Session Item

Radiation review clinic (RRC) is structured as weekly clinics where the radiation oncologist (RO) and possibly oncology nurse assess patients on treatment. Many patients experience minimal treatment-related sequelae. To facilitate the provision of excellent care in RRC, there is an opportunity to explore alternative models to support this group of “well” patients. Equally, there is a subset of high acuity patients that may require additional support and proactively addressing these needs may reduce reactive escalation in care.

This session will present a collaborative change initiative aimed at reimagining weekly RRCs within the ambulatory care delivery model and describe the theories of Appreciative Inquiry to create a framework to support meaningful change in RRCs bringing the patient voice to the forefront and harnessing the strengths of the interprofessional healthcare team. The methods and findings from the use of the 4D (Discover, Dream, Design and Deliver) cycle of appreciative inquiry will be discussed.  A particular focus will be on how digital health interventions were investigated as part of the Design phase to address the identified need for improved communication, operational efficiencies and interprofessional care through standardized communication and care processes.