Use Case Repository
Medical Board Review
Purpose:
Workflow support and sharing of relevant medical information for a multidisciplinary medical board review. The purpose of a medical board review is to formulate a recommendation for the further treatment of a patient. Medical board reviews are often arranged for the discussion of a number of patients with a specific disease, such as cancer, heart failure or COPD.
Relevance:
Medical Board Reviews are meetings where a team of medical professionals of different professions, and often from different hospitals, get together (physically or by remote conference) to assess the cases of patients (using medical images and other relevant medical information), discuss the cases, and advise on the further treatment of the patient. In many countries, the Medical Board Review is an important phase in the multidisciplinary care pathway
Domain:
Multidisciplinary consultation
Scale(s):
National/Regional
Context:
In the Netherlands, most Tumour Board Review (TBR) meetings are held for specific Tumour types, such as oesophageal cancer, colon cancer, lung cancer, et cetera. They are held after the diagnostic studies have been completed (pre-therapeutic TBR), and often also after the treatment of the patient (post-therapeutic). At a typical Tumour Board Review, which usually takes 1 hour, between 5 and 15 patients are being reviewed. On average, between 5 and 20 different Tumour Board meetings are held each week per hospital.
The main output of a Tumour Board Review is a report containing the collective findings, conclusions and recommendations for the further treatment of the patient. This may also include the recommendation to include a patient in a clinical research trial.
Tumour Board Review meetings also serve as a platform for sharing the latest guidelines, developments and insights in the diagnosis and treatment of the specific cancer type. The sharing of knowledge is seen as a valuable asset.
Information:
Request for the medical board review including a concise summary of relevant information
Radiological images and report
Pathology slides and report
Laboratory results
Participants:
Requesting specialist (depending on the location of the tumour)
Radiologist
Pathologist
Oncologist
Radiotherapist
Surgeon
Oncological nurse, case manager
Functional process flow:
- A specialist (requester) requests a medical board review for a patient. He/she sends the request (with the reason for request, a patient summary and all the relevant images and pathology reports) to the organiser
- The organiser of the medical board review checks if the patient meets the inclusion criteria of the board
- The organiser sends the affirmation to the requester
- All participants can prepare for the medical board review by viewing and examining all the relevant medical information
- At the medical board review meeting, all participants discuss the case.
- A scribe writes down the recommendations of the board
- The medical board review report is authorised by all, and sent to the requester (and possibly to other involved healthcare professionals).
Source:
