FUND DEVELOPMENT PLAN

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ALLEGHENY GENERAL HOSPITAL Informed Decision
Making ProgramThe Allegheny Experience Presen
ter Harriet Gudenburr, RN
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Who Are We?

• We are located on the North Side of Pittsburgh,
  Pennsylvania, but our patients come to our Breast
  Care Center from the Tri-State area.
• Our Breast Care Center is renowned for patient
  focused care with a multidisciplinary approach
  including on site breast radiologists, breast
  surgeons, genetic counselors and experienced
  oncology nurses.
• We provide our patients with a truly unique,
  collaborative approach that encompasses a full
  spectrum of care.

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Our Team at Work
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Implementation Model

• Dartmouth Hitchcock Medical Center
• Shared Decision Making Facility
• Applied Dartmouths model to the Allegheny
  Surgical Oncology practice

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Greatest Success

• Roadblocks that were overcome
• Staffing the program with a full time RN
• Getting an office with furnishings, TV VCR.
• Becoming an integral part of the plan of care for
  all newly diagnosed breast cancer patients.
• Obtaining funding and a computer programmer to
  develop IDM software for data collection and
  distribution.

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But Our Greatest Success

• All of the patients who thanked us for letting
  them participate in the Informed Decision Making
  experience.
• Patient Quotes
• Just a note to say thanks for the support you
  offer. It has meant a lot to me.
• I thought the video and booklet are very
  informative and actually understandable.
• I am grateful for being able to speak with you
  and ask some much needed questions.I think the
  DVDs are great but the booklets are extremely
  re-enforcing and a great resource for reference.

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Greatest Disappointment

• Knowing every year that Grant Funding is needed
  for salary and supplies to keep the program going.

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Next Step in Implementation

• To extend the IDM process to another breast
  surgeon in the West Penn Allegheny Health System
  Network.
• Patient direct access to questionnaires via the
  web.

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Our Dreams for the Future

• Patient access to decision aides via the
  internet. (Avoid the delays with the US Postal
  Service.)
• Decision aides and support for patients with
  other cancers. (ie. Prostate, colon, ovarian,
  lung)