1. Make time for training...

2. Because training…. NEVER ENDS!!! needs to know vs. nice to know
cool tools
information can be overwhelming
focus on tactile learning
use cheat sheets
develop a training manual with detailed processes
review sessions & extra training for “keeners”
provide one-on-one or small groups
create experts

3. Going Clinical... choose and educate a cooperative patient
treat the patient
evaluate the process
implement change
document procedures
move to another body site

4. Implement... Important aspects be there in the trenches
use the right team
pick the right 1st few patients
identify surprise issues early on
reassess process
implement change as needed
document procedures

5. Understand the Product…
Know the software
find time to play
know each application and its tools
ask questions!
get answers!!
know the software limitations
develop relationship with vendor

6. Deal With Resistance... Listen to the Resistors
What are their issues???
What’s in it for me???
Inclusion is key to success

7. Problem Solve... Deal with the issues! don’t go back – move forward!
change process for better as users become empowered by software
accept new ideas from users
limitations of the technology
working with the Radiation Oncologists & Neurosurgeons
Therapist/ Dosimetrist role

8. Celebrate! Acknowledge Success Promote success to key stakeholders
“Don’t be afraid to blow your own horn”
Give credit where credit is due

9. Move to a New Challenge... Next Site (Please!) Fractionated Prostate
Lung
Liver

10. Implementation of SRS at the Alberta Radiosurgery Centre
What we did
Issues we dealt with

11. Alberta Radiosurgery Centre
Dedicated program with consult, planning, and treatment area
Joint collaborative program
200 patients year 1
600 patients per year by year 5
Multidisciplinary weekly rounds with video conference technology

12. Program Development
Capital funding provided through community donations
Developed project plan
Renovations and equipment acquisition
Commissioning
Mapping processes
Training
Education brochures, video
Web-site with on-line referral (

13. Patient Care Process
Sue & ian to fill in

14. Can we save time?

15. Time and motion info

16. Process, Process, Process…
Develop a process
Try the new process
Evaluate and realize mistakes
Map a new process

17. New time and motion

18. Next Steps
Fill in

19. The Advantages…. To mention a few... reimbursement
decrease in treatment time
improved quality of patient care
less dose to critical structures
improved staff recruitment
research opportunities
expansion of “traditional” population

20. Questions??