Journal of Healthcare Management - May/June 2014 - (Page 186)

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 Recommendations 59 Refers to when a physician recommended or suggested ways to improve or enhance the VTB program. "Probably the number one [thing] is you need advocates. You need somebody at the site who really cares. And it's not enough for them to say they care. They really have to care. You've got to have somebody here who cares. It's probably got to be one of the [community-based] clinicians. I think that's probably number one. Because if you don't have that, it's going to be hard to make it happen." - Community-based physician "If there were some marketing that patients were aware that this was available, I could see potentially that somebody might say, 'Well, why don't you present my case at their tumor board?' " -Community-based, nonpresenting physician within the broader topics of acceptability, barriers, and perceived value. FINDINGS During the evaluation period, 15 community-based clinicians located in six North Carolina counties presented cases at a UNC VTB. We observed 14 VTB presentations and conducted 28 interviews-16 with UNC physicians, nine with community-based clinicians who had presented a case at the VTB, and three with community-based individuals (two clinicians and one nonclinician staff member who was the organization's liaison to the VTB program) who had access to the VTB videoconferencing equipment but had never presented a case. Finally, we surveyed 32 UNC healthcare providers in the breast, GI, and malignant hematology tumor boards who had participated in at least one VTB. Each VTB (i.e., breast, GI, head/neck, and malignant hematology) had only sporadic participation by communitybased presenters (i.e., most tumor board meetings during the evaluation did not include a virtual case presentation). Findings from our interview and survey data highlight aspects of the program that were working well and issues contributing to the low levels of participation by community-based clinicians. For the discussion that follows, we have organized the findings into three topical areas: acceptability of the program, barriers to participation, and perceived value of the program. Acceptability of the VTB Structure and Processes Acceptability refers to the perception among stakeholders that an innovation is suitable for its purpose based on aspects such as content and complexity 186

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