Online & At Home Psychological Treatment Breast Cancer Patients

1. Evidence

1.1. Quantitative

1.1.1. Breast Cancer Stats

1.1.2. Mental Health and Cancer Stats

1.1.3. Breast Cancer Stats 2

1.1.4. Mental Health and Cancer Stats 2

1.1.5. Breast Cancer Stats 3

1.1.6. Mental Health and Cancer Stats 3

1.2. Qualitative

1.2.1. Mind and Body/ Mental Health

1.2.1.1. Personal life

1.2.1.2. Professional life

1.2.1.3. Day to day activities and experiences

1.2.2. Mind and Body/Mental Health 2

1.3. Innovation that leads the organization to better health delivery

1.3.1. Personalized Service/Better Service

1.4. How the innovation may evolve or change over time

1.4.1. It may advance to our other facilities and sister properties

1.4.1.1. Outpatient

1.4.1.2. Level 1 Trauma Center

1.4.1.3. Scottsdale Health

1.4.2. Branch to our suicide and behavioral ward(s)/unit(s)

1.4.3. Virtual technology progression

1.4.3.1. Video sessions and journaling

1.4.4. Offer treatment and program in other languages

1.4.5. Education expansion/department

1.4.6. Languages

1.4.6.1. Programs and therapies can expand to cater to other outside foreign languages.

1.5. Psychologists/Counselors/Therapists

1.5.1. Online Environment

1.5.2. Limitations

1.5.2.1. Cannot hire out-of-state licensees

1.5.2.1.1. Limiting our network/outreach

1.5.2.2. Technology

2. Innovation Process

2.1. Ideation/Brainstorming

2.1.1. Physical & Mental Correlation

2.1.1.1. Current Treatment Plans

2.1.1.1.1. Breast and Health Research Center - John C Lincoln

2.1.2. The innovative objective is to see a transparent, patient driven health marketplace where costs reduce and patients can access their own medical records and resources during engagement in their care

2.2. Prototyping Process

2.2.1. My Chart https://mychart.jcl.com/mychart/

2.2.1.1. Newly Diagnosed Breast Cancer Patients

2.2.1.2. Username & Passwords

2.2.1.3. Accessible Links

2.2.1.4. Email & Skype

2.2.1.5. Group Chat and Chatrooms

2.3. Considerations for Course Corrections

2.3.1. Separate online system/login

2.3.1.1. Adding to an existing system could be more difficult than creating a new one entirely focused on mental health

2.3.1.2. On the other hand, adding to the existing program is familiar and all things can be conveniently found in one place (Vos, 2015).

2.4. Population

2.4.1. Newly Diagnosed Breast Cancer Patients

2.4.1.1. Instant access to Mychart

2.4.1.2. Mental health Resource Access

2.4.1.2.1. Licensed Psychologists & Psychiatrists

2.4.1.2.2. Chatrooms

2.4.1.2.3. Group Chatrooms

2.4.1.2.4. Mental health resources and therapies

2.4.1.2.5. Scheduling

2.4.1.2.6. Pharmacy information

2.5. Cost and Finance

2.5.1. Time/Manpower

2.5.1.1. IT Technology Internal & External

2.5.1.2. Talent aquisition

2.5.1.2.1. Hiring/Training new licensed therapists/psychiatrists

2.5.1.2.2. IT Technology

2.5.2. Annual Budget

2.5.2.1. Charity/Donation

2.5.3. Website resources and domain affiliation/ownership

2.6. Projected Outcome

2.6.1. More awareness

2.6.2. More satisfied patients and families

2.6.3. A memorable experience / referrals

2.6.4. Increased revenue

3. Information Technology

3.1. How technology will be used in innovation

3.1.1. Online Application

3.1.1.1. Online Counseling chats

3.1.1.2. Online Group Therapy

3.1.1.3. Skype one on one Counsel

3.1.1.4. Appointment scheduling

3.1.1.4.1. At home visit requests for council/therapy

3.1.1.5. Mind and body resources and exercises

3.1.1.5.1. Links

3.1.1.5.2. Educational information

3.1.1.5.3. Books and PDFs

3.1.1.5.4. Videos

3.1.1.6. Talk therapy sessions

3.1.1.6.1. Audio

3.1.1.6.2. Chat

3.1.2. MY CHART

3.1.2.1. Existing online portal adding mental health tools and resources for patients

3.1.2.2. Used for patient log in and access to all resources and medical records

3.2. Governance model

3.2.1. Allignment

3.2.2. Defined Budget

3.2.3. Leadership Support

3.2.4. Internal IT Support

3.2.4.1. Technical Support

3.2.4.2. Data Analysis

3.2.5. Medical Staff Services

3.2.5.1. Provide IT support

3.3. IT Assets applied to achieve value

3.3.1. Internal IT Department

3.3.1.1. Supervisor IT JCL Deer Valley

3.3.1.1.1. IT Troubleshoot

3.3.1.1.2. IT Client/Customer/Patient Care

3.3.1.1.3. IT Maintenance & Installation

3.3.2. Tech Support

3.3.3. Medical Staff Services

3.3.4. Internal Data Analysis

4. References

5. Leadership Structure

5.1. Sustainability

5.1.1. Survey/Feedback - MyCHART

5.1.1.1. Monthly data analysis

5.1.1.2. Quarterly data analysis

5.1.1.3. Bi-annual data analysis

5.2. Systems Thinking

5.2.1. Mental Health and Breast Cancer in this context (through therapies online) in itself comprises a system

5.2.1.1. All of the components involved within this structure will be collaborating inside and outside of it creating behaviors, changing and affecting one another through its evolution

5.3. Stakeholders

5.3.1. Internal IT

5.3.2. External IT

5.3.3. Scottsdale Health/Corporate

5.3.4. Patients

5.3.4.1. And their families

5.3.5. Physicians

5.3.6. Social Workers

5.3.7. Licensed Psychiatrists/Psychologists

5.3.8. The community

5.3.9. CEO & Medical Board Support

5.3.10. Medical Staff Services

5.3.10.1. And remaining staff (nurses, CNAs, radiology, etc...

5.4. DISC & VAT

5.4.1. Know my stakeholders

5.4.2. Present them with relevant information in multiple formats

5.4.2.1. Graphs

5.4.2.2. Verbal

5.4.2.3. Written

5.4.2.4. Audio

5.4.2.5. Using pictures and colors in demonstrations

5.5. Strategic Planning

5.5.1. Develop core team & establish roles

5.5.2. Market

5.5.2.1. Get information out to community and staff as well as charitable events hosted each year

5.5.3. Establish mission, values, and vision

5.5.4. Display and go over specific timeline

5.5.5. Get stakeholder and funding approval

5.6. Chaos and Complexity

5.6.1. The goal is to focus on the journey of this project rather than the events of this project.

5.6.1.1. Environment, information, politics and policy, social change, economics.....

5.6.1.1.1. Innovation

6. Finance

6.1. Budget

6.1.1. Spending accounts are based off of 12 % of net revenue accrued from prior year. The amount will have some variance but can be adjusted by promoting breast cancer awareness and donation

6.1.1.1. Estimates

6.1.1.1.1. Marketing/reach out

6.1.1.1.2. Upkeep / Updates

6.1.1.1.3. Training materials

6.2. Barriers/Limitations

6.2.1. Value loss mitigation

6.2.1.1. We can avoid issues by creating timelines, networking with our teams, and collaborating to make great change.

6.3. Finance Considerations

6.3.1. Technology update approval

6.3.2. Marketing/reach out tools for licensed psychiatrists and social workers

6.3.3. Training/interviewing social workers/licensees and getting their online accounts set up

6.3.4. Internal and external IT added responsibility/hours

6.4. General Timeline

6.5. ROI

6.5.1. Last year, we saw 576 cases of newly diagnosed breast cancer patients (Hillman, 2014).

6.5.1.1. Of these cases, 48% stayed with us and used our services/treatment plans (Hillman, 2014).

6.5.1.1.1. With the use of MY CHART free service and updates gearing toward sympathy and mental health we expect a 22% increase

7. Policy

7.1. Current policies within our organization impeding the Innovation

7.1.1. Patient education

7.1.2. Patient resources given

7.1.3. Our licensees abilities

7.1.3.1. At home treatment requests and liability

7.2. New policies that will be written

7.2.1. We will be changing the approach and dynamic of resources given, education and options to our patients as our technology has evolved

7.2.1.1. Pamphlets, emails, mychart updates

7.2.1.2. Diagnosis and "pitch"

7.2.1.2.1. What information and importance will we be relaying to our patients that we care for - the importance of their mind and their body and the resources we are giving them more comfortably

7.2.2. Licensees available online

7.2.3. Licensees available to travel

7.2.4. New patient information/education upon diagnosis

7.2.5. New patient resources and assistance in MY CHART sign up

7.3. Future healthcare policy

7.3.1. To include mental health within medical treatment/to combine mind and body as they correlate

7.4. Adaptation

7.4.1. Monthly meetings

7.4.1.1. To assess employee/staff ideas and feedback about adapting to new service/educations and pitch

7.5. System Impacct

7.5.1. Patient quality care & satisfaction

7.5.1.1. Patient education

7.5.1.2. Patient resources

7.5.1.3. Patient convenience

7.5.1.4. Patient mobility

7.5.1.5. Patient service received

7.5.1.6. Patient mind and body consideration and care

7.5.2. Medical staff member fulfillment and meaning

7.5.2.1. Being able to provide resources and education to their in-need patients

7.5.3. Medical staff member additional knowledge and tools

7.5.4. Resource evolution and technological advancements

7.5.5. Licensee mobility and flexibility

7.5.5.1. The licensees are our partners

7.5.5.2. They can practice anywhere in the state of Arizona - enhanced mobility

7.5.5.3. Ultimately, the mental health field will be beneficially impacted allowing more options, and flexibility

8. Outcomes

8.1. Evaluation

8.1.1. Qualitative

8.1.1.1. Online survey

8.1.1.1.1. Our survey built into MYCHART with open ended questions determining patient satisfaction, well being, and feedback about the online conveniences, resources, and services.

8.1.1.2. Voluntary end of treatment interview questions

8.1.1.2.1. Open ended questions conducted by the licensee and submitted to our MYCHART online survey function (anonymous)

8.1.1.3. Medical staff services asking re-visiting patients how they are doing and how they feel - gaining feedback and perspective

8.1.1.4. Measurements

8.1.1.4.1. Patient satisfaction scale (1-10) over-all

8.1.1.4.2. Patient likelihood to referral

8.1.1.4.3. Patient feedback, questions, and concerns (written format, open forum)

8.1.2. Quantitative

8.1.2.1. Number of annual average cases vs. projected annual cases

8.1.2.1.1. Increase of 66 cases

8.1.2.2. Percentage of cases that stay with us and go to treatment vs projected percentage increase of cases

8.1.2.2.1. 16% increase

8.1.2.3. Average satisfaction report vs projected satisfaction report percentage increase

8.1.2.3.1. 27% increase

8.1.2.4. Average referral rate vs projected referral rate

8.1.2.4.1. 8% increase

8.1.2.5. Details

8.2. Desired/projected outcome

8.2.1. Increase in patients seen and patients that stick with us throughout treatment

8.2.1.1. Naturally, the more we see, and the better care we provide, the more business we will do and the more revenue we will bring in.

8.2.2. Increase in patient satisfaction, family satisfaction, and referrals

8.2.2.1. Patients that have a positive experience and feel the over-all mind and body care that we are making available, the likelihood they will tell their family and friends where they go and recommend is higher. This doesn't increase those who get diagnosed with breast cancer, it merely brings other business to our facility like mammograms for example (Vos, 2015).

8.2.3. We look forward to managing this data monthly, quarterly and biannually to assess the quantitative numbers and to make comparisons in regard to projected increase and actual increase.

8.2.4. We look forward to managing this data monthly quarterly and biannually to assess the quantitative data that allows us to see general trends and to evolve as a system as well as to improve

8.2.5. Reducing the number of patients that mentally give up, thus give up on their necessary medical treatment.

8.3. Baseline data

8.3.1. Current Information

8.3.1.1. Cases annually

8.3.1.2. Satisfaction report

8.3.1.3. Referral report

8.3.1.4. Percentage of those diagnosed and those that remain with us

8.4. Better healthcare delivery

8.5. Evolving Innovation

8.5.1. More licensees

8.5.1.1. Crossing state lines

8.5.2. Foreign languages

8.5.2.1. Offered in other languages

8.5.2.1.1. Therapists

8.5.2.1.2. Information/Educatioin

8.5.2.1.3. Videos/links

8.5.3. System dynamics

8.5.3.1. How the information is relayed

8.5.3.2. The types of therapies listed and provided

8.5.3.3. What works and what doesn't work

8.5.3.4. What our patients have experienced will change the outcome of what we provide