1. admissions of a non-admitted Access Policy Specialist Clinics Access Policy Implementation at Peter MacCallum Cancer Centre

2. Current state Tumour stream-based referral management Paper-based referral triage and management (scanning subsequent to triage) Centralised referral management department V-Referral pilot program (three Cancer tumour streams) Current state issues Resource-intensive Missing referrals Triage delays Multiple points of failure Damage to referrals/legibility Inconsistent practices between tumour streams Manual data collection & reporting

3. Access Policy Implementation Electronic system implementation Evaluation of V-Referral pilot Rollout to remaining ten tumour streams Access Policy gap analysis Training and education Tracking of referral screening, triage, acknowledgement and prioritisation Challenges Clerical resources Clinical staff utilisation Limited reporting capacity Key milestones January 2014: V-Referral pilot evaluation February 2014: Access Policy gap analysis March 2014 onwards: Staged rollout to remaining tumour streams

4. Progress to date Breast tumour stream: complete (24.3) Head & Neck tumour stream: complete (31.3) Lung tumour stream: complete (14.4) Urology tumour stream: complete (6.5) Upper/Lower GI tumour streams: complete (14.5) Stereotactic stream: complete (15.5) Gynaecology tumour stream: planned (2.6) Haematology stream: planned (30.6) Challenges Training resource requirements Staff leave impact System requirements and enhancement requests 2015 Access Policy alignment Data extract development Preliminary data shows key requirements met