standardized Epic orders, and making fertility consultation opt-out instead of opt-in improved program uptake
Clinical
After 8 years, the oncology team now proactively identifies when fertility consult orders are missed
Clinical
Having a stable, consistent fertility navigator that the oncology team knows and trusts is the most significant factor in program success
Opinion
Run charts show observable decline in program success metrics during fertility navigator maternity leave or absences
Clinical
The team received a 2017 faculty clinical team award from their institution
Clinical
Institutional leadership recognized return on mission rather than return on investment for the fertility preservation program
Opinion
The program initially leveraged gynecology divisional resources to fund the fertility navigator position
Clinical
US News and World Report rankings now include questions about fertility preservation services, including what is offered and what percentage of patients receive services
Clinical
The program offers discounted bundled research costs for investigational procedures including testicular tissue cryopreservation and ovarian tissue cryopreservation
Clinical
Philanthropic funds are available to support families so fertility preservation is not a choice between preserving fertility and paying rent
Clinical
In April 2017, 46 patients were seen, of whom 25 were ineligible and 21 were eligible for fertility preservation
Epidemiological
The program runs at approximately 50 to 60% patient eligibility rate by their institutional definition
Epidemiological
Four patients were missed during a fertility navigator transition period
Clinical
The median percentage of eligible patients who elect to proceed with fertility preservation is 16.9%
Epidemiological
The majority of patients are satisfied hearing about fertility preservation options and making a decision not to proceed at that time
Clinical