Technology solution case studies For 25 years, the Cancer Center of Putnam has been providing cancer diagnosis, treatment and care in Northeast Florida. It is a member of the HCA Healthcare network and offers state-of-the-art radiation oncology services, including image-guided radiation therapy, stereotactic radiosurgery, brachytherapy and PET/CT imaging. As the sole radiation oncologist, I see 50-80 patients each week and act as coordinator of care provided by multiple physicians and facilities.
In response to the growing challenge of patient data overload, we decided to transition to a paperless workflow environment in 2017. Elekta’s MOSAIQ oncology care management software solution was selected because it readily enabled the aggregation of multiple patient data points in a single system. These include radiation oncology data, radiation therapy treatment plans, treatment outcomes, and tracking and scheduling of tests and office visits. Automated aggregation of these data reduces data entry errors. The system also enables rapid and efficient sharing of data among our staff, ensuring effective coordination and delivery of care.
After hearing a colleague rave about Palabra, a voice-based clinical documentation system that was developed for use with MOSAIQ, I adopted this solution for all of my documentation. Palabra seamlessly integrates speech recognition software into MOSAIQ with sophisticated voice-driven dictation. It fully automates the document creation process and streamlines patient documentation. Importantly, personalized templates automatically pull patient data from MOSAIQ into the note for each office visit, which streamlines the documentation process. It also enables tests to be ordered directly from the dictation and provides specific detail to other staff about how the test should be conducted.
Case study #1 Recently, the Center received a referral for a male patient who needed evaluation for a newly diagnosed locally advanced throat cancer. He was advised curative concomitant chemo and radiation therapy. He sought a second opinion at Mayo, which affirmed that recommendation. Prior to the patient arriving in the office, data from his primary care provider were uploaded to MOSAIQ, including his initial imaging, operative note and pathology reports. Upon his arrival in the office, staff collected personal and health history data and entered it into MOSAIQ. The personalized Palabra template pulled selected data from the MOSAIQ record into the note for the office visit and automatically incorporated my comments as I examined the patient using cutting-edge voice recognition technology. The updated note and a recommended action plan were available immediately upon conclusion of the office visit and the plan of care was shared with the referring primary care physician and other concerned providers less than 24 hours after the referral was made.
