1. CyberKnife Robotic Radiosurgery System HCS/483 Sean Kern Delicia Erickson Ruby Williams Graham Sara Morgan Katharine Royal Belinda Toney Martina Wright

2. CyberKnife Robotic Radiosurgery Revolutionized clinical functions Non-invasive frameless procedure Enhance treatment of cancerous tumors Detect and track internal reference point Treat cancerous and non-cancerous tumors Image 1 3. CyberKnife Robotic Radiosurgery Image 2 4. CyberKnife Robotic Radiosurgery Image 3 Image 4 Image 5 Image 6 Image 7 5. The effects of the Cyberknife Robotic Radiosurgery System in Health care Reduce errors/mistakes Minimizes radioactive exposure More precise Can treat larger tumors/lesions 6. U.S. Hospitals using Cyberknife technology Stanford University Hospital Newport Radiosurgery Center in Newport Beach, CA University of Pittsburgh Medical Center Shadyside in Pittsburgh, PA University of Texas Southwestern Medical Center in Dallas Cleveland Clinic in Cleveland, OH 7. Patients medical records stored via EHR Patient EHR - may be subject to unauthorized use -at risk for record tampering -risk of loss due to natural disasters -risk of technology becoming obsolete 8. Security Safeguards Used only by highly trained persons Lessen system failures effects on patients Limited to a fixed number of uses Maintaining and servicing these machines Reduce the cost of servicing 9. Strategies to evaluate system effectiveness Determine expectations Determine and document outcomes Assessing system achievements 10. How does management fit into the Cyber Knife Robotic Radiosurgery System? Oversight of system/updates Implement rules/regulations Train staff/employees Evaluate staff/employees 11. Different Management roles Project Manager Identify and obtain needed resources Maintain the project plan Manage project scope Communicate progress 12. Different Management roles IT Manager Represents the IT department Promotes the project internally and externally Has final IT decision-making authority Remove IT obstacles to meet project timelines 13. Benefits Supporting Quality Non-invasive alternative to surgery Treat numerous cancerous and non-cancerous tumors Approved to treat any body tumor No surgical incisions, anesthesia or hospitalization Approved by FDA 14. Educational and training needs Online training course The full Body course CNS Radiosurgery Module 15. Conclusion CyberKnife Radiosurgery Humanize clinical care Enhance treatment option Non-invasive procedure Operate within regulated guidelines Cost effective and minimize time 16. Dr. Mehesh, (personal communication, July 2, 2013), Senior Oncologist, Summit Oncology, Akron, OH History of Cyberknife, Retrieved from http://cyberknife.com/history HRDS. (2013). Health information Technology and Quality Improvement. Retrieved from http://www.hrsa.gov/healthit/toolbox/ HealthITAdoptiontoolbox/PrivacyandSecurity/securityrisks.html Image 1: http://ts1.mm.bing.net/th?id=H.4858515310445388&pid=1.7&w= 260&h=178&c=7&rs=1 Image 2: http://ts4.mm.bing.net/th?id=H.5023592377748663&pid= 1.7&w=189&h=188&c=7&rs=1 Image 3: http://www.breast-cancer.ca/images/breast-cancer-xray-1.jpg Image 4: http://www.neuroanimations.com/Hydrocephalus/graphics/ BrainTumorIVvent.gif Image 5: http://www.spacedaily.com/images/lung-cancer-x-ray-bg.jpg 17. Image 7: http://www.live-in-green.com/features/images/diet_soda/pancreatic_ cancer_x- ray.jpg Image 8: http://techtalentrepository.com/wp-content/uploads/2011/11/health-care- management Imaage 9: http://www.bmc.org/Images/lung-cancer-cyberknife-surgery.jpg Quinn, A. (2002). CyberKnife: A Robotic Radiosurgery System. Clinical Journal Of Oncology Sages. (2013). A Consensus Document on Robotic Surgery. Retrieved from: http://www.sages.org/publications/guidelines/consensus-document-robotic surgery/ Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems: A practical approach for health care management (2nd ed.). San Francisco: Jossey-Bass. Yale New Haven hospital radiation oncology CyberKnife center http://www.ynhh.org/src/services/cancer-services/src_cyberknife.aspx