Establishing a community-based XXXX multidisciplinary clinic as part of a large integrated health care system: aurora health care.

@entity5 @entity1 @entity2
A community @entity5 clinic, through cooperation with its parent health care system, developed a @entity2 multidisciplinary clinic (MDC) to enhance @entity1 care and prevent out-migration to competing health care systems. The local medical and radiation oncologists collaborated with a thoracic surgeon from the tertiary care hospital in establishing the lung MDC. All the participating physicians are employed by the health care system. A @entity5 care coordinator assured that all necessary tests were obtained and available to the physicians at least 1 day before the clinic. The multidisciplinary team also included a pulmonologist and met every third week. Other sub-specialists were involved as necessary. Final treatment recommendations using National Comprehensive @entity5 Network guidelines were made for each @entity1 at the MDC visit. This clinic, once established, resulted in significant improvements in the quality of care, @entity1 satisfaction and retention of @entity1 . Time from diagnosis to initiation of treatment was reduced to a mean of 18 days from a mean of 24 days. The community @entity5 clinic had an @entity2 @entity1 care by 28% and a 9.1% increase in gross revenue. The tertiary care hospital benefited by providing all @entity1 with definitive surgery, including minimally invasive surgery. The tertiary hospital thoracic surgeon had a 75% increase in referrals from the lung MDC geographic area over the previous year. This collaboration in the development of MDCs demonstrates how @entity1 , caregivers, and the health care system benefit from MDCs.
