Publications by authors named "Marcia Gruber"

The Brooklyn Infusion Center of Memorial Sloan-Kettering Cancer Center was established in 2010 to better meet the needs of patients with cancer living in the Brooklyn neighborhood and surrounding areas. A multidisciplinary team comprising clinical, administrative, planning, and other representatives were charged to identify and develop a location that would provide oncology care for patients closer to home and improve the patients' experience. The primary objectives were to provide patient-centered care that accommodates the patients' preference to receive treatment closer to home and to take advantage of technology to establish processes that will provide safe, efficient, convenient, and high-quality care in a cost-effective manner.

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Introduction: Several models for survivorship care are prominent within the cancer literature; however, there is little empirical research that examines what oncology clinicians perceive to be the best approach to caring for cancer survivors, what services survivorship programs should include, and how prepared they feel to care for cancer survivors.

Methods: An IRB approved web-based survey of all clinical staff was conducted at a NCI designated comprehensive cancer center with a 49.8% response rate (N  =  377).

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Nurses in chemotherapy administration settings are constantly challenged to increase utilization while maintaining patient safety. A performance improvement project was carried out to identify barriers to patient throughput and opportunities to improve utilization while not compromising patient safety. We found ways to safely increase the number of patients from 92 to 108 per day; however, patient tardiness and staff vacancies had a negative impact on patient wait times and nursing staff overtime.

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Managers frequently seek ways to create effective and lasting change among employees. When attempting change, each manager must consider what will motivate a particular employee at a particular time. To create lasting change, it is believed that a change in attitudes, beliefs, or values may be necessary.

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A nationwide network of community-owned health systems and their physicians invited several health care practices in New York to participate in a collaborative effort to explore advanced-access scheduling to improve same-day appointment availability. Roswell Park Cancer Institute, Buffalo, accepted.

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