It's been 10 12 years since the Prospective Surveillance Model (PSM) was published. This landmark literature has changed our entire paradigm of how we treat people with cancer.
We know that PSM is cost-effective, can prevent functional decline, can result in better treatment outcomes, & helps patients get back to what is most important to them faster.
So why is it still so rare to see it implemented?
In this replay episode, Dr. Nicole Stout dives into why the Prospective Surveillance Model hasn't taken off yet, plus what we MUST do to integrate it fully into standard cancer rehab today.
What is the Prospective Surveillance Model?
As Nicole explains:
"A cancer rehab provider in the cancer care delivery system to prospectively evaluate & monitor individuals going through cancer treatments. We evaluate their function & monitor them over the course of treatment to identify clinically meaningful changes so that we can intervene early."
The PSM is a "screen & triage" model, meaning that you evaluate patients for a problem & then get them connected with the next appropriate step.
In some cases, this means a full PT evaluation, plan of care, & treatment sessions. But for many patients, you might schedule them to come back in 3-6 months if they're not demonstrating any impairments (or risks of impairments).
This approach helps monitor patients for developing impairments with consideration for the financial toxicity many patients experience due to their cancer.
The double edge sword of this landmark achievement
PSM literature changed the game for cancer rehab. But it's still not implemented widely into the standard of cancer care.
For a prospective surveillance model to work, all parties involved must work towards it.
AND: you have to work smarter towards this goal. Nicole discusses how you have to use different metrics & outcomes to demonstrate how beneficial PSM is. This has to change from how you typically demonstrate "efficacy" & "success" in orthopedic outpatient physical therapy.
This approach dooms Cancer Rehab to fail:
If you're trying to fit cancer rehab into the typical "orthopedic outpatient PT mill," cancer rehab is destined to fail.
If you're trying to fit one model of PSM into your practice & it's not working, then make it work for your patients & your practice.
Nicole encourages you to re-examine how you're trying to get buy-in from oncologists, patients, & other stakeholders in the cancer care continuum. There is no one-size-fits-all solution.
It's critical to understand how to insert cancer rehab into the current system effectively: where can you intersect with the patient & "bring the least amount of burden to other providers"?
So how do we make PSM work? Through Implementation Science:
Nicole dropped STRAIGHT FIRE on how to really make PSM work through the lens of critical analysis (no calculator required). Make sure to check out the resources she shared:
Want more from Dr. Nicole Stout?
Dr. Nicole Stout is one of our keynote speakers at The Cancer Rehab Community Conference 2024!
To learn even more from Dr. Stout (& our other AMAZING speakers) at The Cancer Rehab Community Conference 2024, save your seat TODAY at TheOncoPT.com/conference before prices go up on September 13!
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