Journal of Healthcare Management - May/June 2014 - (Page 184)

J o u r n al of H ealt H care M anage Ment 59:3 M ay /J une 2014 T A B L E 2 continued Facilitators to participation 64 Refers to factors that enhance a physician's desire to attend as a UNC physician or present a case at the VTB as a community-based physician, such as educational experience and reinforced confidence in the patient's management plan. "It's good for enrollment on studies because the outside docs don't know what studies we have available, so it's a great way to publicize what we have; you know, they might not qualify for it now, but if they relapse, then we have this available or we have this maintenance strategy available." -UNC physician Barriers to participation 108 Refers to factors that do not enhance a physician's (UNC or community-based) desire to participate in the VTB program, such as operating model, technology issues, and time/budget constraints. "[O]ur model is different from the patient-hospital model. We're seeing patients pretty much all day. So unless I preventively block a slot, I'm usually not free at the times that you're having tumor boards." -Community-based physician "[T]here have been some really interesting, unique cases presented, and I think sometimes people think that's set the bar pretty high, and I think they'll say to me, 'I don't have any interesting cases.' It's like it doesn't have to be interesting necessarily-just something that could spark up a conversation and some discussion and that kind of thing. [So] that's why I think some people are just timid to go up there, because they think their cases are not worth presenting." -Community-based nonparticipant (staff member liaison to VTB program) Treatment impact 22 Refers to when a physician speaks about the VTB program's impact on his or her treatment decision. "Generally, we come out of that conference with a recommendation on whether to proceed with some treatment, and the second thing is whether this is a patient who would be good to go to UNC to be formally seen by the multidisciplinary groups." -Community-based physician 184

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