HTC care teams preparing to integrate a new therapy into the care of patients with hemophilia can use this change guide to ensure HTC readiness. Included below are key topics and relevant questions that need to be addressed to prepare for and integrate new therapies.
Change areas included in this guide are:
a) Patient eligibility
b) Referral to centers offering treatment
c) Patient preparation
d) Treatment delivery
e) Post-administration management
f) Providing patient support
g) Care coordination
h) Assessing laboratory measurements of coagulation when using novel agents
Once you’ve explored the questions and the current status within your HTC, work as a team or alone to develop a specific action plan to implement change.
To facilitate the process of integrating a new treatment, this guide has 6 steps dedicated to each of these high level topics, with a set of relevant questions that need to be addressed to ensure HTC readiness. Your responses will not be shared with anyone besides yourself and your team and will remain anonymous.
Step 1: Select Change Area
Step 2: Discuss questions, identifying any additional information your team may need to answer the questions for your HTC and its patients
Step 3: Determine necessary changes to integrate new therapy
Step 4: Outline concrete steps needed to implement changes
Step 5: Identify existing systems and resources to leverage to successfully make changes
Step 6: Determine potential barriers to change and how the team might address those barriers
Step 2: Discuss questions, identifying any additional information you or your team may need to answer the questions from your HTC and its patients
Patient eligibility:
Identifying Patients Eligible and Appropriate for New Therapies
Referral to centers offering treatment:
Referring Patients to Treatment Centers Where New Therapy Is Available (If Treatment Will Not be Available in Local HTC)
Patient Preparation:
Preparing Patients for New Therapy
Treatment delivery:
Administration of New Therapies
Post-administration management:
Post-administration Care
Long-term monitoring (safety and efficacy)
Providing Patient Support
Care coordination:
Coordinating Care Among HTC Care Team Members
Assessing Laboratory Measurements of Coagulation when using Novel Agents
Integrating Research Questions Into Clinical Practice
Step 3: Determine necessary changes to integrate new therapy
Step 4: Outline concrete steps needed to implement changes
Step 5: Identify existing systems and resources to leverage to successfully make changes
Step 6: Determine potential barriers to change and how the team might address those barriers
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