Journal of Healthcare Management - May/June 2014 - (Page 181)

a ssess I ng tH e f eas I bI lIty research in understanding contextspecific phenomena (Creswell, 2007). Furthermore, having multiple data sources, both qualitative and quantitative, allowed for triangulation of the data (Yin, 2009) on issues related to acceptability of, barriers to participating in, and perceived value of the VTB program. For the observations of the VTB cases, we used a structured observation checklist, capturing the institutional affiliation of the community-based of a v Irtual t uM or b oard p rograM presenters, number of virtual participants, length of case discussions, recommendations for treatment, and whether consensus was reached on a recommendation. In addition, we noted unstructured observations, such as level of participant engagement in discussions and plans for follow-up with the presenter. These observations informed the interview process by providing a context for interviewer- interviewee discussions of VTB case presentations. TA B L E 1 Data Collection Methods Method Overview Collection Period Observations of VTB case presentations Used a structured form and August 2011- unstructured notes to capture March 2012 data on the nature of the case presented and the quality of discussion. Interviews of 1. UNC physicians participating in VTB 2. Community clinicians presenting at VTB 3. Community clinicians and staff with access to VTB equipment but who have not participated in the VTB Conducted 30-minute phone September 2011- and in-person interviews October 2012 using a semistructured interview guide. Survey of UNC tumor board attendees (physician and clinical staff) who have participated in a VTB casea Distributed one-page survey with questions based on themes and recommendations emerging from the interviews. October 2012 Number of Participants 14 28 (16 UNC, 12 communitybased) 32 Breast, gastroenterology, and malignant hematology. Head-and-neck tumor board participants were not surveyed because they a were not participating in the VTB program at the time. 181

Table of Contents for the Digital Edition of Journal of Healthcare Management - May/June 2014

Journal of Healthcare Management - May/June 2014
Contents
Interview With Christopher D. Van Gorder, FACHE, President and CEO of Scripps Health
Successful Strategic Planning for a Reformed Delivery System
You, Inc.
Assessing the Feasibility of a Virtual Tumor Board Program: A Case Study
Physician Clinical Alignment and Integration: A Community–Academic Hospital Approach
Employer-Based Coverage and Medical Travel Options: Lessons for Healthcare Managers
Composite Model for Profiling Physicians Across Domains of Care

Journal of Healthcare Management - May/June 2014