Module 1: MSKCC - Kelly Tituskellytitus.com/downloads/facilitator-guide.pdf · Handout 1.2: Regional Locations & Services . On the day of the class . n/a . Objectives . By the end

Module 1: MSKCC

Objectives By the end of this module, participants will be able to: • Develop a basic knowledge of each Manhattan location and the specific

services provided to patients at each location

• Develop a basic knowledge of each regional location and the specific services provided to patients at each location

• Identify the divisions and billing areas of MSKCC and explain there

hierarchy • Discuss the types of treatment patients receive to cure their cancer at

MSKCC • Identify an MRN and its meaning at MSKCC

Order of Lessons

This module includes the following lessons:

Lessons See Page Lesson 1. MSKCC Locations Lesson 2. Regional Locations Lesson 3. Patient Care, The Best Anywhere Lesson 4. Divisions & Billing Areas Lesson 5. Identifying a Patient

MSKCC – Manhattan Locations – Day 1

Importance Memorial Sloan-Kettering Cancer Center is the world's oldest and largest

private institution devoted to the prevention, treatment and cure of cancer. To make Memorial Sloan-Kettering's expert care accessible and convenient for our patients, we have developed a network of community-based cancer treatment centers throughout our geographical region, including Manhattan, Brooklyn, Long Island, New Jersey and Westchester.

Introduction For each job function you will need to identify the locations of the services

rendered to the patient. Furthermore, as an employee of MSKCC it is necessary to build a foundation of knowledge regarding cancer and cancer treatment at MSKCC.

Objective By the end of this lesson you will have:

• Developed a basic knowledge of each Manhattan and Regional location and the specific services provided to patients at each location

Continued on next page

MSKCC – Manhattan Locations – Day 1, Continued

Topic Presentation Media Manhattan Locations

For this lesson trainees will be using the MSKCC.ORG website to learn about the locations and treatment offered at each location.

1. Have the trainees open up the internet and point their browser to http://www.mskcc.org. Once at the website review the following points:

• This is the public website for MSKCC. • This site has information on kinds of cancer, cancer

treatments and stories of current and past MSKCC patients.

• This site has information on how to make an appointment and a list of all the physicians working at MSKCC.

2. Have the trainees navigate to the top right tab that says LOCATION-> Manhattan.

3. Review 3 locations focusing on what kinds of treatments take place at the location, what billing areas are located there and any other interesting/unusual facts about the location.

4. While you review, click on the links to the specific page for that site and review what you can find on the individual pages.

General info for the first 3 locations: Main Campus – Across the street from where they had orientation at Rockefeller Research Center. This is where a large majority of services both inpatient and outpatient are offered. Outpatient - Physician services (Head & Neck & Orthopedic surgery, Bone Marrow Transplant (BMT), Pre-Admission Testing – basic testing a patient has before any surgery, Chemotherapy for some cancers, Dentistry & Radiation Services for all cancers. Inpatient – all inpatient floors, OR and SDH. This is also where the MSK gift shop is located and the cafeteria. Also the recreation center with a large TV, ping pong and the patient library.

Give out Participant Books Projector up with www.mskcc.org open PP.Locations.pptx

http://www.mskcc.org/


Rockefeller Outpatient Pavilion – often called 53rd Street since it is on 53rd & 3rd. It is one of our new buildings designed specifically for outpatient care. A large amount of outpatient services are offered here including dermatology, gastrointestinal oncology, genitourinary oncology, gynecology, plastic and reconstructive surgery, thoracic oncology, and cardiology and pulmonary services, chemotherapy, radiology and the International Center. Evelyn H. Lauder – Often called BAIC for short. Our newest state of the art building which offers all outpatient services needed for patients including ancillary services such as Rehab, Psychiatry, Nutrition, Social Work and Art Therapy. There is also a special boutique that specializes in fitting women with in all the extensive choices of prostheses, surgical bras, camisoles, swim wear, day wear, and other necessities. The Boutique offers a large selection of head wear and head coverings, scarves and hats.

Exercise

1. Now put the class into groups of two. If there are only two people in the class then they will do this individually.

2. Open their book to the exercise page 5 for this lesson. 3. Ask them to choose one Manhattan location not yet

reviewed from the website list that they will read about. 4. Give the group 2 minutes to pick a location and tell the

class which one they want. *They cannot pick Imaging because there isn’t additional info on it**

Give these directions: The group must report back to the class with answers to the following questions. Bonus “points” will be awarded for the bonus questions. Let them know they have 20 minutes to use the website to answer these questions. Before they begin, one person should be appointed the presenter for each group. Review the questions with the PowerPoint slide up. Where is this building located? What kinds of cancer are treated there and/or what services offered? Is there any supplemental services offered? BONUS Question:

MSKCC website location list PowerPoint Slide with Activity Questions PP.Locations.pptx

Provide information on how a cancer at the location is diagnosed or treated. Any other interesting facts about the location The facilitator should be the time keeper. Announce when it has been 10 minutes and let them know they should start discussing what to share with the class. 15 minutes into the exercise let them know they have five minutes left to wrap up. Here are some possible answers (but not all) for the other locations: Sidney Kimmel Center for Prostate and Urologic Cancer – This building is across the street from the Main Campus. The cancers treated are Prostate, Bladder and Testicular cancer. Both surgery and medicine doctors treat here. There is a chemotherapy unit for these patients as well. Genetic Services – Offers testing for hereditary cancer risk assessment, genetic counseling, and genetic testing by specially trained genetic counselors and physicians.

Post Treatment Resource Program –Services address a range of social, practical, and personal concerns, such as advice on insurance and employment issues and discussions for caregivers, or on survivorship as a single person. Examples of programs via the website are Building a Family After Cancer Treatment: What Are Your Options?, Prostate Cancer Support Group: Life After Treatment, Dating and Disclosure

Integrative Medicine Outpatient Program - Complements mainstream medical care by addressing the physical and emotional symptoms associated with cancer and its treatment. Including acupuncture, Reiki (Japanese technique for stress reduction and relaxation that also promotes healing), several kinds of massage, nutrition counseling, and meditation. Also, group activities such as Chair Aerobics and Slow Flow Yoga

Counseling Center – Individual, group and family counseling, smoking cessation, referrals OT pain/palliative physician.

Outpatient Rehab Center – Rehabilitation provides a means to gain function in the safest, and most effective, pain-free way. For patients receiving chemotherapy or radiation for the treatment of their cancer, therapeutic exercises can improve their strength, decreases fatigue, and help them maintain physical well-being while they are undergoing treatment. They offer Occupational and physical therapy, lymphedema and rehab medicines.

Guttman Diagnostic Center – Located in Greenwich Village this facility offers screening for breast, cervical and skin cancers. They offer mammograms as well as physical examinations and breast self-exam

http://www.mskcc.org/mskcc/html/59513.cfm?EventView=details&EventType=&CategoryID=3&SelectedDate=01%2F17%2F2011&EventID=7256





instruction by a skilled nurse practitioner. The John and Maxine Bendheim and Robert Bendheim Prostate Cancer Diagnostic Center was established for men who have high prostate specific antigen (PSA) levels, a family history of prostate cancer, or the finding of a pre-malignant condition on biopsy, or who are concerned about their risk for the disease and want a comprehensive evaluation.

Breast Examination Center of Harlem – Outreach facility that offers routine Breast cancer screening which includes mammograms, pelvic exams, pap smears, counseling and follow up care. It is always looking for volunteers at BECH to assist staff in many ways, such as performing clerical duties, answering telephones, or helping to implement the Center's outreach programs.

The group that gives the most detailed information for the bonus points gets a small prize from the prize bin. The facilitator should then review the areas that the groups did not present in the same way they review the first 3 locations.


Objective, What They See: (continued)

Now that you are familiar with using the MSKCC website, http://www.mskcc.org, use it as a resource to answer the following questions as a group. Choose one person to present this information to the class. Location Name: _______________________________________________ Where is this building located? __________________________________ Questions for your group to answer: What kinds of cancer are treated there and/or what services are offered?

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Are there any supplemental services offered?

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________



BONUS Questions: Information on how a cancer at the location is diagnosed or treated AND/OR Any other interesting facts about the location ____________________________________________________________________

____________________________________________________________________

_________________________________________________________________

Topic Presentation Media Manhattan Location cont’d

Handout: Have each trainee complete this activity individually using the mkscc.org website. Review the answers when everyone has completed it. The answers are in bold

Handout 1.2: Regional Locations & Services

Review: Ask: Why is it important for you to understand the services we have here? Ask: How do you think it will help you in your job each day? Ask: Does anyone have any questions regarding the Manhattan Locations?



Handout What they see:

MSKCC Manhattan Locations

Name of Location Patient Service Patient Service 1. h. Main Campus n. Surgery Inpatient Stays 2. b. Breast Examination of Harlem Breast Cancer Screening c. Cervical Cancer Screening

3. a. Clinical Genetics Hereditary Cancer Risk Assessment

f. Genetic Counseling

4. d. Sidney Kimmel Center for Prostate and Urologic Cancers

i. Chemo for Bladder Cancer

Physician appointment for Testicular Cancer

5. Rockefeller Outpatient Pavilion m. Physician appointment for Reconstructive Surgery

Physician appointment with a Dermatologist

6. e. Guttman Diagnostic Center Screening for Prostate Cancer

Screen for Skin Cancer

7. Counseling Center Appointment with Psychologist

k. Family Counseling

8. Integrative Medicine Center o. Acupuncture Appointment with a Nutritionist 9. Ralph Lauren Center – MSKCC –

North General Community Lecture Series Various Screenings

10. Evelyn H. Lauder Breast Center l. Appointment with Breast Surgeon

Digital Mammography

11. Imaging Center j. MRI of Neck CT of the Chest/Abdomen and Pelvis 12. Future Outpatient Rehabilitation and

Office Practice Physical Therapy Appointment with Pain/Palliative Doctor

a. Clinical Genetics Service b. Breast Examination of Harlem c. Cervical Cancer Screening d. Sidney Kimmel Center for Prostate and

Urologic Cancers e. Guttman Diagnostic Center f. Genetic Counseling g. Imaging Center h. Main Campus i. Chemo for Bladder Cancer j. MRI of the Neck k. Family Counseling l. Appointment with Breast Surgeon m. Physician appointment for

Reconstructive Surgery

Day At-a-Glance - Day 2 Day 2

2 MSKCC - Locations • Regional Locations

• Handout 1.2: Regional Locations & Services

1 MSKCC • MSKCC – Divisions and Billing Areas

• Poster for Division & BA’s

• Cards of Division, BA & Physicians

• Handout 3: List of Division and Billing Areas

2 MSKCC • Patient Care, The Best Anywhere

• Projector/MSKCC website/hat for drawing patient name

.5 MSKCC • Identifying a Patient

• None

1 Billing Systems • Physician Billing vs. Hospital Billing

• Physician and Hospital flash cards

MSKCC – Regional Locations – Day 2

Before the day of the class


On the day of the class

n/a

Objectives By the end of this day, participants will have:

• Developed a basic knowledge of each regional location and the specific

services provided to patients at each location Topic Presentation Media Regional Location

Trainees will be using the MSKCC.ORG website to learn about the locations and treatment offered at each of the regional locations. Have the website up at the same time on the projector. Have the trainees open up the internet and point their browser to http://www.mskcc.org.

Have the trainees navigate to the top right tab that says LOCATION-> Brooklyn. Review the Brooklyn location focusing on what kind of treatments take place at the location, what billing areas are located there and any other interesting/unusual facts about the location. While you review, click on the link to the Brooklyn page for that site and review what you can find on the individual page. Brooklyn Infusion Center - The Brooklyn Infusion Center provides leading-edge chemotherapy services to current patients. This new model for cancer treatment allows current Memorial Sloan-Kettering patients who live in or near the borough to receive their chemotherapy at the Brooklyn site and the remainder of their cancer care at locations in Manhattan. The facility has the capacity to accommodate 30 patients and their visitors each day, with 12 treatment rooms enclosing an indoor garden and adjoining library.

Projector up with www.mskcc.org



MSKCC – Regional Locations – Day 2, Continued Exercise

Now put the class into groups of two. If there are only two people in the class then they will do this individually. Ask them to choose one Regional location that they will read about on the website. Give the group 2 minutes to pick and tell the class which one they want. *For Long Island, they should pick one of the locations not all three.* Give these directions: The group must report back to the class with answers to the following questions. Bonus “points” will be awarded for the bonus questions. Let them know they have 20 minutes to navigate the website to answer these questions. Before they begin one person should be appointed the presenter for each group. Review the questions with the PowerPoint slide up. Where is this building located? What kinds of cancer are treated there and/or what services are offered?

Is there any supplemental services offered? BONUS Question: Provide information on how a cancer at the location is diagnosed or treated. Any other interesting facts about the location? The facilitator should be the time keeper. Announce when 10 minutes have passed and let them know they should start discussing what to share with the class. 15 minutes into the exercise, let them know they have five minutes left to wrap up.

PG, website


MSKCC – Regional Locations – Day 2, Continued

Topic Presentation Media Exercise, continued

Here are possible answers: Basking Ridge , NJ - Patients have access to cancer screening, diagnostic imaging, medical oncology, radiation oncology, radiology, and dermatology services in one location. Neurological consults are also available. Additionally, the center provides educational and support programs, as well as integrative medicine resources. Commack, Long Island - Patients can receive cancer diagnosis, chemotherapy, radiotherapy, and surgical consultations. Certain clinical trials are also available to patients at Commack. Services include radiation oncology, (intensity-modulated radiation therapy, image-guided radiation therapy, neurology, breast surgical consultations, comprehensive, diagnostic radiology, genetic counseling and lymphedema therapy. Members of the Commack medical team meet weekly to review and discuss each new patient's case and treatment plan. The team is joined by other specialists who focus on the nonmedical needs of both patients and their caregivers, such as social support.

Rockville, Long Island - Memorial Sloan-Kettering Cancer Center Rockville Centre has offered medical oncology and radiation oncology services since 1997. The center houses two state-of-the-art linear accelerators that use high-energy radiation to treat patients. We also use CT-based treatment planning to help map and deliver intensity modulated radiation treatments. These techniques hone the dose of radiation around the target while avoiding healthy tissue, allowing higher doses to be delivered safely.

Hauppauge, Long Island - We offer a variety of screening methods to detect skin cancer. We use several imaging technologies to assist in the detection of skin cancer. These include total body photography, individual lesion photography (photographing a specific area of abnormal skin), and dermoscopy (the use of a hand-held instrument that enables doctors to see structures below the superficial layer of the skin). Confocal microscopy, which uses imaging to diagnose skin cancers at the cellular level, is also available, however this tool remains investigational.

Sleepy Hollow, NY - Physicians at Sleepy Hollow provide medical oncology and radiation oncology services to patients on an outpatient basis. The location is especially convenient for area residents who need daily radiation or frequent chemotherapy. Patients who need surgery or certain specialized diagnostic tests can go to Memorial Sloan-Kettering's main hospital in Manhattan for these procedures and then have their follow-up care and treatment in Sleepy Hollow.



Location Name: _________________________________________________ Where is this building located? ______________________________________ Questions for your group to answer: What kinds of cancer are treated there and/or what services are offered? ______________________________________________________________

______________________________________________________________

______________________________________________________________

______

Are there any supplemental services offered? __________________________________________________________

__________________________________________________________

__________________________________________________________

BONUS Questions: Information on how a cancer at the location is diagnosed or treated AND/OR Any other interesting facts about the location

Topic Presentation Media Regional Location cont’d

Handout: Have each student complete this activity individually using the mkscc.org website. Review the answers when everyone has completed it. The answers are in bold.


Review: Ask: Why is it important for you to understand the services we have her? Ask: How do you think it will help you in your job each day? Ask: What questions do you have about the Regional locations



Handout, What They See

MSKCC Regional Locations Name of

Location Patient Service Patient Service

1. Basking Ridge, New Jersey

Dermatology (Physician), Screening, Medical Oncology (chemo), Genetic Counseling

Radiation Oncology, Radiology, Dermatology (Physician), Neurology (Physician)

2. Commack, Long Island

Breast Surgery (Physician) Radiology

3. Hauppauge, Long Island

Skin Cancer Center (Physician) Support Services

4. Rockville Center, Long Island

Medical Oncology (chemo) Radiation Oncology, Social Support Services

5. Sleepy Hollow, New York

Medical Oncology (chemo) Radiation Oncology, Social Support Services

Medical Oncology (chemo) Radiation Oncology Social Support Services Dermatology (Physician) Neurology (Physician) Cancer Screening Skin Cancer Center (Physician) Genetic Counseling

MSKCC – Divisions & Billing Areas – Day 2

Introduction Memorial Sloan-Kettering Cancer Center organizes the physicians and the services they provide into a hierarchy of divisions and billing areas. This hierarchy is reflected in how we bill patients.

Importance For each job function you will need to cite the division and billing area to

understand what the patient has been billed and why.

Objective By the conclusion of this lesson you will be able to identify the divisions and

billing areas of MSKCC and explain there hierarchy. Divisions & Billing Areas What They See

The organization of divisions, billing areas and providers look like this:


Division

Billing Area

Provider Provider

Billing Area

Provider

MSKCC – Divisions & Billing Areas – Day 2, Continued

Topic Presentation Media Divisions & Billing Areas

As we discussed MSKCC has many locations in the metro area. Here at PBD we are all involved in the billing and collection of all the services at these locations. We are going to talk about how they are all organized. Ask: At your Center-wide New Employee Orientation (NEO) tour, many of you toured the clinical areas. What places did you go to? If possible relate the places they went to the chart. If they say “Pathology” affirm that Pathology is both a billing area and a division. Or Lymphoma – is a billing area. For the first example on the poster use Surgery, Head and Neck, Dr. Shaha and Dr. Singh. MSKCC is composed of several Divisions. These divisions are how we compartmentalize all of the different specialties. So, each one of these divisions cover a certain specialty. This is at the top of the organization. Put up the Surgery card on the poster. So one of the biggest divisions we have is Surgery. The division of surgery includes all the groups of physicians who specialize in surgery. But there are many different surgery groups at MSK. For example Head & Neck, which is surgery for everything from your voice box to your nose, Since it is a part of surgery it goes under the surgery division. We call the specialties within each division Billing Areas. Put up Head and Neck card. Head and Neck is a billing area in the surgery division, so only Head & Neck charges are in the Head and Neck billing area. Then we can drill down one more level. Each Billing Area is made up of a number of providers or physicians. Most providers belong to only one billing area, but some belong to more than one. In Head and Neck there are eight physicians or providers. Two of them are (put up cards) Dr. Shaha and Dr. Singh.

Hierarchy Poster Cards with the Divisions & BA’s


MSKCC – Divisions & Billing Areas – Day 2, Continued Topic Presentation Media Divisions & Billing Areas

As you can see there are abbreviations under each one of the cards I just put up. Each one of this is how they are represented in the billing systems we use here. Usually they are just shorter versions of the word they stand for. This is how we will start seeing them in the system. Hold up two more division cards, Medicine and Radiology. Let’s look at another example. Medicine is another large division at Sloan Kettering. Put up the Medicine card on the poster. Medicine covers all medical oncology providers. That means they treat patients that need chemotherapy or radiation. It also covers our general medicine providers that support the other services such as Cardiology and Pulmonary. One of the Medicine Divisions is Lymphoma. Put up Lymphoma card. Lymphoma is when immune system cells become cancerous. Two of the physicians at Sloan that treat this are Dr. Portlock and Dr. Hamlin. Put up those cards. Any questions? Okay, one more. Radiology. Does anyone know what kind of tests we do at MSKCC under the Radiology division? Answers are X-rays, bone density scans, CT Scan, MRI, Point out that when cancer metastasizes it is often first found in the lungs, so chest xrays are very common. Mention that every cancer has a different standard radiology testing to find the extent of the cancer. Also, Nuclear Medicine studies such as a PET SCAN, bone scan are also under the radiology division. Put up Radiology card. Radiology is both a division and a billing area. There are a lot of providers who read radiology studies here. Two of them are Dr. Abramson and Dr. Katz. Add their cards to the table. Any questions?


MSKCC – Divisions & Billing Areas – Day 2, Continued Topic Presentation Media Divisions & Billing Areas

Now that we have examined the hierarchy of divisions and billing areas we’ll work on an exercise. Turn to page 10 For this exercise you are solving a chunk puzzle with the help of our resource list of Divisions and Billing Areas. Handout Job Aid of divisions and BA’s to be added to their binder of handouts. Chunk puzzles are words and sentences that have been cut up into pieces. It is your job to solve the puzzles to answer the following questions concerning divisions and billing areas. One hint – pay attention to the capital letter to help you find your answer. Go over example with them. Answers are in bold.

Handout : List of Division and Billing Areas



Exercise What they

see

Solve the chunks puzzles to discover facts about MKSCC division and billing area structure. For example,

[PB] [st.] [D is] [e be] [th]

Translates into: PBD is the best

1. This division is only at main campus

[trics] [ia] [Ped]

Pediatrics

2. The services of this billing area include CT scans, MRI scans and X-rays.

[iol] [Rad] [ogy]

Radiology

3. Foreign patients’ care is coordinated under this division.

[al Cen] [Intern] [ter] [ation]

International Center

4. These billing areas support the patient during and after treatment to help their pain and discomfort.

[d Pai] [Reha] [tive] [bilitat] [n and P] [ion an] [allia]

Rehabilitation and Pain and Palliative

5. These four divisions are also stand alone centers outside of Manhattan:

[ppauge, Ba][Comma][ollow][sking Rid][ck, Hau][ge and S] [leepy H]

Commack, Hauppauge, Basking Ridge and Sleepy Hollow



What they see/, (continued)

6. This division includes acupuncture and nutrition.

[e Med] [Inte] [icine] [grativ]

Integrative Medicine

7. These four billing areas are under the Medicine Division:

[oma] [matolog] [crine an] [Cardio] [d Lymph] [logy, He] [y, Endo]

Cardiology, Hematology, Endocrine and Lymphoma

8. These three billing areas that are under the Surgery Division:

[opedics, a] [d and Nec] [nd Plast] [Hea] [k, Orth] [ics]

Head and Neck, Orthopedics, and Plastics

9. These billing areas support the patient during and after treatment to help their pain and discomfort.

[d Pai] [Reha] [tive] [bilitat] [n and P] [ion an] [allia]

Rehabilitation and Pain and Palliative

10. These 4 divisions are also stand alone centers outside of Manhattan:

[ppauge, Ba][Comma][ollow][sking Rid][ck, Hau][ge and S] [leepy H]

Commack, Hauppauge, Basking Ridge and Sleepy Hollow

Topic Presentation Media Divisions and Billing Areas continued

Review the answers when everyone has completed it. The answers are in bold.

Divisions and Billing Areas

Review: Ask: How do you think it will help you in your job to recognize divisions and billing areas? Ask: Do you have any other questions about the Divisions and Billing Area structure at MSKCC.

Lesson 4: Patient Care, The Best Anywhere – Day 2, Continued

Introduction Today, more than half of all patients diagnosed with cancer can be cured, and many others will live long, meaningful lives even with their disease. But getting the correct diagnosis and the most appropriate treatment right from the start is crucial. Our doctors have unparalleled expertise in diagnosing and treating all types of cancer, and they use the latest technology and the most innovative, advanced therapies to increase the chances of a cure.

Importance For each job function you will need to identify the types of services rendered

to the patient to complete your tasks. Furthermore, as an employees of MSKCC it is necessary to continue to build a foundation of knowledge regarding cancer and cancer treatment at MSKCC.

Objective By the end of this lesson you be able to discuss the types of treatment patients

receive to cure their cancer at MSKCC

Topic Presentation Media Patient Care This lesson is focused on understanding the

patients point of view. To start the lesson introduce these two short (3-5 minutes) videos about MSK patients. Show “Alice’s” story then choose one other based on what class would respond to best. http://edit.mskcc.org/multimedia/search?tid=1032 Facilitator: Now that we have some idea of both the patient’s perspective and medical staff at MSK, let’s delve deeper to understand the different kinds of cancers and what kind of medical services patients receive that we will bill.

Internet, speakers and projector (can watch individually if technical problems.) For group project – need a hat to put slips of paper in -need slips of paper with each fake patient name and cancer – found here to make


http://edit.mskcc.org/multimedia/search?tid=1032

http://edit.mskcc.org/multimedia/search?tid=1032

Lesson 4: Patient Care, The Best Anywhere – Day 2, Continued

Topic Presentation Media Patient Care, con’t To get started, I would like to introduce

you to the 5 patients we will be following through this class. They represent the wide range of age, race, background and cancer diagnosis that we have here. They also represent the wide variety of insurance our patients have to help cover the cost of their care Have the class read the case study section with the blurbs about each patient. Should take 5-10 minutes. Then break up the class into groups of 2 or do this individually depending on the size of the class. Have them draw from the hat the name of the patient they are going to do research on. Now that you are familiar with our training patients and our website I would like you to gain a greater knowledge about cancer care at MSK. Using the MSK website, you will find out more information about these cancers. Do one to show them how. Start with “treatement information by cancer” bar – do Thyroid CA – walk through the site and info

Then have them start in on finding out the information on pg ??? and pick one person to present.

H.Best Patient Care - Draw from Hat PG part 1 – bag has Case study Have mskcc.org website open


Lesson 4: Patient Care, The Best Anywhere – Day 2, Continued, Continued Exercise I

Now that you are familiar with using the MSKCC website use it as a resource

to answer the following questions as a group. Choose one person to present

this information to the class.

Questions for your group to answer:

Name of Patient: _________________________________

Type of Cancer: __________________________________

2-3 facts about the Cancer: _______________________________________ _____________________________________________________________ _____________________________________________________________ How is it diagnosed? _____________________________________________

The patient’s treatment plan: _______________________________________

Will the patient have surgery? What kind? ____________________________

______________________________________________________________ Will the patient have radiation? What kind? ___________________________

______________________________________________________________

Will the patient have Chemotherapy? What kind? ______________________

______________________________________________________________

Other treatment? ________________________________________________

Topic Presentation Media Divisions and Billing Areas

Review: Ask: How will knowing about chemo or radiation help you with your job? Ask: Do you have any other questions about the Divisions and Billing Area structure at MSKCC.


Lesson 4: Patient Care, The Best Anywhere – Day 2, Continued Introduction Any large institution needs a method to look up specific patients. In this

lesson we will outline how MSKCC identifies patients.

Importance In every job function it is critical to identify a patient correctly.

Objective At the conclusion of this lesson you will be able to identify an MRN and its

meaning at MSKCC.

What is a Medical Record Number (MRN)?

Medical Record Number (MRN) is a:

• Unique number assigned to ____________________________. • Usually starts with _____ and is 8 digits long, ex. 35158756. • Sometimes starts with 00 and can be shortened to _______ when it

starts with 00. For example, 00458236 is the same as 458236.

Topic Presentation Media What is a Medical Record Number?

Ask students: Now that we have learned basic knowledge of MSK’s treatment and structure. How do we organize our patients to make sure when the patient is treated all the appointments, medical records and billing information is under the right person? Someone might know from working at a previous hospital or remember for NET MSK wide orientation. If not continue on. We use something called a Medical Record Number or MRN for short. Please open your book to PAGE ?? to this lesson and let’s review the three key characteristics of an MRN.

None


Lesson 4: Patient Care, The Best Anywhere – Day 2, Continued, Continued Topic Presentation Media What is a Medical Record Number? (con’t)

Then review the below with them. Remind them to fill in the missing information from their book

• Unique number assigned to _each patient. • Usually starts with _35__ and is 8 digits long, ex. 35158756. • Sometimes starts with 00 and can be shortened to _6 digits_

when it starts with 00. For example, 00458236 is the same as 458236.

Participant Guide

Exercise Now each person should take 5 minutes to do the exercise on the next page circling which patients have a correct MRN.


Lesson 4: Patient Care, The Best Anywhere – Day 2, Continued, Continued

Exercise What They See

Circle the valid MRN’s. 1. Jonston, Bill, 12/16/52, 25145268

2. Gabriella Davis, 5/1/69, 3569854

3. Evelyn Torrie, 9/24/49, 00156874-2

4. Michael Vincent Di Marco, 35268953,

4/9/1940

5. Natasha Burchlov, 1/5/93, 35B65895

6. Kaloutie Singh, 3/15/87, 89008373


Lesson 4: Patient Care, The Best Anywhere – Day 2, Continued, Continued

Exercise What They See Con’t

7. Sara Smalley, 8/6/79, 687144

8. Mark Simon, 9/22/00, 35989098

9. Stanley Vasquez, 8/12/37, 358Z9087

10. Fiona Mendez, 12/14/1983, 35968745

Review Review the correct answers with the class


Documents

Module 1: MSKCC - Kelly Tituskellytitus.com/downloads/facilitator-guide.pdf · Handout 1.2: Regional Locations & Services . On the day of the class . n/a . Objectives . By the end