Alejandro Berlín|Mike Lovas|Tran Truong|Sheena Melwani|Justin Liu|Zhihui Amy Liu|Adam Badzynski|Mary Beth Carpenter|Carl Virtanen|Lyndon Morley|Onil Bhattacharyya|Marnie Escaf|Lesley Moody|Avi Goldfarb|Luke Brzozowski|Joseph A. Cafazzo|Melvin L.K. Chua|A. Keith Stewart|Monika K. Krzyzanowska
Implementation and Outcomes of Virtual Care Across a Tertiary Cancer Center During COVID-19
University of Toronto|Princess Margaret Cancer Centre|University Health Network|University Health Network|Princess Margaret Cancer Centre|Princess Margaret Cancer Centre|University Health Network|Princess Margaret Cancer Centre|University Health Network|University Health Network|University Health Network|Public Health Ontario|University of Toronto|Princess Margaret Cancer Centre|University Health Network|University Health Network|University Health Network|Princess Margaret Cancer Centre|University Health Network|Women's College Hospital|Princess Margaret Cancer Centre|University Health Network|Princess Margaret Cancer Centre|University Health Network|University of Toronto|Princess Margaret Cancer Centre|University Health Network|University Health Network|National Cancer Centre Singapore|Duke-NUS Medical School|Princess Margaret Cancer Centre|University Health Network|Cancer Care Ontario|Princess Margaret Cancer Centre|University Health Network
h3importanceh3 coronavirus disease 2019 covid19 pandemic burdened health care resources disrupted care patients cancer virtual care vc represents potential solution however quantitative data support rapid implementation positive associations service capacity quality h3objectiveh3 examine outcomes cancer centerwide virtual care program response covid19 pandemic h3design setting participantsh3 cohort study applied hospitalwide agile service design map gaps develop customized digital solution enable atscale vc across publicly funded comprehensive cancer center data collected highvolume cancer center ontario canada march 23 may 22 2020 h3main outcomes measuresh3 outcome measures care delivery volumes quality care patient practitioner experiences cost savings patients h3resultsh3 vc solution developed launched 12 days declaration covid19 pandemic total 22 085 vc visits mean 514 visits per day conducted comprising 684 range 188100 daily visits compared 08 launch ipi lt 001 ambulatory clinic volumes recovered month deployment 37144091 patients per week whereas chemotherapy radiotherapy caseloads 19432461 patients per week remained stable throughout changes institutional provincial qualityofcare indexes observed total 3791 surveys 3507 patients 284 practitioners completed 2207 patients 82 92 practitioners 72 indicated overall satisfaction vc direct cost initiative cad 202 537 displacementrelated cost savings patients totaled cad 3 155 946 h3conclusions relevanceh3 findings suggest implementation vc scale highvolume cancer center may feasible agile service design approach able preserve outpatient caseloads maintain care quality rendering high patient practitioner satisfaction findings may help guide transformation telemedicine post covid19 era