Hospital Tumor
Board
Ospital ng Maynila
Medical Center
Organizational
Primer
Name of Committee or Board:
Hospital Tumor Board of Ospital ng Maynila Medical Center
(OMMC HTB)
Purpose:
A policy-making body on
management of cancer patients and cancer program in a hospital (OMMC).
It is requirement set by the
1.
Department
of Health for licensure of the hospital
2.
Philippine
College of Surgeons and Philippine Society for General Surgeons for
accreditation of training program in general surgery.
3.
Philippine
Obstetrics and Gynecologic Society for accreditation of training program in
obstetrics-gynecology.
Goal
To
promote quality services to patients with cancers.
Objectives:
1.
To
formulate integrated, coordinated, and comprehensive hospital-wide policies on
the management of patients with cancer in the hospital.
2.
To
monitor and continually improve the quality of care to patients with cancers.
3.
To
conduct educational and training programs for concerned staff so as to
facilitate implementation of hospital policies on management of cancer
patients.
4.
To
promote research on oncology that will continually improve the quality of care
for cancer patients.
Composition:
Executive Committee whose members are appointed by the Hospital
Director
Members-at-large – representatives from clinical departments involved in
the management of cancer patients
2002 Executive Committee:
Chair : Reynaldo Joson, MD
Vice-Chair : Eduardo Tan, MD
Secretary : Somia Comia, MD
Member : Edgardo Rodriquez, MD
Member : Josefina Valdez , MD
2002 Members-at-large: Representatives from the Departments of
Anesthesia
Dermatology
Internal Medicine
Obstetrics-Gynecology
Ophthalmology
Otorhinolaryngology
Pathology
Pediatrics
Radiology
Radiotherapy
Surgery
Nature of Appointment:
Temporary without compensation
Term of Office:
Members of the Executive Committee:
3 years unless sooner terminated by Hospital Director
Members-at-large:
Yearly unless sooner terminated by department chair
Schedule of Meetings:
Every other month
Third Thursday of the month
8-10 am
Department of Surgery, Conference Room
Duties and Responsibilities of Members:
Executive Committee
All Members:
Attend meeting
Contribute to the goal and objectives of the Hospital Tumor Board
Secretary:
Makes minutes of meetings of the Hospital Tumor Board
Safekeeps records of Hospital Tumor Board
Vice-Chair:
Assists chair
Chair:
Leads Hospital Tumor Board in its accomplishment of shared
mission, goal, objectives and management action plans.
Data Needed:
Cancer caseload
Number of cancer patients
Distribution as to age and sex
Distribution as to type
Distribution as to clinical stage
Quality of cancer care – through monitoring of
Treatment mortality and morbidity rates
Clients’ complaints
Flowchart of Procedures and Reporting:
Meetings
Information dissemination
Reporting to Hospital Director
Formulation of clinical practice guidelines
Cancer Registry
Meetings:
The chair will convene the Hospital Tumor Board.
Formal notice of meeting will be given to members of the Hospital Tumor
Board together with agenda.
The chair will preside and serve as the moderator. He can delegate this task to another person.
Minutes of the meeting / proceedings will be done by the secretary and then approved by the chair.
Minutes of the meeting / proceedings will be disseminated to all members of the Hospital Tumor Board as well as to the Hospital Director.
The secretary will safekeep all minutes of the Hospital Tumor Board.
Information dissemination will be done through memos and during meetings of the Hospital Tumor Board.
Mid-year Report
Annual Report
Based on Management Action Plan for the year
Based on objectives of the Hospital Tumor Board
Issues to formulate guidelines on: hospital-wide concern or concern of
majority of clinical departments
A technical working group will be formed to gather data and then formulate
practice guidelines.
Deliberation by members of the Hospital Tumor Board.
Approval by members of the Hospital Tumor Board.
Approval by the Hospital Director.
Institutionalization of the clinical practice guidelines.
Objectives:
Data needed and reasons:
Data needed:
Number of cancer patients seen per year
Distribution of cancer patients seen as to type of cancer
Distribution of cancer patients seen as to age and sex
Who will supply data:
Department of Pathology
Department of Surgery
Department of OB-GYN
Department of ENT
Department of Ophtha
Department of Medicine
Department of Pediatrics
Department of Dermatology
Data needed:
Clinical stage
Pathological stage
Who will supply data:
Clinical stage – clinical departments except pathology
Pathological stage – department of pathology
Data needed:
Mortality rates
Morbidity rates
Who will supply data:
Clinical departments
Database from Clinical Departments other than Pathology
Department of _____________________
|
Name (initials) |
Age |
Sex |
Organ |
Type of Cancer |
Clinical stage |
Mortality |
Morbidity |
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Stage |
T |
N |
M |
Yes |
NO |
Yes |
NO |
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Summary of Information:
Department of _____________________
Total no. of cases
Age range; mean age
Sex ratio
Type of cancer by organ (frequency distribution)
Clinical stage (frequency distribution)
Overall mortality rate
Overall morbidity rate
Database from Department of Pathology
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Name (initials) |
Age |
Sex |
Organ |
Type of Cancer |
Pathological stage |
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Stage |
T |
N |
M |
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Summary of information:
Department of Pathology
Total no. of cases
Age range; mean age
Sex ratio
Type of cancer by organ (frequency distribution)
Pathological stage (frequency distribution)
When to submit data and information:
Semi-annual
Performance Parameters and
Standards
Hospital Tumor Board
|
Objectives |
Parameters |
Standards
and Targets |
|
To formulate integrated,
coordinated, and comprehensive hospital-wide policies on the management of
patients with cancer in the hospital. |
Presence of written policies |
Integrated, coordinated, and
comprehensive hospital-wide Continually updated |
|
To monitor and continually
improve the quality of care to patients with cancers. |
Morbidity and mortality rates Complaints of patients |
Acceptable rates (<5%) Acceptable no. of complaints
(<5 / year) |
|
To conduct educational and
training programs for concerned staff so as to facilitate implementation of
hospital policies on management of cancer patients. |
Educational and training programs |
Structured Geared towards goal and
objectives |
|
To promote research on oncology
that will continually improve the quality of care for cancer patients. |
Research output |
Number (4 a year) Useful enough to be integrated
into policies and procedures |
Note: Acceptable morbidity and mortality rates – tentatively set, as indicated.