The Haematology/Hematopoietic Stem Cell Transplant (SCT) Program at the Juravinski Hospital and Cancer Centre (JHCC), with the recommendation from Cancer Care Ontario, has worked to move the care of the multiple myeloma, autologous stem cell transplant patient to an outpatient setting. This process safely and systemically identifies patients using specific criteria and coordinates the multidisciplinary care team in the outpatient setting. The teams ensures comprehensive and seamless care to support patients during the autologous stem cell transplantation journey while patients return to their own bed at night.
To meet the increasing demand in complex malignant hematology patients, it is important to ensure that resource intensity and care settings are matched to patient level of need.The team identified an opportunity to increase capacity at JHCC for complex malignant hem patients, by moving the setting of care for autologous transplantation from inpatient to outpatient. The purpose of the project team was to operationalize a process for autologous transplant to be performed in Oncology Day Services.