There are seven MDMs operating in the region at host sites in Bendigo and Mildura. Six of these utilise the CanMAP MDM software for documentation purposes. There is a private Genitourinary MDM operating from St John of God Bendigo Hospital. Patients are also sometimes referred to Melbourne MDMs.
During 2017, LMICS took leadership of a State-wide Project to develop quality standards for Cancer MDMs. A cancer MDM is a deliberate, regular meeting involving a range of health professionals with expertise in the diagnosis and management of cancer, with the purpose of facilitating best practice management of all patients with cancer.
The draft MDM Quality Framework contains an agreed set of standards, indicators and measures for all cancer MDMs in Victoria as well as a set of tools for monitoring their quality. Once implemented, the framework will enable greater consistency in the way cancer MDMs are conducted and monitored. It will facilitate greater awareness of the minimum requirements for MDM within the host health service and identification of variances in practice, enabling prioritisation of quality improvement activities relating to MDM inputs, processes and outputs.
The framework has several audiences, including clinicians who run and participate in MDMs, Health Service Executives who ensure that individual MDMs are supported and managed appropriately, and the DHHS and quality programs who will use this framework to collectively improve MDMs across Victoria. This includes quality, risk, planning and redesign staff within health services and quality improvement programs such as the ICS and other networks.
The framework is currently in the piloting/testing phase and will be recommended to DHHS for publication in early 2018.